Randomised clinical trial, single-center, blinded assessment, controlled with standard practice with two-group parallel design. Eligible patients are those assisted and transferred suffering from ST-Elevation myocardial infarction in an Advanced Life Support ambulance from an public Emergency Medical Service in the Cadiz area (Spain). Experimental group will watch an ad hoc design multimedia content in a tablet (video with sound and subtitles) during the transfer and control group will be assisted as standard procedures. Main outcome variables will be conformed by patient reported outcomes (anxiety State, pain and comfort) and patient experience (transfer experience).
Due to intrinsic characteristics of ambulance transport raises stress or anxiety in patients. Moreover, other outcomes such as pain and some specific vital signs are affected. In the last years, empowerment patient strategies have been launched in several clinical settings but none in the ER field. Main objective Comparative assessment of the effectiveness of multimedia exposure vs standard clinical procedures to improve the experience and patient reported outcomes in patients suffering from ST-Elevation myocardial infarction transferred to hospital in an Advanced Life Support ambulance for a percutaneous coronary intervention (PCI). Methods Randomised clinical trial, single-center, blinded assessment, controlled with usual practice with two-group parallel design. Eligible patients are those assisted and transferred suffering from STEMI in an Advance Life Support (ALS) ambulance from public Emergency Medical System in the Cadiz region. Experimental group will watch multimedia content on a tablet (movie or image with sound) ad hoc designed, control group will be assisted as usual procedures. Main outcomes will be conformed by informed patient results (anxiety State, pain and comfort) and patient experience (transfer experience).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SCREENING
Masking
SINGLE
Enrollment
96
Video and images watched on a tablet. Patient could decide which information want to watch.
Universidad de Cádiz
Cadiz, Spain
Anxiety state
Tool State-Trait Anxiety Scale (STAI-E6). Less punctuation means better outcomes. Range 0-18.
Time frame: Minute 0.
Anxiety state change
Tool State-Trait Anxiety Scale (STAI-E6). Less punctuation means better outcomes. Range 0-18.
Time frame: Minute 10.
Experience measure of the ambulance service
Tool Ambulance Patient Reported Experience Measure (APREMS)
Time frame: 1 measure: one week after the patient has been discharge from hospital. Qualitative interview tool.
Comfort
"Kolcaba General Comfort Questionnaire scale". More punctuation means better outcomes. Range 0-10.
Time frame: Minute 0.
Comfort change
"Kolcaba General Comfort Questionnaire scale". More punctuation means better outcomes. Range 0-10.
Time frame: Minute 10.
Pain assessment
Analogic Pain Scale. Less punctuation means better outcomes. Range 0-10.
Time frame: Minute 0.
Pain assessment change
Analogic Pain Scale. Less punctuation means better outcomes. Range 0-10.
Time frame: Minute 10.
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