Contact email

mrudder@partners.org

Overview

Activated patients – those who have the knowledge, confidence, and skills to manage one’s health – are more likely to successfully execute a discharge care plan.  We hypothesized that educational discharge videos may increase patient activation. Our goals were to determine the acceptability and feasibility of implementing condition-specific educational discharge videos for general medicine inpatients, and whether video education is associated with patient activation.

Department

Department of Medicine

Division

Division of General Internal Medicine

Collaborators

Theresa Fuller, Nicholas Piniella, Catherine Yoon, Stuart Lipsitz, ScD, Jeffrey L Schnipper, MD, MPH, Anuj K Dalal, MD

Status/Stage of Development

Pilot

Measurement

We compared PAM scores at, and 30 days after, discharge as well as 30-day readmission rates between viewers and non-viewers. We also compared patients who viewed the videos to a principle component-matched cohort of patients from the PDTK study who were not approached as part of this sub-study.

Results

Of 115 patients screened, 45 (39.1%) were eligible to participate; of the 36 patients who were approached, 18 (50.0%) consented to view the video. Viewers were younger than non-viewers (56.2 versus 68.9 years of age, P=0.02) and more likely to be male (72.2% versus 38.9%, p=0.04). Viewers had significantly higher mean PAM-13 scores compared to non-viewers (75.5 vs 60.2, p=0.05). A greater proportion of viewers than non-viewers had PAM levels ≥, but this difference was not significant (66.7% vs 38.9%, p=0.09). At 30 days, viewers had higher PAM scores than non-viewers (71.16 vs 58.9, p=0.32) and fewer readmissions than non-viewers (5.6% vs 11.1%, p=0.55), but these were not statistically significant.

Major Project Needs

• Funding
• Presentation opportunities