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Enhancing Postpartum Discharge Instructions

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Thomas Jefferson University

Status

Completed

Conditions

Cesarean Delivery Affecting Newborn
Randomized Controlled Trial
Postpartum
Health Literacy

Treatments

Other: Standard Instructions
Other: Visual Aid

Study type

Interventional

Funder types

Other

Identifiers

NCT03592628
16D.794

Details and patient eligibility

About

Post-cesarean delivery discharge instructions are not currently at an appropriate health literacy level. Enhancing discharge instructions with a visual aid did not improve scores on comprehension quizzes, either immediately or two-weeks post-discharge. However, participants preferred to have access to visual images with discharge instructions.

Full description

Objective:

To evaluate the effect of a visual aid on improving comprehension of hospital discharge instructions for cesarean wound care.

Methods:

A randomized control trial with a 1:1 allocation ratio and an intention to treat analysis was performed at an urban, tertiary care center from June-November 2017. Fifty English-speaking patients ages 18-50 who had undergone a cesarean delivery were randomized to receive either standard or enhanced discharge instructions regarding post-cesarean incision care. Enhanced instructions included a visual aid not present in the standard instructions. Participants completed a comprehension quiz prior to hospital discharge and again 2 weeks after discharge as well as the REALM literacy assessment prior to discharge.

Enrollment

50 patients

Sex

Female

Ages

18 to 50 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • Able to consent
  • Identified as English speaking
  • Had a cesarean delivery during the index hospitalization for delivery of their living newborn

Exclusion criteria

  • Non-English speaking
  • Declined to participate
  • Required a translator for communication
  • Intellectual disability (as self-identified or as determined by healthcare provider)
  • Currently incarcerated

Trial design

Primary purpose

Other

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

50 participants in 2 patient groups, including a placebo group

Standard Instructions
Placebo Comparator group
Description:
Subjects enrolled in this arm received standardized teach-back regarding discharge instructions as well as the standard printed discharge instructions regarding post-cesarean wound care.
Treatment:
Other: Standard Instructions
Enhanced Instruction
Experimental group
Description:
Subjects enrolled in this arm received standardized teach-back regarding discharge instructions as well as the standard printed discharge instructions regarding post-cesarean wound care AND they received an additional printed visual diagram.
Treatment:
Other: Visual Aid

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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