Provision of Video Education Instead of an In-person Visit for Pediatric Buckle Fractures: A Randomized Controlled Trial.
Mosufa Zainab, Mehmet E Kilinc, Devon R Pekas et al.
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In 30 seconds
This single-center, prospective randomized non-inferiority trial compared emailed video education with a standard in-person orthopaedic visit for 41 patients with distal radius buckle fractures, followed for 6 weeks. Improvement in PROMIS Pediatric Upper Extremity scores was non-inferior with video education, and satisfaction did not differ significantly between groups. Video-group patients and caregivers spent less time on healthcare activities (59.8±54.1 min vs. 144.1±95.2 min; P =0.002), with less missed work and school time; provider care time was also lower.
Key findings
- PROMIS score improvement from baseline to 6 weeks was non-inferior with video education compared with an in-person visit.
- Healthcare activity time was 59.8±54.1 min with video versus 144.1±95.2 min in person (P =0.002).
- Missed work time was 8.5±27.4 min versus 137.1±246.1 min (P =0.006); missed school time was 95.1±209.3 min versus 191.4±259.2 min (P =0.037).
- Provider care time was 0.0±0.0 min in the video group versus 33.7±17.9 min in the in-person group.
Why it matters
For this common pediatric injury, the trial found that video education maintained non-inferior patient-reported functional improvement while reducing time spent by families and providers. These outcomes highlight that care pathways can be assessed not only by clinical recovery and satisfaction, but also by the time burden associated with obtaining care.
What to keep in mind
The trial was single-center, included 41 patients, and followed participants for 6 weeks.