Video Education for Postpartum Care

Overseen By Heather Lipkind, MD, MSce

Age: 18+

Sex: Female

Trial Phase: Academic

Sponsor: Weill Medical College of Cornell University

Disqualifiers: Non-WCM postpartum care, Fetal demise, Language

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 1

150 Participants Needed

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications, so it's best to ask the study team for guidance.

What data supports the effectiveness of the treatment Video Education for Postpartum Care?

Research shows that video education can be as effective as traditional methods for teaching patients about their care, as seen in studies with organ transplant recipients and cardiac patients. Videos can improve patient knowledge and satisfaction, making them a useful tool for postpartum education. ^{1 2 3 4 5}

Is video education generally safe for use in postpartum care?

There is no specific safety data available for video education in postpartum care, but a study at Sahlgrenska University Hospital found that using video to communicate patient safety information was well-received by patients, suggesting it is a safe method for sharing health information. ^{6 7 8 9 10}

How is the Video Education treatment unique for postpartum care?

The Video Education treatment is unique because it uses video-based learning to provide consistent and accessible postpartum education, which can be more engaging and effective than traditional paper handouts. This approach aligns with modern learning preferences and can improve knowledge and care practices among new mothers. ^{11 12 13 14 15}

What is the purpose of this trial?

This trial tests if adding a short educational video to the usual written instructions helps new mothers recognize serious health warning signs after childbirth. It focuses on Black, Latinx, multi-racial women who might be at higher risk. The video aims to make it easier for them to remember important health information.

Research Team

Heather Lipkind, MD, MSce

Principal Investigator

Weill Medical College of Cornell University

Eligibility Criteria

This trial is for self-identified Black, Latinx, or multiracial individuals who are on Medicaid or uninsured and have just given birth. It's designed to help them recognize early warning signs of serious health issues after childbirth. Participants must be able to complete questionnaires during their postpartum stay.

Inclusion Criteria

Self-identified as Black, Latinx, other and/or Medicaid or Uninsured

Informed and written consent

Delivered at WCM

Exclusion Criteria

Patients who do not plan to receive postpartum care within the WCM system

Patients who experience an intrauterine fetal demise

My primary language is not English or Spanish.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Intervention

Participants receive written discharge education and, for the intervention group, view a 12-minute educational video on severe maternal morbidity warning signs.

1 day

1 visit (in-person)

Post-discharge Monitoring

Participants complete a post-discharge questionnaire to assess knowledge retention on severe maternal morbidity warning signs.

1 week

Follow-up

Participants' antepartum, delivery, and postpartum course will be reviewed 6 months postpartum, including outpatient visits, emergency department visits, and any hospitalizations.

6 months

Treatment Details

Interventions

• Video Education

Trial Overview The study tests if adding a video education component to standard written discharge instructions helps improve new mothers' understanding of severe maternal morbidity signs like infection, hemorrhage, and blood pressure disorders within the first week after delivery.

Participant Groups

Group I: Written Discharge Education + Video Education Experimental Treatment 1 Intervention

These patients will view a 12-minute educational video on SMM warning signs, in addition to the written discharge instructions provided by nursing staff. At the completion of the video, they will complete a post-video questionnaire to assess their knowledge on the covered topics.

Group II: Written Discharge Education Active Control 1 Intervention

They will receive the written discharge instructions provided by nursing staff and complete the post-discharge instruction questionnaire.

Who Is Running the Clinical Trial?

Weill Medical College of Cornell University

Lead Sponsor

Trials

1,103

Recruited

1,157,000+

Findings from Research

The development of a preoperative videotape by an interdisciplinary team at the Albuquerque Veterans Affairs Medical Center led to improved patient satisfaction by enhancing the availability and consistency of preoperative instructions.

Preliminary data indicates that patients and their families found the videotape an appealing and effective addition to traditional preoperative teaching methods, aligning with JCAHO standards for patient education.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A video approach to interactive patient education. Maller, CE., Twitty, VJ., Sauve, A.[2019]

Preoperative education, particularly through pamphlets, significantly enhances patients' knowledge and ability to perform postoperative activities, suggesting that written materials are effective tools for informing patients before surgery.

While videos as a teaching method have potential benefits for improving patient understanding, they have not been rigorously evaluated, indicating a need for further research to confirm their effectiveness compared to other educational formats.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Knowledge retention from preoperative patient information. Stern, C., Lockwood, C.[2011]

The use of video education via iPads significantly improved patients' knowledge about heart disease, with test scores rising from an average of 88.97% to 96.62% after the intervention, indicating high efficacy in enhancing understanding.

