Video Education for Health Maintenance

Overseen By Daniel Keyes, MD, MPH

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Trinity Health-Livonia

Disqualifiers: Non-English-speaking, Hospice, Advanced dementia, others

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

Compensation: Varies

Number of Visits: 1

350 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.

What data supports the effectiveness of the treatment Video preventive education?

Research shows that patient education, including video formats, can improve how well patients follow their treatment plans and slightly improve their health outcomes. Videos are appealing and can help patients understand and remember health information better, which can lead to better health maintenance. ^{1 2 3 4 5}

Is video education for health maintenance safe for humans?

There is no specific safety data available for video education for health maintenance, but video health education has been used in clinics to improve patient guidance without reported safety concerns. ^{6 7 8 9 10}

How does video preventive education differ from other treatments for health maintenance?

Video preventive education is unique because it uses video as a simple, low-cost, and widely accessible tool to educate patients about health maintenance. Unlike traditional methods, it allows for interactive learning and can be easily disseminated to a large audience, making it an effective way to empower patients to manage their health. ^{5 11 12 13 14}

What is the purpose of this trial?

It is widely accepted that prevention is far more impactful than curative medicine and must be included in primary care. In a previous pilot study, we evaluated passive video preventive lifestyle education in the emergency department. The current study is a randomized prospective trial assessing the practicality and impact of a brief interactive educational video intervention to patients during primary care clinic visits.

Research Team

Daniel Keyes, MD, MPH

Principal Investigator

Trinity Health-Livonia

Eligibility Criteria

This trial is for English-speaking adults aged 18 to 80 who are willing and able to consent, as well as watch a video on a smartphone or tablet. It's not for those in hospice care, with advanced dementia, or unable to hear the video.

Exclusion Criteria

Unable or unwilling to consent to the study

Unable or unwilling to hear a video on a smartphone or computer tablet

The patient is in hospice care

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants receive an interactive preventive education video during their primary care clinic visit

1 day

1 visit (in-person)

Follow-up

Participants are monitored for lifestyle changes and new diagnoses related to chest pain

3-12 months

Treatment Details

Interventions

• Video preventive education

Trial Overview The study tests the effectiveness of brief interactive educational videos about preventive health care shown to patients during primary care visits. The goal is to see if these videos can improve health maintenance and eating habits.

Participant Groups

Group I: Video intervention group Experimental Treatment 1 Intervention

The intervention is an interactive preventive education video lasting approximately 10 minutes. The video is interactive because it asks the patients to answer simple questions about the content in the video to keep them engaged. For instance, if the participant indicates that they do not smoke, the video will "skip" the smoking cessation education and move directly to the other prevention domains.

Group II: Control Active Control 1 Intervention

This arm consists of those randomized to receive no video

Who Is Running the Clinical Trial?

Trinity Health-Livonia

Lead Sponsor

Trials

1

Recruited

350+

Findings from Research

Patient education significantly improves compliance with therapeutic regimens in chronic disease management, with an average improvement of 0.67 sigma over control groups, indicating a strong effect.

While patient education also leads to improvements in physiological progress (0.49 sigma) and health outcomes (0.02 sigma), the most effective strategies involve behaviorally-oriented programs that focus on changing the patient's environment rather than just increasing knowledge.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Does patient education in chronic disease have therapeutic value? Mazzuca, SA.[2019]

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]

Adverse events occurred in 1% of pediatric hospitalizations, with 0.6% being preventable, indicating that a significant number of children experience harm due to medical management rather than their underlying conditions.

The most common types of preventable adverse events were birth-related (32.2%) and diagnostic-related (30.4%), highlighting the need for targeted research and interventions in these areas to improve patient safety in pediatric care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Adverse events and preventable adverse events in children. Woods, D., Thomas, E., Holl, J., et al.[2007]

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]

References

1. England pubmed.ncbi.nlm.nih.gov

Does patient education in chronic disease have therapeutic value? [2019]

2. Ireland pubmed.ncbi.nlm.nih.gov

Video-assisted patient education to modify behavior: a systematic review. [2022]

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

A video approach to interactive patient education. [2019]

4. Ireland pubmed.ncbi.nlm.nih.gov

Effect of patient education videos on modifying medication-related health behaviours: A systematic review using the behaviour intervention functions. [2023]

5. Ireland pubmed.ncbi.nlm.nih.gov

Utilization and impact of pre-office visit video health maintenance education. [2021]

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

Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. [2007]

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

Adverse events and preventable adverse events in children. [2007]

8. England pubmed.ncbi.nlm.nih.gov

Effect of application of short-form video health education on the health knowledge and satisfaction with nursing care of patients with lower extremity fractures. [2023]

9. Switzerland pubmed.ncbi.nlm.nih.gov

Improving out-patient care through participation: the Newark experiment in staff and patient involvement. [2016]

10. Brazil pubmed.ncbi.nlm.nih.gov

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

11. Canada pubmed.ncbi.nlm.nih.gov

Empowering Patients Living With Chronic Conditions Using Video as an Educational Tool: Scoping Review. [2022]

12. Netherlands pubmed.ncbi.nlm.nih.gov

Stress management delivered over public television: Steps toward promoting community mental health. [2021]

13. England pubmed.ncbi.nlm.nih.gov

Health education using video recordings in a general practice waiting area: an evaluation. [2018]

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

Increased cancer screening behavior in women of color by culturally sensitive video exposure. [2022]