This study is looking at whether short educational videos shown during pediatric cardiology visits can help families better understand their child's condition while also making clinic visits run more efficiently. Families coming to a pediatric cardiology clinic may watch short videos related to why they are there (for example: chest pain, heart murmurs, fainting, sports clearance, or Kawasaki disease). The videos are meant to explain common heart-related conditions and answer questions before the doctor comes into the room.
Researchers want to see if this:
* helps parents and patients learn more, * improves satisfaction with the visit, * helps families feel more involved in decisions, * and reduces the amount of time doctors spend repeating the same explanations.
How the study works:
One clinic site in San Antonio, TX will start using the videos at different times. Researchers will compare clinic visits before and after the videos are introduced.
Who is included:
Children being seen in pediatric cardiology clinics and their caregivers. Pregnant women referred for fetal heart evaluations may also be included.
What information is collected:
Clinic timing information (such as wait times and doctor visit length), Satisfaction surveys, Optional knowledge questionnaires, Basic medical record information needed for the study.
Risk level: The study is considered "minimal risk." Patients are still getting normal medical care. No drugs, devices, or experimental treatments are being tested.
Privacy protections:
Data will be stored on secure hospital systems. Researchers plan to remove identifying information when analyzing results. Medical record numbers are only temporarily used to connect survey data with clinic data.
Why the study matters:
The clinic hopes the videos can make visits less stressful, improve understanding for families, and help doctors spend more time on personalized care instead of repeating the same explanations over and over. It may also help clinics work more efficiently and reduce delays.
Pediatric patients (ages 0-18 years) presenting for outpatient pediatric cardiology evaluation
Caregiver present and able to complete surveys
Referral reason matches available video topic (during intervention periods)
Emergency or urgent consultations
Caregiver unable to read/understand English or Spanish
Patient/family opts out of study participation
Sequential
Room-based educational video: Murmur, Chest Pain
Other interventionVideo topics will be matched to patient referral reason: Murmur, Chest Pain
Room-based educational video: Syncope, Palpitations
Other interventionVideo topics will be matched to patient referral reason: Syncope, Palpitations
Room-based educational video: Sports Clearance, Kawasaki, General
Other interventionVideo topics will be matched to patient referral reason: Sports Clearance, Kawasaki, General
Physician encounter time (minutes)
Measured from physician room entry to exit via electronic health record (EHR) timestamps or direct observation.
Clinic throughput
Patients/session: Measured through timestamps (check-in, rooming, physician entry, discharge), visit type, referral reason and Provider schedules, patient volume
Shared decision-making quality
CollaboRATE Shared Decision Making Score, 0-100. The CollaboRATE measure provides a performance score representing the percentage of adults 18 and older who experience a high level of shared decision making.
Family knowledge
5-item condition-specific quiz
Patient satisfaction
single-item 5-point scale
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