Despite high satisfaction rates (86.3%) and increased confidence in managing heart disease, there was no significant increase in attendance at cardiac rehabilitation sessions, suggesting that knowledge alone may not be enough to encourage participation in these programs.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effects of iPad Video Education on Patient Knowledge, Satisfaction, and Cardiac Rehabilitation Attendance. Wischer, JL., Oermann, MH., Zadvinskis, IM., et al.[2019]

Internet-based education significantly improved patients' knowledge levels more than face-to-face education with a nurse in a study involving 147 ambulatory orthopedic surgery patients.

Both education methods were effective in enhancing knowledge, but there was no difference in the sufficiency of knowledge between the two groups, indicating that online education is a viable alternative in ambulatory care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Ambulatory orthopaedic surgery patients' knowledge with internet-based education. Heikkinen, K., Leino-Kilpi, H., Salanterä, S.[2017]

A study involving 50 organ transplant patients found that individualized discharge teaching was equally effective whether delivered alone or supplemented with a videotape, as both methods resulted in similar test scores for knowledge retention.

Qualitative feedback from interviews indicated that patients were equally satisfied with both educational approaches, suggesting that using varied teaching methods can cater to different learning preferences and enhance patient understanding.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

An evaluation of the effectiveness of a videotape for discharge teaching of organ transplant recipients. Steinberg, TG., Diercks, MJ., Millspaugh, J.[2019]

A systematic review of 51 studies found that social media contains reports of adverse events related to healthcare interventions, with a prevalence ranging from 0.2% to 8% of posts, particularly highlighting 'symptom' and 'mild' adverse events.

While social media can provide insights into adverse events, the data is inconsistent and lacks thorough evaluation for reliability, especially for serious and laboratory-based adverse events, indicating a need for caution in interpreting these reports.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Systematic review on the prevalence, frequency and comparative value of adverse events data in social media. Golder, S., Norman, G., Loke, YK.[2023]

An educational program for nursing technicians significantly improved their understanding of how to recognize and record Adverse Events (AEs) in hemodialysis patients, with test scores increasing from an average of 3.7 to 4.2 out of 5 after the intervention.

The program effectively combined classroom and online learning, demonstrating that such training methods can enhance the knowledge and skills of healthcare professionals in managing patient safety.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Nursing educational intervention for the identification of Adverse Events in hemodialysis. Pássaro, PG., D'Ávila, R.[2019]

A study involving 134 patients found that 90% rated the animated video on patient safety as good or very good, while 100% of those receiving oral information felt the same, indicating high satisfaction with both methods.

Despite the positive feedback for the video, 74% of patients who received both formats preferred the oral presentation, suggesting that while videos can enhance understanding, they should not replace traditional verbal communication for optimal patient engagement.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Communicating Patient Safety Information Through Video and Oral Formats-A Comparison. Bånnsgård, M., Nouri, A., Finizia, C., et al.[2023]

A new approach to Morbidity and Mortality (M&M) Conferences has led to a 29% increase in overall satisfaction and a 50% increase in satisfaction regarding the addressing of process improvement issues over 5 years.

The hands-on, educational focus of the revamped M&M Conferences has resulted in 100% of faculty applying what they learn to their practice, suggesting that this model could enhance discussions about adverse events and improve patient safety across the medical community.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

An Innovative and Integrative Approach to Breaking Down Barriers to Traditional Morbidity and Mortality Conference. Tresselt, E., Darnell Bowens, C., Dhar, A.[2023]

Using closed malpractice case data in training seminars for surgical residents can enhance their understanding of malpractice and improve their medical practice, with low risk and high potential benefits.

There is a growing trend towards transparency in sharing malpractice information, which could help bridge the gap between risk management and patient safety, ultimately leading to better training and patient care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Commentary: Medical malpractice and patient safety: tear down that wall! Alper, EJ., Wachter, RM.[2011]

A media-based, self-instructional education program for health professionals was developed and tested in Michigan, showing significant improvements in knowledge and patient care practices among physicians and nurses.

The study demonstrates that targeted educational interventions can effectively enhance perinatal care, indicating a successful approach to improving healthcare delivery.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Impact of an education program on perinatal care practices. Harlan, WR., Hess, GE., Borer, RC., et al.[2004]

Maternal morbidity and mortality rates in the U.S. are concerningly high, particularly with rising postpartum deaths, highlighting the need for better education on potential complications.

