Video self-confrontation as a therapeutic tool in schizophrenia: A randomized parallel-arm single-blind trial

Schandrin, A.; Picot, Marie‐Christine; Marin, Grégory; Meynier, André; Gardes, J.; Leger, A. S. St; O’Donoghue, Brian; Raffard, Stéphane; Abbar, Mocrane; Capdevielle, Delphine

doi:10.1016/j.schres.2021.12.016

Cited by 2 publications

(11 citation statements)

References 55 publications

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“…Of the 27 studies, there were 5 RCTs [ 27 - 31 ], 17 observational studies [ 32 - 48 ], and 5 case reports [ 49 - 53 ] ( Multimedia Appendix 3 [ 27 - 53 ]). In total, 22 studies were full reports in academic journals [ 27 , 28 , 30 - 34 , 36 - 39 , 41 - 45 , 47 , 48 , 50 - 53 ] and 4 were conference abstracts [ 29 , 35 , 40 , 46 ], and there was 1 doctoral thesis [ 49 ].…”

Section: Resultsmentioning

confidence: 99%

“…In 11 studies, patient video recordings were used to support assessment and diagnosis, including the evaluation of seizures [ 41 , 43 , 44 , 50 , 52 ], gait or movement patterns [ 40 , 48 , 49 , 51 , 53 ], and dysphagia [ 45 ]. In 7 studies, video recordings were used for treatment purposes: patients with stroke or musculoskeletal disorders were video recorded during physiotherapy sessions, who then viewed the recordings to support their rehabilitation [ 28 , 29 , 49 ]; in 3 mental health studies, patients watched video recordings of themselves to enhance insight into obsessive compulsive or psychotic behaviors (“video self-confrontation”) [ 27 , 31 , 33 ]; and in a study of medication adherence, patients submitted home videos of themselves ingesting their tablets to their clinical team [ 34 ]. In total, 9 studies evaluated the application of video recordings for patient care [ 32 , 35 - 39 , 42 , 46 , 47 ]: in 2 studies, care home staff members reviewed video monitoring footage to support postfall care [ 32 , 42 ] and, in 1 study, in-home video monitoring enabled clinical staff members to support informal caregivers of people with dementia [ 39 ].…”

Section: Resultsmentioning

confidence: 99%

“…Others described an additional burden: for example, some clinical staff members were concerned about losing the mobile video recording devices in the clinical setting; others described technical problems in operationalizing the video recording intervention [ 28 , 37 , 39 , 47 ]. Some patients “wished their appearance in the video was better” [ 31 , 37 , 38 ] while others said they needed time to prepare for being recorded [ 37 , 38 ].…”

Section: Resultsmentioning

confidence: 99%

“…However, among the 5 RCTs (which examined the impact of the intervention on patient outcomes), no study demonstrated that the video recording intervention was superior to controls ( Table 3 ). Video self-confrontation did not improve patients’ insight into their psychotic behaviors [ 27 , 31 ], and providing rhinology patients with access to video recordings of their clinical visits did not improve their satisfaction with care or recall of procedural risks [ 30 ]. Showing stroke patients video recordings of the gait during inpatient rehabilitation may have a positive effect on functional outcomes, but the sample size for this study was small (N=23) [ 29 ].…”

Section: Resultsmentioning

confidence: 99%

“…Similarly, previous research has reported issues with the installation or usability of video recording equipment, images not being transmitted to patient records, and mobile devices being stolen [ 12 , 64 , 65 ]. The inherent lack of anonymity in video-based records was reflected in patients’ concerns about their physical appearance or privacy; however, these concerns were voiced by only a small number of patients [ 31 , 34 , 42 , 48 ]. However, it is widely recognized that patients are apprehensive about how their personal data are handled and shared in the health care context [ 66 , 67 ].…”

Section: Discussionmentioning

confidence: 99%

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Video Recording Patients for Direct Care Purposes: Systematic Review and Narrative Synthesis of International Empirical Studies and UK Professional Guidance

