A randomized trial using videotape to present consent information for colonoscopy

Agre, Patricia; Kurtz, Robert C.; Krauss, Beatrice J.

doi:10.1016/s0016-5107(94)70054-0

Cited by 124 publications

(89 citation statements)

References 19 publications

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“…To our knowledge this is the first report evaluating the effect of video-based information on anxiety in men undergoing TRUS-guided prostate biopsy. 4,6,11 In our study we found similar STAI-T scores in both groups, indicating no difference in the general anxiety levels of patients.…”

Section: Discussionsupporting

confidence: 70%

“…3 Before a medical or surgical procedure, patients should be provided with sufficient information so that levels of anxiety are diminished. [4][5][6][7][8][9][10] However, the ideal way of providing this information is unclear. Although verbal information given by the clinician is the most common method, written material, 11 leaflets, 12 booklets, 13 audiotapes, 8 or video-based education have also been proposed.…”

Section: Introductionmentioning

confidence: 99%

“…Although verbal information given by the clinician is the most common method, written material, 11 leaflets, 12 booklets, 13 audiotapes, 8 or video-based education have also been proposed. 4,6,11 Several studies have addressed the effect of video-based education on anxiety in patients undergoing different types of procedures. However none have have focused on the effect of video-based information regarding anxiety levels of patients scheduled for TRUS-guided biopsy.…”

Section: Introductionmentioning

confidence: 99%

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The effect of video-based education on patient anxiety in men undergoing transrectal prostate biopsy

Tarhan

Çakmak

Ünal

et al. 2014

CUAJ

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Cite as: Can Urol Assoc J 2014;8(11-12):e894-900. http://dx.doi.org/10.5489/cuaj.2208 Published online December 15, 2014. Abstract Introduction:We assess the effect of video-based education on patient anxiety during transrectal prostate biopsy. Methods: A total of 246 patients who underwent transrectal prostate biopsy were prospectively enrolled in the study. Group 1 included 123 patients who received both written and video-based education, while Group 2 included 123 patients who received only written instructions regarding prostate biopsies. State-Trait Anxiety Inventory (STAI) was used to assess state and trait anxiety (STAI-S/T) After completing the STAI-S and STAI-T questionnaires, all patients in Group 1 received written information and video-based education and they again completed STAI-S before the biopsy. On the contrary, after completing the STAI-S and STAI-T questionnaires, the patients in Group 2 received only written information and then they completed the STAI-S before the biopsy. Moreover, a visual analog scale (VAS) was used to assess pain scores during digital rectal examination, probe insertion, periprostatic local anesthesic infiltration, and biopsy. Results: No difference was noted between 2 groups regarding VAS scores. Comparing the 2 groups on baseline anxiety, we found that trait anxiety scores (STAI-T) were similar (p = 0.238). Preinformation STAI-S scores were similar in both groups (p = 0.889) and they both indicated high anxiety levels (score ≥42). While postinformation STAI-S scores remained high in Group 2, post-information STAI-S scores significantly decreased in Group 1 (p = 0.01). Conclusions: Undergoing a prostate biopsy is stressful and may cause anxiety for patients. Video-based education about the procedure can diminish patient anxiety.

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Section: Discussionsupporting

confidence: 70%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The effect of video-based education on patient anxiety in men undergoing transrectal prostate biopsy

Tarhan

Çakmak

Ünal

et al. 2014

CUAJ

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“…Other positive interventions provided take-home information sheets 1 to 3 days before a scheduled procedure (Askew et al 1990;Morrow et al 1978), had a nurse review the consent information with the patient (Dodd and Mood 1981), gave corrected feedback to patients (Kleinman et al 1993), and had patients orally repeat the consent information (Wadey and Frank 1997;White et al 1995). A videotape intervention (which included "advance organizers" that alerted patients to the material to be presented, on-screen graphics, and summaries of key points) helped patients score better on a knowledge test (Agre et al 1994). Another study used an interactive video that allowed patients to receive more information if they chose to (Hopper et al 1994).…”

Section: Consent For Treatmentmentioning

confidence: 99%

“…Gender was infrequently examined as a variable associated with understanding, with inconsistent results (Hopper et al 1994;Morrow et al 1978;White et al 1995). Of 10 studies that evaluated an age effect, six found that performance was significantly and inversely related to age Taub et al 1987;Krynski et al 1994;Neptune et al 1996;Aaronson et al 1996;Agre et al 1994), another found a similar, but nonsignificant, trend toward this association (Morrow et al 1978), and three investigators found no correlation between age and understanding (Tymchuk et al 1988;Sorrell 1991;White et al 1995). One of the three studies that found no age effect examined patients within a fairly narrow age range: Tymchuk et al (1988) enrolled long-term care residents (mean age 84 years, SD 5 years).…”

Section: Predictors Of Performancementioning

confidence: 99%

Enhancing Informed Consent for Research and Treatment

Dunn

Jeste

2001

Neuropsychopharmacology

222

169

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Patient Comprehension of an Interactive, Computer-Based Information Program for Cardiac Catheterization

et al. 2009

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Background Several studies suggest that standard verbal and written consent information for treatment is often poorly understood by patients and their families. This study examined the effect of an interactive computer-based information program on patients’ understanding of cardiac catheterization. Methods 135 adult patients scheduled to undergo diagnostic cardiac catheterization were randomized to receive details about the procedure using either standard institutional verbal and written information (SI), or interactive computerized information (ICI) preloaded on a laptop computer. Understanding was measured using semi-structured interviews at baseline (i.e, before information was given), immediately following cardiac catheterization (Early understanding), and two weeks post-procedure (Late understanding). The primary study outcome was the change from baseline to Early understanding between groups. Results Subjects randomized to the ICI intervention had significantly greater improvement in understanding compared to those who received the SI (net change 0.81; 95% confidence interval: 0.01, 1.6). Significantly more subjects in the ICI group had complete understanding of the risks of cardiac catheterization (53.6% vs 23.1%, P< 0.05) and options for treatment (63.2% vs 46.2%, P< 0.05) compared to the SI group, respectively. Several predictors of improved understanding were identified including baseline knowledge (P< 0.001), younger age (P = 0.002), and use of the ICI (p = 0.003). Conclusions Results suggest that an interactive computer-based information program for cardiac catheterization may be more effective in improving patient understanding than conventional written consent information. This technology, therefore, holds promise as a means of presenting understandable detailed information regarding a variety of medical treatments and procedures.

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A randomized trial using videotape to present consent information for colonoscopy

Cited by 124 publications

References 19 publications

The effect of video-based education on patient anxiety in men undergoing transrectal prostate biopsy

The effect of video-based education on patient anxiety in men undergoing transrectal prostate biopsy

Enhancing Informed Consent for Research and Treatment

Patient Comprehension of an Interactive, Computer-Based Information Program for Cardiac Catheterization

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