Evidence map›Paper›PMID 30126714›Full record

Trial reportJoint Commission journal on quality and patient safety2019

Audio-Recorded Discharge Instructions for Limited English Proficient Parents: A Pilot Study.

K Casey Lion, Kathleen Kieran, Arti Desai, Patty Hencz, Beth E Ebel, Ali Adem, Shannon Forbes, Juan Kraus, Colleen Gutman, Ivor Horn

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Joint Commission journal on quality and patient safety, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Tools to improve discharge equity: Protocol for the pilot TIDE trial.Contemporary clinical trials communications · 2025
    Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

K Casey Lion
Kathleen Kieran
Arti Desai
Patty Hencz
Beth E Ebel
Ali Adem
Shannon Forbes
Juan Kraus
Colleen Gutman
Ivor Horn

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
Web-based Care Plans for Children with Medical ComplexityK08HS024299 · AHRQ · SEATTLE CHILDREN'S HOSPITAL · PI DESAI, ARTI D · 2015 to 2019
$741k
Targeted Inpatient Navigation to Improve Care for Minority Children and FamiliesK23HD078507 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI LION, KATHERINE CASEY · 2014 to 2018
$692k
AHRQ HHS K08 HS024299NCATS NIH HHS UL1 TR002319NICHD NIH HHS K23 HD078507
6 · The paper itself

Abstract

backgroundParents with limited English proficiency (LEP) demonstrate lower comprehension of discharge instructions. A study was conducted to (1) determine the feasibility of providing a greeting card with language-specific, audio-recorded discharge instructions to LEP parents; (2) describe use of and satisfaction with the cards; and (3) evaluate card effect on instruction comfort with home care and comprehension.

methodsLEP parents of children undergoing day surgery from April to September 2016 were eligible. Participants were randomized to usual discharge instructions, or usual instructions plus a three-minute card with language-specific audio instructions that could be replayed repeatedly. Parents were surveyed by telephone two to seven days postdischarge to assess card use and satisfaction, comfort with home care, and discharge instruction recall (medications, home care, follow-up, and return precautions). Parent-reported instructions were compared to instructions in the medical record; concordance was determined by two blinded reviewers. Due to difficulty achieving recruitment goals, analysis focused on feasibility and acceptability.

resultsOf  83 parents enrolled, 66 (79.5%) completed the follow-up survey. Most had not completed high school (61.0%) and spoke Spanish (89.2%). Parents reported high satisfaction with the card (4.5/5 for ease of use, helpfulness, and understandability). Ninety-four percent shared the card with others, and 45.2% reported listening > 5 times. Besides reviewing the care instructions generally, parents reported using the card to review medications and engage others in the child's care.

conclusionProviding language-concordant, audio-recorded discharge instructions was feasible, and parents reported high satisfaction with and frequent use of the cards with multiple caregivers.

Indexed as

Ambulatory Surgical ProceduresLimited English ProficiencyPatient DischargeChildComprehensionCultural CompetencyFemaleHumansMaleParentsPatient SatisfactionPilot ProjectsProspective StudiesSelf CareSocioeconomic Factors

Identifiers

PMID30126714
PMCPMC6378142

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.