Engaging Patients for Physical Exams During Virtual Care Visits

Henry Ford Health

Status: Completed

Conditions: Self-preformed Hand Examination

Treatments: Other: Physician-oriented Video; Other: Patient-oriented video

Study type: Interventional

Funder types: Other

Identifiers

NCT05790811

14760

Details and patient eligibility

About

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.

Enrollment: 50 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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50 participants in 2 patient groups

patient-oriented video

Experimental group

Description:

A patient-oriented video with the goal of instructing patients about the maneuvers needed to make specific diagnoses of the hand and wrist. Wording was changed so that it was more patient friendly and text was added to the screen.

Treatment:

Other: Patient-oriented video

physician-oriented training video

Active Comparator group

Description:

A physician-oriented video with the goal of instructing physicians on the maneuvers needed to make specific diagnoses of the hand and wrist.

Treatment:

Other: Physician-oriented Video