Engaging Patients for Physical Exams During Virtual Care Visits

Henry Ford Health System50 enrolled

Overview

The goal of this clinical trial is to validate patient-oriented edits to a guided video on self-performed hand examination in participants with no prior hand diagnoses or medical background. The study aims to: * examine the effect of adding interactive components to an existing orthopedic provider video * determine if these changes enhance patients' understanding of hand and wrist anatomy as well as carpal tunnel syndrome * determine if patients are able to use this video to perform an effective physical exam Participants will watch an original physician-oriented training video and a second version (patient-oriented video), which was edited with the input of a patient advisory committee to include interactive elements and a slower speed. The order in which the participants will watch the video will be randomized. If there is a comparison group: Researchers will compare knowledge scores and general patient preference between the two videos being examined.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

Conditions

Self-preformed Hand Examination

Interventions

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients older than 18 years of age * Patients who comprehend and speak English * Patients with carpal tunnel syndrome confirmed on EMG and/or symptoms consistent with carpal tunnel syndrome, including bilateral hand pain, non-traumatic hand pain, and/or numbness/tingling in hand. Exclusion Criteria: * Patients under 18 years of age * Patients who do not speak or comprehend English * Patients who have cognitive impairments that would be detrimental to understanding of video * Patients whose symptoms do not match carpal tunnel syndrome

Outcomes

Primary Outcomes

Knowledge Score immediately following the viewing of a video presenting the knowledge

Score of the quiz examining the understanding of the contents of the video by the participants. Scoring was a likert scale of 1-5 where 5 represented easy to understand and 1 was very difficult to understand. Separate questions scored as a 1 or 0 where 1 equated to answering the knowledge question correctly and 0 was answering the question incorrectly.

Time frame: 10 minutes after viewing the video

Secondary Outcomes

Knowledge Score immediately prior to the viewing of a video presenting the knowledge

Score of the quiz examining the participants' understanding prior to watching the video. Scoring was a likert scale of 1-5 where 5 represented easy to understand and 1 was very difficult to understand. Separate questions scored as a 1 or 0 where 1 equated to answering the knowledge question correctly and 0 was answering the question incorrectly.

Time frame: 10 minutes before viewing the video