Educational Informed Consent Video Equivalent to Standard Verbal Consent for Rhinologic Surgery: A Randomized Controlled Trial

2021 ◽  
pp. 194589242199265
Author(s):  
Joseph P. Penn ◽  
Rohit Nallani ◽  
Erin L. Dimon ◽  
Taylor C. Daniels ◽  
Kevin J. Sykes ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Informed Consent ◽  
Controlled Trial ◽  
Sinus Surgery ◽  
Educational Video ◽  
Decision Regret ◽  
Education Of Patients ◽  
Resident Time ◽  
Video Group ◽  
To Receive

Background Informed consent is an integral part of pre-operative counseling. However, information discussed can be variable. Recent studies have explored the use of multimedia in providing informed consent for rhinologic surgery. Objective To measure impact of an educational video (Video) compared to verbal informed consent (Verbal) on knowledge gained, alleviation of concerns, and efficiency. Methods Patients undergoing endoscopic sinus surgery (ESS), septoplasty, or ESS+septoplasty were prospectively enrolled and randomized to receive Video or Verbal consent. The Video group watched an educational video; the Verbal group received standard verbal consent from an Otolaryngology resident per institutional protocol. Both groups had the opportunity to discuss questions or concerns with their attending surgeon. Prior to, and after, consent was signed, both groups completed surveys regarding knowledge of purpose, risks, and benefits of surgery as well as surgical concerns. Decision regret and patient satisfaction were also assessed post-operatively. Results 77 patients were enrolled (39 Video, 38 Verbal). Demographics were not significantly different between groups. Overall knowledge significantly improved (p < 0.005) and concerns significantly decreased (p < 0.001) following consent in both groups. Improvements in these metrics were equivalent between groups (p < 0.02). Furthermore, resident time to complete consent, patient satisfaction, and decision regret were not significantly different between groups. Conclusion Use of an educational video was equivalent to standard verbal informed consent for patients undergoing rhinologic surgery. Otolaryngologists can consider developing procedure-specific videos to allow allocation of time to other tasks, standardized education of patients, and streamlining of the informed consent process.

scholarly journals Use of Tablet Video for Delivery of Neonatal Discharge Instructions to First-Time Parents

2021 ◽  
Vol 53 (2) ◽  
pp. 145-147
Author(s):  
Kristine L. Cece ◽  
Jane E. Chargot ◽  
Micheleen Hashikawa ◽  
Melissa A. Plegue ◽  
Katherine J. Gold
Keyword(s):  
Randomized Controlled Trial ◽  
Patient Satisfaction ◽  
Controlled Trial ◽  
Patient Perceptions ◽  
Discharge Instructions ◽  
Face To Face ◽  
Randomized Controlled ◽  
Use Of Technology ◽  
Video Group ◽  
First Time

Background and Objectives: While video discharge instructions have been shown to improve retention of information and patient satisfaction, data are limited regarding patient perceptions of video tools. Methods: We conducted a randomized controlled trial to assess self-rated comprehension and overall satisfaction with video versus face-to-face neonatal discharge instructions in first-time mothers. Results: Video instructions were no different from face-to-face instructions, though there was a nonsignificant increase in confidence in caring for their newborn in the video group. Conclusions: Broader use of technology may allow for a more standardized approach to patient education and improve efficiency for clinicians, without compromising patient satisfaction and confidence in caring for themselves and their dependents.

Recall of Informed Consent and Patient Satisfaction with the Addition of an Educational Video Prior to Colonoscopy

2007 ◽  
Vol 102 ◽  
pp. S545
Author(s):  
Nirmala M. Sivaprakasapillai ◽  
Aditi Nerurkar ◽  
Gregory Seltzer ◽  
Adam B. Elfant
Keyword(s):  
Patient Satisfaction ◽  
Informed Consent ◽  
Educational Video

scholarly journals Video-Assisted Informed Consent for Cataract Surgery: A Randomized Controlled Trial

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Yuehong Zhang ◽  
Xiangcai Ruan ◽  
Haoying Tang ◽  
Weizhong Yang ◽  
Zhuanhua Xian ◽  
...  
Keyword(s):  
Informed Consent ◽  
Cataract Surgery ◽  
Positive Impact ◽  
Controlled Trial ◽  
Consent Process ◽  
Chinese Patients ◽  
Control Group ◽  
Video Assisted ◽  
Age Related ◽  
Video Group

Purpose. To investigate whether adding video assistance to traditional verbal informed consent advisement improved satisfaction among cataract surgery patients. Methods. This trial enrolled 80 Chinese patients with age-related cataracts scheduled to undergo unilateral phacoemulsification surgery. Patients were randomized into two groups: the video group watched video explaining cataract-related consent information and rewatched specific segments of the video at their own discretion, before receiving traditional verbal consent advisement; the control group did not watch the video. Outcomes included patient satisfaction, refusal to consent, time to complete the consent process, and comprehension measured by a ten-item questionnaire. Results. All 80 enrolled patients signed informed consent forms. Compared with the control group, members of the video group exhibited greater satisfaction (65% versus 86%, p=0.035) and required less time to complete the consent process (12.3±6.7 min versus 5.6±5.4 min, p<0.001), while also evincing levels of comprehension commensurate with those reported for patients who did not watch the video (accuracy rate, 77.5% versus 80.2%, p=0.386). Conclusion. The video-assisted informed consent process had a positive impact on patients’ cataract surgery experiences. Additional research is needed to optimize patients’ comprehension of the video.

