Effect of a patient-information video on the preoperative anxiety levels of cataract surgery patients

Ahmed, Kiran J.; Pilling, Joshua D.; Ahmed, Khuram; Buchán, John

doi:10.1016/j.jcrs.2018.11.011

Cited by 36 publications

(26 citation statements)

References 21 publications

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“…Studies have shown that specific presurgical counseling improves patient knowledge about cataract surgery, 9 and decreases anxiety related to surgical procedures in various subspecialties, including ophthalmology. 4,8,10,[13][14][15]18 Technology has been used in a number of ways to increase the efficiency of the perioperative surgical visit for cataract surgery including educational videos and interactive computer-based tutorials. 19 Recent work by Tipotsch-Maca et al 10 and Zhang et al 13 suggest that a preoperative multimedia-assisted informed consent procedure for cataract surgery improves information retention.…”

Section: Discussionmentioning

confidence: 99%

<p>Impact of Preoperative Video Education for Cataract Surgery on Patient Learning Outcomes</p>

Wisely¹,

Robbins²,

Stinnett³

et al. 2020

OPTH

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Purpose: To assess the effect of an educational video on 1) patient knowledge about cataract surgery, 2) patient perception of preoperative assessment visit quality, 3) face-to-face time with the surgeon, and 4) choices regarding premium intraocular lenses (IOLs) or laser-assisted cataract surgery (LACS). Setting: Eye clinic in an academic medical center. Design: Prospective survey of patients who randomly viewed or did not view an educational video. Methods: Patients of three cataract surgeons completed a survey during cataract surgery preoperative visits. One group viewed an educational video about cataract surgery, while the other did not. All patients received their surgeon's typical preoperative counseling. Results: A total of 101 patients were surveyed. Out of 101 patients, 58 viewed the educational video. Patients who viewed the video exhibited stronger learning outcomes; in particular, patients who viewed the video scored higher on cataract surgery educational assessments than those who did not (83% vs 76%, p=0.032), particularly on the assessment of postoperative visual expectations (98% vs 80%, p=0.003). Differences in educational assessment scores between groups were not affected by which surgeon patients saw (p=0.807). Patients who watched the video were more likely to agree their surgeon provided quality explanations (93% vs 74% strongly agreed, p=0.025) and trended toward greater perception the surgeon spent enough time with them (p=0.067). Video education did not affect face-to-face surgeon time with patients (p=0.212) or choices of multifocal IOLs (p=0.795), toric IOLs (p=0.321), or LACS (p=0.940). Conclusion: Video education during preoperative cataract surgery assessments improved patient understanding of cataract surgery and perception of preoperative visits. Video education is easily integrated into preoperative visits and can enhance the preoperative experience.

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Section: Discussionmentioning

confidence: 99%

<p>Impact of Preoperative Video Education for Cataract Surgery on Patient Learning Outcomes</p>

Wisely¹,

Robbins²,

Stinnett³

et al. 2020

OPTH

View full text Add to dashboard Cite

show abstract

“…It consisted of 20 items individually scored as either ( 1) not at all, (2) somewhat, (3) moderately, or (4) completely. The scale had ten reverse items (1,2,5,8,10,11,15,16,19,20).…”

Section: State-trait Anxiety Inventorymentioning

confidence: 99%

“…Although such a deficiency constitutes a limitation of this study, the technologysupported orientations foundin the literature aimed to relieve the concerns of inpatients in surgical-internal clinics before any procedure. 2,7,23,24,37,38,40 According to the results of these studies, the concerns of inpatients arise from uncertainties about the future or informational deficiencies regarding the procedures following their first-time admission to psychiatric clinics. These results are similar to those of this study.…”

Section: Patients Who Came On Mondays and Wednesdays Experimental Group (16)mentioning

confidence: 99%

“…However, previous studies have examined the nursing procedures performed to relieve concerns before the diagnosis, examination, and treatment of people with physiological problems via a video training method. 2,6,15,16,18,20 The training sessions conducted using technology were found to be more effective than other standard training methods. Hence, the current technology can be used as an effective nursing intervention to alleviate concerns.…”

mentioning

confidence: 94%

“…No studies examining a video or photography assisted adaptation program (VP‐PAPC) were found in the literature, despite their usage in decreasing the concerns of patients newly admitted to psychiatric clinics, attenuating their stigmatization, and facilitating the adaptation process. However, previous studies have examined the nursing procedures performed to relieve concerns before the diagnosis, examination, and treatment of people with physiological problems via a video training method 2,6,15,16,18,20 . The training sessions conducted using technology were found to be more effective than other standard training methods.…”

