Visual teaching aids improve patient understanding and reduce anxiety prior to a colectomy

Stewart, Jimmie; Wood, Lauren N.; Wiener, Jameson; Kennedy, Gregory D.; Chu, Daniel I.; Lancaster, Jeffrey R.

doi:10.1016/j.amjsurg.2021.01.029

Cited by 15 publications

(9 citation statements)

References 10 publications

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“…The detailed tools in our study included illustrations to aid understanding and reinforce information provided in the text. Stewart et al 20 have previously demonstrated that patients consented using visual aids had a significantly higher recall of complications than those through the standard care.…”

Section: Discussionmentioning

confidence: 99%

A randomized controlled trial of patient recall after detailed written consent versus standard verbal consent in adults with routine orthopaedic trauma

et al. 2023

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AimsPatient decision aids have previously demonstrated an improvement in the quality of the informed consent process. This study assessed the effectiveness of detailed written patient information, compared to standard verbal consent, in improving postoperative recall in adult orthopaedic trauma patients.MethodsThis randomized controlled feasibility trial was conducted at two teaching hospitals within the South Eastern Sydney Local Health District. Adult patients (age ≥ 18 years) pending orthopaedic trauma surgery between March 2021 and September 2021 were recruited and randomized to detailed or standard methods of informed consent using a random sequence concealed in sealed, opaque envelopes. The detailed group received procedure-specific written information in addition to the standard verbal consent. The primary outcome was total recall, using a seven-point interview-administered recall questionnaire at 72 hours postoperatively. Points were awarded if the participant correctly recalled details of potential complications (maximum three points), implants used (maximum three points), and postoperative instructions (maximum one point). Secondary outcomes included the anxiety subscale of the Hospital and Anxiety Depression Scale (HADS-A) and visual analogue scale (VAS) for pain collected at 24 hours preoperatively and 72 hours postoperatively. Additionally, the Patient Satisfaction Questionnaire Short Form (PSQ-18) measured satisfaction at 72 hours postoperatively.ResultsA total of 60 patients were randomized, 32 to the standard group and 28 to the detailed group. Patients in the detailed group had significantly higher total recall score compared to the standard group (mean difference 1.29 points (95% confidence interval (CI) 0.51 to 2.08); p = 0.002). There were no differences in HADS-A (mean difference 0.39 (95% CI -2.11 to 2.88); p = 0.757), VAS pain (mean difference 5.71 (95% CI -22.25 to 11.11); p = 0.499), or PSQ-18 (mean difference 0.499; 95% CI -1.6 to 3.42; p = 0.392).ConclusionDetailed written tools are useful in improving postoperative recall in adult orthopaedic trauma patients.Cite this article: Bone Jt Open 2023;4(2):104–109.

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Section: Discussionmentioning

confidence: 99%

A randomized controlled trial of patient recall after detailed written consent versus standard verbal consent in adults with routine orthopaedic trauma

et al. 2023

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“…Important factors that may play a role are the way patients are informed preoperatively regarding the perioperative procedure. If counselling is carried out adequately this may lead to reduction in preoperative anxiety experienced by the patients [46]. Furthermore, the use of standardized postoperative opioid regimens leads to more controlled pain experiences in patients.…”

Section: Discussionmentioning

confidence: 99%

Implementation of music in colorectal perioperative standard care—barriers and facilitators among patients and healthcare professionals

et al. 2022

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Aim: Perioperative anxiety and pain are still prevalent among patients undergoing surgery. Inflammatory bowel disease and colorectal cancer patients are known to have higher anxiety rates than the general population. Perioperatively applied music intervention has been proven to be effective in reducing perioperative anxiety and pain, resulting in a decrease of intra-operative sedative use, postoperative opioid requirement and neurohormonal stress response. IMPROVE evaluates the adherence to music intervention in colorectal perioperative standard care during systematic implementation. Method:The Consolidated Framework for Implementation Research (CFIR) was used for implementation in three steps. This study addresses the first step in which barriers and facilitators for implementing perioperative music were identified by surveying patients who underwent colorectal surgery and healthcare professionals involved in perioperative care. Also, perioperative anxiety scores were assessed and data on perioperative pain was collected from the patients' medical records.Results: Fifty patients and 69 professionals (response rate 68.3%) were surveyed. For patients, all domains of the CFIR were facilitating implementation. The median reported preoperative and postoperative anxiety scores were 4.5 (1.0-7.0) and 3.0 (1.0-5.75) respectively. The median postoperative pain score on the first postoperative day was 2.8(2.0-3.7). Also, for professionals most domains were facilitating, except for some factors related to work climate and culture among nurses. Conclusions:In this study it was identified that facilitating factors for implementing music in standard perioperative care were more prominent in both patients and healthcare professionals and therefore successful implementation is probable. Also, this study provides a guideline for assessing facilitators and barriers in other settings.

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“…A similar study by Rosenfeld et al (2018) demonstrated that visual aids helped children improve understanding and retention of information during the informed consent process for the appendicectomy procedure. In 2021, Stewart et al (2021) found that using a visual aid during the consent process for colectomy increases patients' recall of risks, reduces anxiety, and improves understanding. Patients comprehend better using a visual explanation rather than trying to understand the process from conversation alone (Bobek & Tversky, 2016).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Patient Information Material in the Consent Process for Surgical Stabilization of Rib Fractures

Hung

Gardiner²,

Patel³

2021

Journal of Trauma Nursing

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Background: Surgical stabilization of rib fractures is a procedure carried out in most trauma centers; however, data on evaluation of patient information material regarding this procedure are limited. The trauma service at our hospital implemented slide presentation as an adjunct tool to the consenting process for patients undergoing this procedure. Objective: The aim was to evaluate information material for patients undergoing surgical stabilization of rib fractures procedure and subjective outcomes from education on components of knowledge, emotion, and behavior for patients undergoing this procedure. Methods: A one-group posttest prospective design study was conducted over 18 months at a Level I trauma center. Supplementary visual material was provided as an adjunct to the consent process of surgical rib fixation. Evaluation from the patient's perspective was undertaken utilizing the usefulness scale for patient information material. This tool was based on a tripartite model of reading, evaluating, and responding to patient information material. Results: Over the period of 18 months, 60 patients underwent surgical stabilization of rib fractures. Fifty-two (91.7%) patients reviewed the information material, and 41 (78.8%) patients completed the feedback. The results reflect that the majority of patients perceived positive responses in emotional support (M = 8.42, SD = 6.6); behavioral motivation (M = 8.57, SD = 6.4); and education on knowledge (M = 9.09, SD = 4.6). Conclusion: In this novel study, visual aids as an adjunct to the informed consent process augmented patient knowledge regarding surgical stabilization of rib fractures and received positive subjective patient feedback on knowledge about the procedure.

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Visual teaching aids improve patient understanding and reduce anxiety prior to a colectomy

Cited by 15 publications

References 10 publications

A randomized controlled trial of patient recall after detailed written consent versus standard verbal consent in adults with routine orthopaedic trauma

A randomized controlled trial of patient recall after detailed written consent versus standard verbal consent in adults with routine orthopaedic trauma

Implementation of music in colorectal perioperative standard care—barriers and facilitators among patients and healthcare professionals

Evaluation of Patient Information Material in the Consent Process for Surgical Stabilization of Rib Fractures

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