Lear¹,

Ellis²,

Ollivierre-Harris³

et al. 2023

J Med Internet Res

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Background Video recordings of patients may offer advantages to supplement patient assessment and clinical decision-making. However, little is known about the practice of video recording patients for direct care purposes. Objective We aimed to synthesize empirical studies published internationally to explore the extent to which video recording patients is acceptable and effective in supporting direct care and, for the United Kingdom, to summarize the relevant guidance of professional and regulatory bodies. Methods Five electronic databases (MEDLINE, Embase, APA PsycINFO, CENTRAL, and HMIC) were searched from 2012 to 2022. Eligible studies evaluated an intervention involving video recording of adult patients (≥18 years) to support diagnosis, care, or treatment. All study designs and countries of publication were included. Websites of UK professional and regulatory bodies were searched to identify relevant guidance. The acceptability of video recording patients was evaluated using study recruitment and retention rates and a framework synthesis of patients’ and clinical staff’s perspectives based on the Theoretical Framework of Acceptability by Sekhon. Clinically relevant measures of impact were extracted and tabulated according to the study design. The framework approach was used to synthesize the reported ethico-legal considerations, and recommendations of professional and regulatory bodies were extracted and tabulated. Results Of the 14,221 abstracts screened, 27 studies met the inclusion criteria. Overall, 13 guidance documents were retrieved, of which 7 were retained for review. The views of patients and clinical staff (16 studies) were predominantly positive, although concerns were expressed about privacy, technical considerations, and integrating video recording into clinical workflows; some patients were anxious about their physical appearance. The mean recruitment rate was 68.2% (SD 22.5%; range 34.2%-100%; 12 studies), and the mean retention rate was 73.3% (SD 28.6%; range 16.7%-100%; 17 studies). Regarding effectiveness (10 studies), patients and clinical staff considered video recordings to be valuable in supporting assessment, care, and treatment; in promoting patient engagement; and in enhancing communication and recall of information. Observational studies (n=5) favored video recording, but randomized controlled trials (n=5) did not demonstrate that video recording was superior to the controls. UK guidelines are consistent in their recommendations around consent, privacy, and storage of recordings but lack detailed guidance on how to operationalize these recommendations in clinical practice. Conclusions Video recording patients for direct care purposes appears to be acceptable, despite concerns about privacy, technical considerations, and how to incorporate recording into clinical workflows. Methodological quality prevents firm conclusions from being drawn; therefore, pragmatic trials (particularly in older adult care and the movement disorders field) should evaluate the impact of video recording on diagnosis, treatment monitoring, patient-clinician communication, and patient safety. Professional and regulatory documents should signpost to practical guidance on the implementation of video recording in routine practice. Trial Registration PROSPERO CRD42022331825: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=331825

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Video Recording Patients for Direct Care Purposes: Systematic Review and Narrative Synthesis of International Empirical Studies and UK Professional Guidance

Lear¹,

Ellis²,

Ollivierre-Harris³

et al. 2023

J Med Internet Res

View full text Add to dashboard Cite

show abstract

Video Recording Patients for Direct Care Purposes: Systematic Review and Narrative Synthesis of International Empirical Studies and UK Professional Guidance (Preprint)

Lear¹,

Ellis²,

Ollivierre-Harris³

et al. 2023

Preprint

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UNSTRUCTURED Background: Technological advances have allowed for a variety of videorecording applications in healthcare but in practice these have largely been confined to training, research, and quality improvement. Video recordings of patients embedded as part of the electronic health record may offer advantages over text-based documentation to supplement patient assessment and clinical decision-making. However, little is about the application, acceptability, and impact of video recording patients to support their care. Objectives: Synthesise the academic literature to explore the extent to which video-based patient records are acceptable and effective in supporting direct patient care and summarise the ethico-legal considerations and guidance of professional and regulatory bodies in the United Kingdom. Methods: Five electronic databases (Medline, Embase, PsycInfo, Cochrane, HMIC) were searched from 2012 to 2022. Studies were eligible if they recruited patients ≥ 18 years and evaluated an intervention involving videorecording individual patients to support diagnosis, care, and/or treatment. All study designs and countries of publication were included. Websites of professional and regulatory bodies in the UK were searched to identify relevant guidance and recommendations. Study quality was assessed using published tools and guidance. Acceptability was evaluated using recruitment and retention rates and framework-based synthesis of patients’ and professionals’ perspectives based on Sekhon’s Theoretical Framework of Acceptability of Healthcare Interventions. To evaluate effectiveness, clinically relevant, objective measures of impact were extracted and tabulated according to study design. The framework approach was applied to synthesise reported ethico-legal considerations and recommendations of professional and regulatory bodies were extracted and tabulated. Results: Of the 14,221 abstracts screened, 27 studies met the inclusion criteria. Thirteen guidance documents were retrieved, of which seven were retained for the review. Mean recruitment rate was 68.2% (range 34.2% - 100.0%); mean retention rate was 73.3% (range 16.7% - 100.0%). Regarding acceptability, the views of patients and clinical staff were predominantly positive though some concerns were expressed about privacy, technical problems, and integrating videorecording into clinical workflows; some patients were anxious about their physical appearance. Patients and professionals perceived video-based patient records to be valuable in supporting clinical assessment, care, and treatment; in promoting patient engagement; and in enhancing communication and recall of information. Observational studies provided evidence favouring video-based records but there was no convincing evidence of effectiveness from randomised controlled trials. Reported ethico-legal considerations addressed professional and regulatory guidance including informed consent, protecting privacy, and secure storage and transmission of videos. Conclusions: Video recording patients for direct care purposes may be acceptable to patients and professionals, providing the benefits are clear, and risks are properly mitigated, but evidence of effectiveness remains uncertain. Implementation of video-based patient records must adhere to national legislation and professional guidance on consent, privacy, and data protection.

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Video self-confrontation as a therapeutic tool in schizophrenia: A randomized parallel-arm single-blind trial

Cited by 2 publications

References 55 publications

Video Recording Patients for Direct Care Purposes: Systematic Review and Narrative Synthesis of International Empirical Studies and UK Professional Guidance

Video Recording Patients for Direct Care Purposes: Systematic Review and Narrative Synthesis of International Empirical Studies and UK Professional Guidance

Video Recording Patients for Direct Care Purposes: Systematic Review and Narrative Synthesis of International Empirical Studies and UK Professional Guidance (Preprint)

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