Cardiologists’ and patients’ views about the informed consent process and their understanding of the anticipated treatment benefits of coronary angioplasty: A survey study

Astin, Felicity; Stephenson, John; Probyn, Joy; Holt, J.; Marshall, Keith; Conway, Dwayne S.G.

doi:10.1177/1474515119879050

Cited by 15 publications

(16 citation statements)

References 33 publications

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“…Previous research demonstrates potential improvements in patient education based on "demand-matched" education, that is, the individualization of content, the use of combined media, and more patient-centered information [1][2][3]. Although the importance of adequate patient education is known and several methods to improve education have been explored, the current approach remains insufficient to fulfill the expectations and demands of patients and cardiologists [4]. Whereas a mere 16% of patients were able to explain the benefits of a procedure after a standard care preprocedural consultation, 40% could do so after watching an informative video [5].…”

Section: Introductionmentioning

confidence: 99%

Review of Digitalized Patient Education in Cardiology: A Future Ahead?

et al. 2021

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Introduction: An increased focus on shared decision-making and patient empowerment in cardiology and on patient outcomes such as quality of life (QoL), depression, and anxiety underline the importance of high-quality patient education. Studies focusing on digital means of patient education performed in other disciplines of medicine demonstrated its positive effect in these areas. Therefore, a review of the current literature was performed to (i) evaluate the status of innovative, digitalized means of patient education in cardiology and (ii) assess the impact of digital patient education on outcome parameters (i.e., patient knowledge (or health literacy), QoL, depression, anxiety, and patient satisfaction). Method: A review of the current literature was performed to evaluate the effect of digitalized patient education for any purpose in the field of cardiology. Medline and EMBASE were searched for articles reporting any digital educational platform used for patient education up to May 2020. The articles were compared on their effect on patient knowledge or health literacy, QoL, depression or anxiety, and patient satisfaction. Results: The initial search yielded 279 articles, 34 of which were retained after applying in, and exclusion criteria. After full-text analysis, the total number of articles remaining was 16. Of these, 6 articles discussed the use of smartphone or tablet applications as a means of patient education, whereas 3 reviewed web-based content, and 7 evaluated the use of video (2 three-dimensional videos, from which one on a virtual reality headset). Conclusion: This review demonstrates that digital patient education increases patient knowledge. Overall, digital education increases QoL and lowers feelings of depression and anxiety. The majority of patients express satisfaction with digital platforms. It remains important that developers of digital patient education platforms remain focused on clear, structured, and comprehensible information presentation.

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Section: Introductionmentioning

confidence: 99%

Review of Digitalized Patient Education in Cardiology: A Future Ahead?

et al. 2021

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“…Web-based study information and informed consent may have an advantage compared to standard person-to-person meetings, as it offers the presumptive participant more time to digest, reflect, and fully understand both the study interventions and the informed consent. For example, a recent study found that patients often misunderstand the meaning of informed consent as it pertains to person-to-person appointments [13]. However, we did not compare comprehension between reading information and informed consent online and at a person-to-person meeting.…”

Section: Xsl • Fomentioning

confidence: 91%

Improving Efficiency of Clinical Studies Using a Total Digital Approach: Prospective Observational Study (Preprint)

Schenck‐Gustafsson¹,

Carnlöf²,

Jensen‐Urstad³

et al. 2020

Preprint

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BACKGROUND In general, most clinical studies in patients and healthy volunteers take a longer time to finalize than original planned because of the long recruitment periods. Especially signing the informed consent is time-consuming OBJECTIVE The objectives were to explore if inclusion of a large number of participants could be done quickly by using a total digital approach both for information and signing of informed consent and if a totally web-based inclusion would result in a geographically more uniform distribution of participants METHODS In the Red Heart Study, women with palpitations were intensively studied during two months by means of a handheld ECG monitor device (Coala Heart Monitor), It connects to a smartphone or tablet so the participants can get an immediate response of the results. Recruitment, study information and signing the informed consent were total digital. The informed consent was signed digitally with the help of Swedish eAuthentication (Bank ID). RESULTS Between March and May 2018, 2 424 persons announced interest to participate in the study. On June 19th, 2018, presumptive participants were invited to log in to the website to answer baseline questionnaires and sign informed consent. The recruitment was completed on the 13th of July-after 25 days with 1 089 women included. About 100°000 thumb ECG and 100°000 chest ECG recordings were performed. The mean age of the women was 56±11 years (range 21-88 years). Thirty-five participants were 75 years or older. No participant had any difficulties with this the full digital approach. The participants were evenly distributed between living in the countryside (n=525) and in the cities (n=438). CONCLUSIONS To the best of our knowledge, this is the first-time researchers have used eAuthentication at online signing of informed consent. Fully digitalized inclusion recruitment of 1 089 participants was done in 45 days. This novel approach also resulted in a more evenly geographically distribution of participants CLINICALTRIAL ISRCTN22495299

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“…2 With regard to informed consent we need to have the skills of decision support, communication and patient engagement such as ‘teach back’ to ensure angioplasty patients receive health information ahead of their treatment in a format that supports recall and comprehension. 3 Patient engagement can be an essential component for developing exercise adherence that can be delivered through internet-based synchronized face-to-face video. 5 Policy-makers should safeguard healthcare system factors that are protective for patient outcomes.…”

Section: Implications For Practice From All Highlighted Articlesmentioning

confidence: 99%

“…With regard to informed consent we need to have the skills of decision support, communication and patient engagement such as ‘teach back’ to ensure angioplasty patients receive health information ahead of their treatment in a format that supports recall and comprehension. 3…”

Section: Implications For Practice From All Highlighted Articlesmentioning

confidence: 99%