What to expect that you're not expecting: A pilot video education intervention to improve patient self-efficacy surrounding discharge medication barriers

Health Informatics J. 2019 Dec;25(4):1595-1605. doi: 10.1177/1460458218796644. Epub 2018 Aug 31.

Abstract

The objective of this study was to test the feasibility of video discharge education to improve self-efficacy in dealing with medication barriers around hospital discharge. We conducted a single-arm intervention feasibility trial to evaluate the use of video education in participants who were being discharged home from the hospital. The scores of pre- and post-intervention self-efficacy involving medication barriers were measured. We also assessed knowledge retention, patient and nursing feedback, follow-up barrier assessments, and hospital revisits. A total of 40 patients participated in this study. Self-efficacy scores ranged from 5 to 25. Median pre- and post-intervention scores were 21.5 and 23.5, respectively. We observed a median increase of 2.0 points from before to after the intervention (p = 0.046). In total, 95 percent of participants reported knowledge retention and 90 percent found the intervention to be helpful. Video discharge education improved patient self-efficacy surrounding discharge medication challenges among general medicine inpatients. Patients and nurses reported satisfaction with the video discharge education.

Keywords: discharge education; hospital discharge; medication adherence; medication barrier; medication discrepancy; patient education; patient engagement; readmission; self-efficacy; video education.

MeSH terms

  • Adult
  • Aged
  • Drug Prescriptions / nursing*
  • Drug Prescriptions / standards
  • Drug Prescriptions / statistics & numerical data
  • Feasibility Studies
  • Female
  • Humans
  • Interviews as Topic / methods
  • Male
  • Middle Aged
  • New York
  • Patient Discharge / standards
  • Patient Discharge / statistics & numerical data
  • Patient Education as Topic / methods
  • Patient Education as Topic / standards*
  • Patient Education as Topic / statistics & numerical data
  • Patients / psychology*
  • Patients / statistics & numerical data
  • Pilot Projects
  • Qualitative Research
  • Self Efficacy*
  • Statistics, Nonparametric
  • Surveys and Questionnaires
  • Videotape Recording / methods
  • Videotape Recording / standards*
  • Videotape Recording / statistics & numerical data