%0 Journal Article
%T Multimedia Education Increases Elder Knowledge of Emergency Department Care
%A Thomas E. Terndrup
%A Sameer Ali
%A Steve Hulse
%A Michele Shaffer
%J Western Journal of Emergency Medicine : Integrating Emergency Care with Population Health
%D 2013
%I UC Irvine Health School of Medicine.
%X Introduction: Elders who utilize the emergency department (ED) may have little prospectiveknowledge of appropriate expectations during an ED encounter. Improving elder orientation toED expectations is important for satisfaction and health education. The purpose of this study wasto evaluate a multi-media education intervention as a method for informing independently livingelders about ED care. The program delivered messages categorically as, the number of tests,providers, decisions and disposition decision making.Methods: Interventional trial of representative elders over 59 years of age comparing pre andpost multimedia program exposure. A brief (0.3 hour) video that chronicled the key events after ahypothetical 911 call for chest pain was shown. The video used a clinical narrator, 15 ED healthcare providers, and 2 professional actors for the patient and spouse. Pre- and post-video testsresults were obtained with audience response technology (ART) assessed learning using a 4point Likert scale.Results: Valid data from 142 participants were analyzed pre to post rankings (Wilcoxon signedranktests). The following four learning objectives showed significant improvements: number oftests expected [median differences on a 4-point Likert scale with 95% confidence intervals: 0.50(0.00, 1.00)]; number of providers expected 1.0 (1.00, 1.50); communications 1.0 (1.00, 1.50);and pre-hospital medical treatment 0.50 (0.00, 1.00). Elders (96%) judged the intervention asimproving their ability to cope with an ED encounter.Conclusion: A short video with graphic side-bar information is an effective educational strategy toimprove elder understanding of expectations during a hypothetical ED encounter following calling911.
%K emergency medicine
%K ED administration
%K clinical practice
%K medical education
%U http://escholarship.org/uc/item/3175k07j