Testing the Effectiveness of Night Shift, a Theory-based Customized Video Game
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ClinicalTrials.gov Identifier: NCT06063434 |
Recruitment Status :
Active, not recruiting
First Posted : October 2, 2023
Last Update Posted : March 8, 2024
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Condition or disease | Intervention/treatment | Phase |
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Trauma Injury Physician's Role | Behavioral: Night Shift Behavioral: Usual education | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 800 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Intervention Model Description: | Physicians will be randomized in a 1:1 fashion to the intervention condition or to the control condition. |
Masking: | Single (Outcomes Assessor) |
Masking Description: | Participant assignment will be masked within the data with unblinding occurring only after data cleaning has completed. |
Primary Purpose: | Health Services Research |
Official Title: | Testing the Effectiveness of a Theory-based, Customized Video Game at Increasing the Implementation of Clinical Practice Guidelines in Trauma Triage |
Actual Study Start Date : | November 27, 2023 |
Estimated Primary Completion Date : | December 31, 2024 |
Estimated Study Completion Date : | December 31, 2025 |
Arm | Intervention/treatment |
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Experimental: Night Shift
Night Shift 2024 is a customized, theory-based adventure video game in which the player takes on the character of Andy Jordan, a young emergency medicine physician who moves home after the disappearance of his grandfather and takes a job at a local community hospital. The investigators will ask participants to play Night Shift for 2 hours upon enrollment (or within 2 weeks), and then come back to the game quarterly to play it again for 20 minute booster sessions. They will unlock additional game content each quarter to make the experience more enjoyable.
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Behavioral: Night Shift
The player must not only manage the patients who present to the emergency department of the hospital, gaining experience with the consequences of trauma triage, but also solve the mystery of the grandfather, gaining an emotional connection with the character and making the feedback that "Andy" receives more relevant. Embedded within Night Shift 2024 is a mini-game (Graveyard Shift) that contains a series of puzzles that reinforce the lessons of the overarching game: transfer severely injured patients expeditiously. |
Active Comparator: Usual education
Participants will receive their usual continuing medical education, but nothing additional.
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Behavioral: Usual education
Standard continuing medical education, including Advanced Trauma Life Support, and the American Board of Emergency Medicine educational modules (e.g., trauma resuscitation). |
- Under-triage [ Time Frame: 1 year ]Proportion of severely injured patients, treated by trial participants, not transferred to a higher level of care after initial evaluation at a non-trauma center
- Mortality and hospital readmission [ Time Frame: 1 year ]Proportion of severely injured patients, treated by trial participants, who die or are readmitted to any hospital within 30 days of their initial evaluation at a non-trauma center
- Functional dependence [ Time Frame: 1 year ]Proportion of severely injured patients, treated by trial participants, with 90-day preadmission location at home with discharge to a skilled nursing or rehabilitation facility after initial treatment at a non-trauma center.
- Over-triage [ Time Frame: 1 year ]Proportion of injured patients, treated by trial participants, transferred to a higher level of care after initial evaluation at a non-trauma center with minimal injuries
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Ages Eligible for Study: | 25 Years to 70 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Board certified physicians who work exclusively in the emergency departments (EDs) of non-trauma centers in the US AND triage adult trauma patients
Exclusion Criteria:
- non-physician healthcare professionals who work in EDs
- physicians who work at trauma and non-trauma centers
- physicians who work outside the continental US
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT06063434
United States, Pennsylvania | |
University of Pittsburgh | |
Pittsburgh, Pennsylvania, United States, 15213 |
Principal Investigator: | Deepika Mohan, MD | University of Pittsburgh |
Documents provided by Deepika Mohan, University of Pittsburgh:
Responsible Party: | Deepika Mohan, Associate Professor, University of Pittsburgh |
ClinicalTrials.gov Identifier: | NCT06063434 |
Other Study ID Numbers: |
STUDY23070156 R01AG076499 ( U.S. NIH Grant/Contract ) |
First Posted: | October 2, 2023 Key Record Dates |
Last Update Posted: | March 8, 2024 |
Last Verified: | March 2024 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Yes |
Plan Description: | The protocol, primary data, and meta-data (e.g., documentation, protocols used to clean and to manage the data), will be uploaded to the open access Inter-university Consortium for Political and Social Research (open ICPSR) repository at the conclusion of the trial. Of note, data obtained from Medicare will not be shared as part of the results of the trial, because we do not own those records. |
Supporting Materials: |
Study Protocol Statistical Analysis Plan (SAP) Analytic Code |
Time Frame: | 6 months after publication of the primary manuscript. |
Access Criteria: | We will upload the data to the open ICPSR repository, where other researchers can access it. |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Heuristics Serious game Guidelines |
Wounds and Injuries |