The Use of Multimedia as an Adjunct to the Informed Consent Process for Ankle Ligament Reconstruction Surgery

Batuyong, Eldridge; Birks, Christopher; Beischer, Andrew D.

doi:10.1177/1938640012439604

Cited by 10 publications

(12 citation statements)

References 38 publications

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“…The use of multimedia aids (computer-based, patient-controlled interactive educational tool) has been reported to have a significant effect on knowledge transfer and patient learning 38. These aids are an adjunct to physician–patient encounters and not a substitute for them 75. The use of multimedia programmes developed specifically for preadmission use provides patients with opportunities to access detailed, high-quality information regarding their upcoming surgery, combined with pertinent details of their hospitalisation and treating physician.…”

Section: Discussionmentioning

confidence: 99%

Sources of information used by patients prior to elective surgery: a scoping review

et al. 2019

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ObjectiveTo describe the range and nature of available research regarding sources of information that patients access to inform their decisions about elective surgery.DesignScoping review.Data sourcesPeer-reviewed studies published until February 2019 from the six scientific literature databases were searched and included in the study: Medline, PubMed, CINAHL, Academic Search Premier, EMBASE and SCOPUS. Web searches for grey literature were conducted in Google, South Australia Department of Health, Commonwealth Department of Health (Australia) and My Aged Care from the Department of Social Services (Australia).Eligibility criteriaStudies with a focus on elective surgery information sources oriented to patients were eligible for inclusion. Only studies written in English were sought and no publication date or study restrictions were applied.Data extraction and synthesisIncluded literature was described by National Health and Medical Council hierarchy of evidence, and data were extracted on country and year of publication, type of literature, who provided it and any information on end users. Information sources were categorised by type and how information was presented.ResultsA pool of 1039 articles was reduced to 26 after screening for duplicates and non-relevant studies. Face-to-face exchanges were the most likely source of information prior to elective surgery (59.3%), printed information (55.6%) followed by e-learning (51.9%) and multimedia (14.8%). The face-to-face category included information provided by the physician/general practitioners/specialists, and family and friends. Printed information included brochures and pamphlets, e-learning consisted of internet sites or videos and the use of multimedia included different mixed media format.ConclusionThere is considerable variability regarding the types of information patients use in their decision to undergo elective surgery. The most common source of health information (face-to-face interaction with medical personnel) raises the question that the information provided could be incomplete and/or biased, and dependent on what their health provider knew or chose to tell them.

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Section: Discussionmentioning

confidence: 99%

Sources of information used by patients prior to elective surgery: a scoping review

et al. 2019

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“…The improved post‐module scores likely stem from the multimedia module utilizing a variety of learning modalities including graphical representations, verbal descriptions and written explanations. Such a model has been shown to effectively address a number of different learning styles …”

Section: Discussionmentioning

confidence: 99%

“…The use of multimedia aids to assist in patient education and improve the informed consent process has been shown to be a feasible option in orthopaedic populations considering elective surgical management for the treatment of pain . The bunion population presents a unique group of orthopaedic patients, as the majority are women who are concerned about pain as well as cosmetic appearance.…”

Section: Introductionmentioning

confidence: 99%

Using multimedia to enhance the consent process for bunion correction surgery

Batuyong¹,

Jowett

Wickramasinghe

et al. 2014

ANZ Journal of Surgery

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Background: Obtaining informed consent from patients considering bunion surgery can be challenging. This study assessed the efficacy of a multimedia technology as an adjunct to the informed consent process. Methods: A prospective, cohort study was conducted involving 55 patients (7 males, 48 females) who underwent a standardized verbal discussion regarding bunion correction surgery followed by completion of a knowledge questionnaire. A multimedia educational program was then administered and the knowledge questionnaire repeated. Additional supplementary questions were then given regarding satisfaction with the multimedia program. Results: Patients answered 74% questions correctly before the multimedia module compared with 94% after it (P < 0.0001). Patients rated the ease of understanding and the amount of information provided by the module highly. Eighty-four percent of patients considered that the multimedia tool performed as well as the treating surgeon. Conclusion: Multimedia technology is useful in enhancing patient knowledge regarding bunion surgery for the purposes of obtaining informed consent.

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“…Several studies have demonstrated that CAI can increase patients' knowledge about health topics and assist in patient satisfaction during the informed consent process for surgery. 7,8 Recent randomized trials have even suggested that patients are able to retain more information from a computer based education system alone than from static illustrative diagram-based instruction provided by their physician. 9 However, there is a paucity of published studies examining patient counseling using computer based education programs for urogynecologic conditions.…”

Section: Introductionmentioning

confidence: 99%

Patient counseling with computer assisted instruction versus traditional diagrams for stress urinary incontinence and pelvic organ prolapse

Grigorescu¹,

Golbari²,

Lazarou³

2019

OGIJ

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Background: Computer assisted instruction (CAI) for patient counseling has emerged as an alternative to traditional instructional diagrams (TD). As most pelvic floor disorders are treated electively, CAI provides an option for educating patients with urogynecologic conditions. Methods: 56 patients diagnosed with SUI and/or POP were recruited from an academic urogynecology practice between December 2016 and June 2017. Patients were counseled on their diagnosis and treatment options using TD, and subsequently by a web-based CAI. Patients completed a Likert-style survey with questions to assess preference and satisfaction with each counseling modality. Results: Regarding patient satisfaction with comprehension of diagnosis and treatment options, there was a significant difference in the proportion of patients who were satisfied with CAI and unsatisfied with TD (48.9%) vs. those satisfied with TD and unsatisfied with CAI (2.2%). Overall, significantly more patients preferred counseling with CAI vs. TD (93% vs. 4%), and CAI had significantly greater impact on patients' medical decision making (91% vs. 5%). Conclusion: Patients expressed higher levels of satisfaction with counseling using CAI versus TD for their condition and management of SUI and POP. Employing CAI for patient counseling for treatment of SUI and/or POP, may facilitate the patient decision making process for management.

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The Use of Multimedia as an Adjunct to the Informed Consent Process for Ankle Ligament Reconstruction Surgery

Abstract: Therapeutic Level II.

Cited by 10 publications

References 38 publications

Sources of information used by patients prior to elective surgery: a scoping review

Sources of information used by patients prior to elective surgery: a scoping review

Using multimedia to enhance the consent process for bunion correction surgery

Patient counseling with computer assisted instruction versus traditional diagrams for stress urinary incontinence and pelvic organ prolapse

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