Section: Introductionmentioning

confidence: 99%

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Impact of a video or photography‐assisted adaptation program on the concerns and social stigmatization‐related perceptions of first‐time psychiatric inpatients

BİLKAY

Orak

2020

Perspect Psychiatr Care

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Purpose: This study aimed to determine the impact of a video or photographyassisted adaptation program on the concerns and social stigmatization-related perceptions of patients upon their first admission to a psychiatric clinic Design and Methods: This study was a non-randomized trial model with pretest-posttest measurements and a control group. No procedure was performed on the control group. However, a video or photography-assisted adaptation program was conducted on the experimental group.Findings: No significant decrease was found in the state-trait anxiety and stigmatization for receiving psychologic help levels in the control group (p > .05), but a significant decrease was found in the experimental group (p < .05).Practical Implications: Video or photography-assisted adaptation program is effective in mitigating the concerns and social stigmatization-related perceptions of patients upon their first admission to a psychiatric clinic.

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Efficacy of a Web App–Based Music Intervention During Cataract Surgery

Guerrier

Abdoul²,

Jilet³

et al. 2021

JAMA Ophthalmol

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IMPORTANCEHypertensive events during cataract surgery may induce complications. Information and communication technologies applied to health are popular, but clinical evidence of its usefulness is rare and limited to treating anxiety without specific analysis.Recent publications have described the potential effects of personalized music choices as mobile-based intervention on pain but not on anxiety.OBJECTIVE To demonstrate the effects of a web app-based music intervention on the incidence of hypertension in participants during cataract surgery performed under local anesthesia. DESIGN, SETTING, AND PARTICIPANTSThis randomized, single masked, controlled clinical trial was composed of 2 arms and took place at a single center at Cochin Hospital in Paris, France. A total of 313 participants were screened between February 2017 and July 2018. Among these, 311 participants undergoing a phacoemulsification procedure for elective surgery for their first eye cataract under local anesthesia were enrolled. Analysis was intention to treat and began in September 2018 and ended November 2018.INTERVENTIONS Participants requiring cataract surgery were assigned randomly to either the experimental arm (web app-based music listening intervention delivered via headphones) or control arm (noise-canceling headphones without music) for 20 minutes before surgery. MAIN OUTCOMES AND MEASURESThe occurrence of at least 1 hypertensive event during surgery.RESULTS A total of 310 participants were randomized in the study (155 to each arm) and 309 were analyzed (1 participant in the music arm had already undergone cataract surgery to the other eye). The mean (SD) age of the participants was 68.9 (10.8) years, and there were 176 female individuals (57%). On the primary end point, the incidence of hypertension was significantly lower in the music arm (21 [13.6%]) than in the control arm (82 [52.9%]), with a difference between the 2 arms of 39.3% (95% CI, 21.4%-48.9%; P < .001). Regarding the secondary end points, the mean (SD) visual measure of anxiety was lower in the music arm (1.4 [2.0]) than in the control arm (3.1 [2.4]), with a difference of 1.5 (95% CI, 1.0-2.1; P = .005). The mean (SD) number of sedative drug injections required during surgery was 0.04 (0.24) vs 0.54 (0.74) in the music vs control arms, respectively, with a difference of 0.50 (95% CI, 0.43-0.57; P < .001). CONCLUSIONS AND RELEVANCEFor participants similar to those enrolled in this study, the trial suggests that a web app-based personalized music intervention before cataract surgery may be considered to lower anxiety levels and hypertension or reduce the need for sedative medication.

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Effect of a patient-information video on the preoperative anxiety levels of cataract surgery patients

Cited by 36 publications

References 21 publications

<p>Impact of Preoperative Video Education for Cataract Surgery on Patient Learning Outcomes</p>

<p>Impact of Preoperative Video Education for Cataract Surgery on Patient Learning Outcomes</p>

Impact of a video or photography‐assisted adaptation program on the concerns and social stigmatization‐related perceptions of first‐time psychiatric inpatients

Efficacy of a Web App–Based Music Intervention During Cataract Surgery

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