Color Priming and Patient Decision-Making in the Emergency Department: Priming "Threat" in Patients With Low-Risk Chest Pain

CHRISTUS Health62 enrolled

Overview

This will be a prospective cross-sectional study evaluating a convenience sample of patients in the ED with low-risk chest pain defined by a HEART score of 3 or less.

This will be a prospective cross-sectional study. We will evaluate a convenience sample of patients in the ED with low-risk chest pain defined by a HEART score of 3 or less. Patients will be consented for participation and will fill out one of two surveys concerning their chest pain and chances of adverse cardiac events based on their HEART score. One survey will be printed in red text and feature red graphics; the other will be printed in black-and-white and feature black and-white graphics. The surveys will otherwise be identical. Enrolled patients will be asked to fill out survey questions related to their perception of their safety and their comfort with their discharge.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Enrollment

Conditions

Chest Pain Cardiac Event

Interventions

Black and White Printed SurveyOTHER

This survey will feature black and white text and graphics.

Red Printed SurveyOTHER

This survey will feature red text and graphics.

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * All patients 18 years or age and older presenting to the ED with a complaint of chest pain who are found to have a HEART score of 3 or less. Exclusion Criteria: * Patients who refuse to provide consent. * Patients unable to fill out the survey due to clinical instability, severe pain, or disorientation as determined by an emergency physician. * Incarcerated patients. * Patients who have a HEART score of \>3. * Pregnant women.

Locations (1)

CHRISTUS Health Spohn

Corpus Christi, Texas, United States

Outcomes

Primary Outcomes

Chest Pain Questionnaire

To assess a patient's level of relief/worry with being discharged from the emergency department (ED) after presenting with a chief complaint of chest pain and subsequently being informed they have a less than 2% chance of a major adverse cardiac event (heart attack) in the next six weeks. The questionnaire grades their level of relief/worry from (1) Very Relieved, (2) Somewhat Relieved (3) No Change (4) Somewhat Worried (5) Very Worried.

Time frame: 2 years

Data from ClinicalTrials.gov

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