51 Animation-supported consent in patients undergoing coronary angiography and angioplasty

Singh, Prerna; Wald, David S; Cobb, Vanessa

doi:10.1136/heartjnl-2019-bcs.49

Cited by 2 publications

(5 citation statements)

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“…The present work, using multi-language animations, extends this approach to the emergency setting. The approximate ninefold increase in reported understanding of the risks exceeds the threefold improvement we previously observed in the elective setting, 5 a difference that probably relates to the lower starting level of understanding among emergency patients, whose need for treatment was unexpected.…”

Section: Discussioncontrasting

confidence: 51%

“…Sample size was determined by the time available to complete each audit (1 month) and the number of expected patients in this period (about 100). Assuming an initial level of understanding of about 30%, based on previous work in elective patients, 5 a study of 200 patients provided in excess of 90% power to show a twofold or greater improvement in reported understanding at a p value of 0.05.…”

Section: Methodsmentioning

confidence: 99%

“…Questions are answered at a preoperative appointment 1 week before the procedure and consent then sought on the day by the operator. Implementation of this approach resulted in a threefold increase in reported understanding before consent (30% to 90%) at a UK centre 5. Reproducing this in the emergency setting is challenging because of the short time between hospital admission and transfer for a procedure and because patients may not have digital devices or a reliable internet connection in hospital.…”

Section: Introductionmentioning

confidence: 99%

“…Multi-language animations describing the benefits, risks and alternatives of angiography and angioplasty ( www.explainmyprocedure.com/heart ) have been introduced into the elective patient pathway with improvement in understanding before consent. 5 Patients are sent links to an animation of their procedure weeks beforehand, select their language and watch it at home with their family. Questions are answered at a preoperative appointment 1 week before the procedure and consent then sought on the day by the operator.…”

Section: Introductionmentioning

confidence: 99%

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Animation-supported consent for urgent angiography and angioplasty: a service improvement initiative

Wald

Casey-Gillman

Comer

et al. 2020

Heart

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ObjectivePatient understanding of angiography and angioplasty is often incomplete at the time of consent. Language barriers and time constraints are significant obstacles, particularly in the urgent setting. We introduced digital animations to support consent and assessed the effect on patient understanding.MethodsMulti-language animations explaining angiography and angioplasty (www.explainmyprocedure.com/heart) were introduced at nine district hospitals for patients with acute coronary syndrome before urgent transfer to a cardiac centre for their procedure. Reported understanding of the reason for transfer, the procedure, its benefits and risks in 100 consecutive patients were recorded before introduction of the animations into practice (no animation group) and in 100 consecutive patients after their introduction (animation group). Patient understanding in the two groups was compared.ResultsFollowing introduction, 83/100 patients reported they had watched the animation before inter-hospital transfer (3 declined and 14 were overlooked). The proportions of patients who understood the reason for transfer, the procedure, its benefits and risks in the no animation group were 58%, 38%, 25% and 7% and in the animation group, 85%, 81%, 73% and 61%, respectively. The relative improvement (ratio of proportions) was 1.5 (95% CI 1.2 to 1.8), 2.1 (1.6 to 2.8), 2.9 (2.0 to 4.2) and 8.7 (4.2 to 18.1), respectively (p<0.001 for all comparisons).ConclusionUse of animations explaining angiography and angioplasty is feasible before urgent inter-hospital transfer and was associated with substantial improvement in reported understanding of the procedure, its risks and its benefits. The approach is not limited to cardiology and has the potential to be applied to all specialties in medicine.

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Section: Discussioncontrasting

confidence: 51%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Animation-supported consent for urgent angiography and angioplasty: a service improvement initiative

Wald

Casey-Gillman

Comer

et al. 2020

Heart

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“…5 Multi-language animations describing the benefits, risks and alternatives of commonly performed medical and surgical procedures have been shown to substantially improve patient understanding before consent, both in the elective and urgent patient pathway. 6,7 Animations describing ICU and the treatments offered were developed and translated into 5 different languages (Explain my Procedure Ltd) as part of a UK Government Scheme to support the COVID-19 response and were endorsed by the Intensive Care Society.…”

Section: Introductionmentioning

confidence: 99%

Animation supported communication on intensive care; a service improvement initiative

Wachtl

Ledesma

Malcolm

et al. 2021

Journal of the Intensive Care Society

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Objective COVID-19 has created unique challenges for families of patients admitted to intensive care units. Restricted visiting, language barriers and time constraints have limited communication, resulting in a lack of understanding and anxiety. We introduced digital animations to support communication and assessed the impact on families of patients admitted to intensive care. Methods Multi-language animations explaining mechanical ventilation, ( www.explainmyprocedure.com/icu ) were introduced at two London intensive care units during the COVID-19 pandemic. Web-links were sent by email. Reported understanding of the treatment, its benefits, risks and alternatives was assessed among family contacts of 71 consecutive patients admitted to intensive care; 39 before the animations were introduced (no animation group) and 32 afterwards (animation group). Reported understanding in the two groups was assessed by telephone questionnaire and compared. Results Following introduction, all relatives reported they had watched the animation. The proportions who reported complete understanding of mechanical ventilation, its benefits, risks and alternatives, in the no animation group (n = 39) were, respectively, 15%, 28%, 0% and 3% and in the animation group (n = 32), 94%, 97%, 84% and 66% (p < 0.0001 for all comparisons). Conclusion Family use of online multi-language animations explaining mechanical ventilation is feasible, acceptable and associated with substantial improvement in understanding. The approach is not limited to mechanical ventilation, or to use in a pandemic, and has the potential to be applied to a wide range of treatment and recovery pathways on intensive care.

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51 Animation-supported consent in patients undergoing coronary angiography and angioplasty

Cited by 2 publications

References 0 publications

Animation-supported consent for urgent angiography and angioplasty: a service improvement initiative

Animation-supported consent for urgent angiography and angioplasty: a service improvement initiative

Animation supported communication on intensive care; a service improvement initiative

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