Educational videos to reduce racial disparities in ICD therapy via innovative designs (VIVID): A randomized clinical trial

0Citations
Citations of this article
44Readers
Mendeley users who have this article in their library.

Abstract

Background Black individuals eligible for an implantable cardioverter/defibrillator (ICD) are considerably less likely than white individuals to receive one. This disparity may, in part, be explained by racial differences in patient preferences. We hypothesized that a targeted patient-centered educational video could improve knowledge of sudden cardiac arrest (SCA) and ICDs and reduce racial differences in ICD preferences. We conducted a pilot study to assess the feasibility of testing this hypothesis in a randomized trial. Methods We created a video that included animation, physician commentary, and patient testimonials on SCA and ICDs. The primary outcome was the decision to have an ICD implanted as a function of race and intervention. Between January 1, 2011, and December 31, 2011, 59 patients (37 white and 22 black) were randomized to the video or health care provider counseling/usual care. Results Relative to white patients, black patients were younger (median age, 55 vs 68 years) and more likely to have attended college or technical school. Baseline SCA and ICD knowledge was similar and improved significantly in both racial groups after the intervention. Black patients viewing the video were as likely as white patients to want an ICD (60.0% vs 79.2%, P =.20); and among those in the usual care arm, black patients were less likely than white patients to want an ICD (42.9% vs 84.6% P =.05). Conclusion Among individuals eligible for an ICD, a video decision aid increased patient knowledge and reduced racial differences in patient preference for an ICD. © 2013 Mosby, Inc.

Cite

CITATION STYLE

APA

Thomas, K. L., Zimmer, L. O., Dai, D., Al-Khatib, S. M., Allen Lapointe, N. M., & Peterson, E. D. (2013). Educational videos to reduce racial disparities in ICD therapy via innovative designs (VIVID): A randomized clinical trial. American Heart Journal, 166(1). https://doi.org/10.1016/j.ahj.2013.03.031

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free