The project aims to enhance postpartum discharge education provided by nurses, ensuring that women receive consistent and evidence-based information to recognize and respond to warning signs after childbirth.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Improving Postpartum Education About Warning Signs Of Maternal Morbidity and Mortality. Suplee, PD., Kleppel, L., Santa-Donato, A., et al.[2019]

New mothers prefer technology-based educational materials over traditional paper handouts for learning about safe sleep practices for their newborns, indicating a shift in how educational content should be delivered.

Participants rated video teaching materials significantly higher than paper handouts, suggesting that healthcare organizations should adapt their patient education strategies to align with modern learning preferences.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Format of Parent Education Material Preferred by New Mothers. Raines, DA., Robinson, J.[2021]

A randomized controlled trial involving 522 low-income pregnant women found that watching a breastfeeding education video did not significantly extend the duration of breastfeeding or exclusive breastfeeding compared to a control video.

While the video alone was not effective in increasing breastfeeding duration, it suggests that such educational tools could be beneficial as part of a broader strategy to support breastfeeding among low-income women.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A Randomized Trial of Prenatal Video Education to Improve Breastfeeding Among Low-Income Women. Kellams, AL., Gurka, KK., Hornsby, PP., et al.[2020]

The introduction of educational videos for postpartum mothers did not significantly change the overall exclusive breastfeeding rates at discharge, remaining at 69.5% post-intervention compared to 68.4% pre-intervention.

However, mothers who watched all four videos were significantly more likely to breastfeed exclusively (72.7%) and engage in any breastfeeding (98.9%) compared to those who did not watch any videos (55.3% and 80.2%, respectively), indicating that the videos may positively influence breastfeeding practices among those who choose to watch them.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Prescribing Video-Based Patient Education in the Hospital Setting: Can Bedside Breastfeeding Videos Affect Exclusive Breastfeeding at Postpartum Discharge? Marmet, J., Schmiesing, A., Scheuer, J., et al.[2021]

References

1. United States pubmed.ncbi.nlm.nih.gov

A video approach to interactive patient education. [2019]

2. Australia pubmed.ncbi.nlm.nih.gov

Knowledge retention from preoperative patient information. [2011]

3. United States pubmed.ncbi.nlm.nih.gov

Effects of iPad Video Education on Patient Knowledge, Satisfaction, and Cardiac Rehabilitation Attendance. [2019]

4. Germany pubmed.ncbi.nlm.nih.gov

Ambulatory orthopaedic surgery patients' knowledge with internet-based education. [2017]

5. United States pubmed.ncbi.nlm.nih.gov

An evaluation of the effectiveness of a videotape for discharge teaching of organ transplant recipients. [2019]

6. England pubmed.ncbi.nlm.nih.gov

Systematic review on the prevalence, frequency and comparative value of adverse events data in social media. [2023]

7. Brazil pubmed.ncbi.nlm.nih.gov

Nursing educational intervention for the identification of Adverse Events in hemodialysis. [2019]

8. United States pubmed.ncbi.nlm.nih.gov

Communicating Patient Safety Information Through Video and Oral Formats-A Comparison. [2023]

9. United States pubmed.ncbi.nlm.nih.gov

An Innovative and Integrative Approach to Breaking Down Barriers to Traditional Morbidity and Mortality Conference. [2023]

10. United States pubmed.ncbi.nlm.nih.gov

Commentary: Medical malpractice and patient safety: tear down that wall! [2011]

11. United States pubmed.ncbi.nlm.nih.gov

Impact of an education program on perinatal care practices. [2004]

12. United States pubmed.ncbi.nlm.nih.gov

Improving Postpartum Education About Warning Signs Of Maternal Morbidity and Mortality. [2019]

13. United States pubmed.ncbi.nlm.nih.gov

Format of Parent Education Material Preferred by New Mothers. [2021]

14. United States pubmed.ncbi.nlm.nih.gov

A Randomized Trial of Prenatal Video Education to Improve Breastfeeding Among Low-Income Women. [2020]

15. United States pubmed.ncbi.nlm.nih.gov

Prescribing Video-Based Patient Education in the Hospital Setting: Can Bedside Breastfeeding Videos Affect Exclusive Breastfeeding at Postpartum Discharge? [2021]