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CompletedNCT04516044Updated Feb 4, 2021

Effect of Videogames on Real-life Triage Patterns

An observational study in Trauma and Physician's Role, sponsored by University of Pittsburgh. Completed at 1 site in United States. Open to participants aged 25 Years to 100 Years. Per ClinicalTrials.gov, last updated 2021-02-04.

Sponsored by University of Pittsburgh · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
686
Ages
25 Years to 100 Years
Sex
All
01

Study summary

In 2016 and 2017 the investigators conducted two clinical trials in which emergency medicine physicians were randomized either to an intervention (customized, theoretically-based video games) or to a control (nothing or text-based education). This study will now assess long-term outcomes for physicians enrolled in those two trials to evaluate the effect of the interventions on triage practices for trauma patients who presented initially to non-trauma centers in the US between December 2016 and November 2018.

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Conditions studied

  • Trauma
  • Physician's Role
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In context

Lead sponsor

University of Pittsburgh is the lead sponsor of 1,385 studies on the registry; 167 are open to participants now.

Of its 8 completed or terminated interventional studies of FDA-regulated products, 4 (50%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
25 Years to 100 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Patients older than 65 who presented after a moderate-severe injury to a non-trauma center in the US during 2016-2018.

Inclusion criteria

  • Participated in two prior clinical trials (Physician)
  • ≥65 years old (Patient)
  • enrolled in Medicare fee-for-service
  • sustained a moderate-severe injury (i.e. ISS [injury severity score] >15) (Patient)
  • treated by physician enrolled in prior clinical trials (Patient)

Exclusion criteria

Exclusion Criteria:

  • Did not participate in two prior clinical trials (Physician)
  • \<65 years old (Patient)
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
686 participants (actual)
Patient registry
No

Groups and cohorts

  • Video game

    Patients treated by physicians who were randomized to either play an adventure-based video game that used narrative engagement to recalibrate physician heuristics in trauma triage or a puzzle-based video game that used analogical encoding to recalibrate physician heuristics in trauma triage.

    Behavioral: Video games

  • Control

    Patients treated by physicians who were randomized either to nothing at all or to a text-based educational program.

Interventions

  • BehavioralVideo games

    See arm description

06

What researchers measure

Primary outcomes

  1. Number of patients triaged to trauma centers

    The investigators will use Medicare claims to measure the number of patients, treated by study participants, who present initially to non-trauma centers after a moderate-severe injury and are transferred to a Level I/II trauma center during that episode of care. They will compare triage patterns for patients treated by physicians in the intervention and in the control groups.

    Time frame: 1 year following the intervention

Secondary outcomes

  1. Number of moderate-severely injured patients who die 30-days after initial evaluation

    Patient mortality 30-days after evaluation for a moderate-severe injury by a physician enrolled in the trial, compared among intervention and control groups.

    Time frame: 1 year following the intervention

  2. Frequency of resources used for patients with moderate-severe injuries treated by participants

    Frequency of resources used (e.g. ICU admission, mechanical ventilation, disposition status) after initial presentation for a moderate-severe injury and treatment by a participating physician, compared among intervention and control groups.

    Time frame: 1 year following intervention

07

Study locations

1 site
  • University of Pittsburgh
    Pittsburgh, Pennsylvania 15213, United States
08

References and documents

Publications

  • Mohan D, Farris C, Fischhoff B, Rosengart MR, Angus DC, Yealy DM, Wallace DJ, Barnato AE. Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial. BMJ. 2017 Dec 12;359:j5416. doi: 10.1136/bmj.j5416. PubMed 29233854 ↗
  • Mohan D, Fischhoff B, Angus DC, Rosengart MR, Wallace DJ, Yealy DM, Farris C, Chang CH, Kerti S, Barnato AE. Serious games may improve physician heuristics in trauma triage. Proc Natl Acad Sci U S A. 2018 Sep 11;115(37):9204-9209. doi: 10.1073/pnas.1805450115. Epub 2018 Aug 27. PubMed 30150397 ↗

Individual participant data

Plan to share: Yes — De-identified data is available for sharing, conditional on approval by the University of Pittsburgh Office of Research and Institutional Review Board.

Supporting information: Study protocol, Sap, Analytic code

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 4, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04516044
Lead sponsor
University of Pittsburgh
Collaborators
National Library of Medicine (NLM)
Responsible party
Deepika Mohan (Associate Professor of Critical Care Medicine, University of Pittsburgh) — Principal investigator
First posted
Aug 17, 2020
Start date
Oct 30, 2016
Primary completion
Dec 1, 2018
Completion
Dec 1, 2020
Last update
Feb 4, 2021

Study contacts

Deepika Mohan, MD
principal investigator · University of Pittsburgh

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2021. You cannot join it, but the record below documents what was studied.

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