scholarly journals B.07 An educational video improves consent in pediatric lumbar puncture: a randomized control trial

2019 ◽  
Vol 46 (s1) ◽  
pp. S11-S12
Author(s):  
M Dunbar ◽  
G Paton ◽  
A Singhal
Keyword(s):  
Lumbar Puncture ◽  
Randomized Control Trial ◽  
Pediatric Patients ◽  
Educational Video ◽  
Neurologic Injury ◽  
Parental Concerns ◽  
Randomized Control ◽  
Parent Concerns ◽  
Video Group ◽  
To Receive

Background: Lumbar puncture (LP) is a low-risk procedure performed on pediatric patients for a variety of indications. There are no published studies of the nature of the concerns of parents in North America, and no studies examining a process to improve pediatric lumbar puncture consent. Methods: 72 patient-parent dyads were enrolled in a randomized control trial to receive standard consent with or without an educational video. A survey was provided to determine parent self-rated understanding of the procedure, their perception of its safety, their perception of the painfulness and their overall comfort with their child undergoing LP. In addition, demographic characteristics and qualitative information about parent concerns were collected. Results: Viewing the video significantly increased parent understanding of the procedure (p=0.015) and their perception of its safety (p=0.021) compared to controls. Parent comfort with the procedure increased after viewing the video (p = 0.002). Variability of answers was reduced in the video group (p = 0.03). Parents’ top three concerns were pain, infection, and neurologic injury. Conclusions: Pediatric lumbar puncture consent can be significantly improved with a short educational video to address the parental concerns and standardize consent.

Prospective, randomised, controlled trial comparing delivery of patient information for functional endoscopic sinus surgery via website versus printed leaflet

2014 ◽  
Vol 128 (3) ◽  
pp. 249-254 ◽  
Author(s):  
S Henney ◽  
R Irving
Keyword(s):  
Randomised Controlled Trial ◽  
Patient Information ◽  
Endoscopic Sinus Surgery ◽  
Controlled Trial ◽  
Functional Endoscopic Sinus Surgery ◽  
Sinus Surgery ◽  
Group Meeting ◽  
Inclusion Criteria ◽  
Randomised Controlled ◽  
To Receive

AbstractObjective:To compare the efficacy of two modes of delivery of information for patients undergoing functional endoscopic sinus surgery: website and printed leaflet.Methods:A two-centre, prospective, single-blinded, randomised, controlled trial was conducted, comparing mode of information delivery. Adult patients were randomly allocated to receive pre-operative information regarding functional endoscopic sinus surgery, either via a website or a printed leaflet. Primary outcomes, measured by questionnaire, were: readability, usability and recall of complications.Results:Fifty-eight patients were recruited. Fifty met the inclusion criteria, of which 40 were analysed in the study (20 patients per group), meeting the power criteria set. There were 18 male and 22 female patients, ranging in age from 21 to 76 years (mean, 47 years). Patients found both the printed leaflet and the website readable, and were satisfied with the usability of both modes. There were similar rates for recall of complications in both study arms.Conclusion:Patient information on functional endoscopic sinus surgery can be provided either as a printed leaflet or a website, with similar rates for usability, readability and recall of complications. These findings could help tailor the provision of pre-operative information for patients undergoing functional endoscopic sinus surgery, based on patient preference.

scholarly journals Maxillary Antrostomy Patency Following Intraoperative Use of Spray Cryotherapy

2019 ◽  
Vol 9 (1) ◽  
pp. 88 ◽  
Author(s):  
Veronica Trombitaș ◽  
Adriana Zolog ◽  
Mioriţa Toader ◽  
Silviu Albu
Keyword(s):  
Recurrent Disease ◽  
Controlled Trial ◽  
Sinus Surgery ◽  
Control Group ◽  
Epithelial Hyperplasia ◽  
Cell Hyperplasia ◽  
Control Side ◽  
Nasal Symptoms ◽  
Middle Meatus Antrostomy ◽  
To Receive

Objectives/Hypothesis: Stenosis of the middle meatus antrostomy (MMA) represents a major cause of recurrent disease following endoscopic sinus surgery (ESS). Various strategies have been developed to prevent the occurrence of MMA stenosis. The aim of the present study was to evaluate the effects of spray cryotherapy (SC) on nasal wound healing following ESS. Methods: This is a prospective within-subject, randomized, and controlled trial. Twenty-six patients submitted to bilateral ESS with chronic rhinosinusitis without polyps were included. Following surgery, patients were randomized to receive SC on one side and saline contralaterally. Outcomes were represented by MMA diameter and area, histology of nasal mucosa, and nasal symptoms. Variables were assessed at 3 and 12 months postoperatively. Results: The MMA size in the SC group at 3 and 12 months (area—0.578 ± 0.1025 cm2, diameter—0.645 ± 0.1024 cm; 0.605 ± 0.1891 cm2, 0.624 ± 0.0961 cm, respectively) was significantly larger (p = 0.000) than in the control group. Histology established that cell infiltration, goblet cells, edema, and epithelial hyperplasia were prominent and persistent in the control side compared to the SC side. Nasal obstruction and discharge were significantly improved in the SC group compared to the control group. Conclusion: SC is a promising therapy following ESS, since it precludes MMA stenosis and decreases inflammation, edema, and goblet cell hyperplasia.

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