This study evaluates the suitability and acceptability of video-recorded discharge via the Patient Knows Best app. Through a randomized control trial, patients receive either standard discharge care or standard care supplemented with video-recorded discharge. Clinical teams record briefings covering medication and wound care, which patients can access multiple times on their smart devices. Patients and clinical staff complete questionnaires to assess acceptance and feasibility. Feasibility is determined by recruitment, retention, and completion rates, with patient engagement and viewing habits also analyzed. The study aims to enhance patient understanding and continuity of care through accessible discharge information.
Who can participate
Age range
18 Years
Sex
ALL
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Age \>18 years old
* Anticipated to be discharged to their own home or that of a relative;
* Staying for at least one night on a participating hospital ward;
* Recently discharge (in the last 2 months) from the participating hospital ward with the same clinical problem as assessed by the care professionals;
* From cardiothoracic centre-Basildon or Elderly ward-Southend
* Have a personal digital device (e.g., mobile or tablet)/ or their close relative and mobile app
* Able to read and understand English.
* Relative or patient willing and able to give informed consent
* Clinical Frailty scale of ≤ 8 using Rockwood Frailty Scale
Exclusion Criteria:
* Patients live out of the area or plan to be transferred to another acute hospital;
* Discharged after recurrent admissions for the same clinical complaint as assessed by the care professionals;
* Patient or immediate carer don't have a personal digital device capable of hosting Patient Knows Best/ Ortus-iHealth app;
* Patient or relative unable or unwilling to upload the personalised discharge video to mobile app;
* Admitted for psychiatric reasons (other than dementia/delirium);
* Identified as being at the end of life and whose care has become palliative / clinical Frailty scale of \> 8 using Rockwood Frailty Scale
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.