A prospective, randomized, single‐blinded trial for improving health outcomes in rhinology by the use of personalized video recordings

Sharma, Saurabh; McCrary, Hilary C.; Romero, Erin G.; Kim, Alexander; Chang, Eugene H.; Le, Christopher H.

doi:10.1002/alr.22145

Cited by 12 publications

(32 citation statements)

References 19 publications

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“…Twenty-five studies evaluated 27 audiovisual interventions (Tables 2 and 6). 34,36,37,39,40,42,43,46,48,50,[58][59][60][61][62][63][64][65][66][67][68][69][70]84,85 Audiovisual interventions included videos of varying length, visual aids (noninteractive PowerPoint or multimedia presentations, posters, diagrams, or anatomical models), and audio and video recordings. Fifteen audiovisual interventions (56%) resulted in improved patient comprehension compared with standard informed consent ( Figure 2), 34,39,40,42,48,50,61,64,65,[68][69][70]84 and the remaining did not.…”

Section: Effect Of Interventions On Patient Comprehensionmentioning

confidence: 99%

Interventions to Improve Patient Comprehension in Informed Consent for Medical and Surgical Procedures: An Updated Systematic Review

et al. 2020

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Background. Patient comprehension is fundamental to valid informed consent. Current practices often result in inadequate patient comprehension. Purpose. An updated review to evaluate the characteristics and outcomes of interventions to improve patient comprehension in clinical informed consent. Data Sources. Systematic searches of MEDLINE and EMBASE (2008–2018). Study Selection. We included randomized and nonrandomized controlled trials evaluating interventions to improve patient comprehension in clinical informed consent. Data Extraction. Reviewers independently abstracted data using a standardized form, comparing all results and resolving disagreements by consensus. Data Synthesis. Fifty-two studies of 60 interventions met inclusion criteria. Compared with standard informed consent, a statistically significant improvement in patient comprehension was seen with 43% (6/14) of written interventions, 56% (15/27) of audiovisual interventions, 67% (2/3) of multicomponent interventions, 85% (11/13) of interactive digital interventions, and 100% (3/3) of verbal discussion with test/feedback or teach-back interventions. Eighty-five percent of studies (44/52) evaluated patients’ understanding of risks, 69% (41/52) general knowledge about the procedure, 35% (18/52) understanding of benefits, and 31% (16/52) understanding of alternatives. Participants’ education level was reported heterogeneously, and only 8% (4/52) of studies examined effects according to health literacy. Most studies (79%, 41/52) did not specify participants’ race/ethnicity. Limitations. Variation in interventions and outcome measures precluded conduct of a meta-analysis or calculation of mean effect size. Control group processes were variable and inconsistently characterized. Nearly half of studies (44%, 23/52) had a high risk of bias for the patient comprehension outcome. Conclusions. Interventions to improve patient comprehension in informed consent are heterogeneous. Interactive interventions, particularly with test/feedback or teach-back components, appear superior. Future research should emphasize all key elements of informed consent and explore effects among vulnerable populations.

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Section: Effect Of Interventions On Patient Comprehensionmentioning

confidence: 99%

Interventions to Improve Patient Comprehension in Informed Consent for Medical and Surgical Procedures: An Updated Systematic Review

et al. 2020

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“…21 Prior studies in the otolaryngology literature have also used validated tools to examine aspects of patient satisfaction beyond its relationship with telemedicine. For example, the impact of long-term outcomes, 22 surgical interventions, 23 patient education, 24,25 and multidisciplinary clinics on patient satisfaction has been evaluated. 26 Uniquely, the present study focused on patient satisfaction, and the quality of the physician-patient interaction, ensuring that it was not compromised in the virtual setting compared to traditional in-person clinic visits.…”

Section: Discussionmentioning

confidence: 99%

“…Overall, the benefits of a judicious use of video visits in the current health system and pandemic may outweigh the potential drawbacks such as diagnostic accuracy 28 or an inability to perform an exam or endoscopy. With additional technological advances and improvements in audiovisual capabilities, such as reviewing stored video recordings of healthcare encounters 25 or automated surveying, 21 telemedicine may become more widely available and easily accessible to patients. Expansion of this technology may present new capabilities for enhancing patient education, reinforcing clinical communication, and increasing opportunities for research through easier and more robust data collection.…”

Section: Discussionmentioning

confidence: 99%

Telemedicine, Patient Satisfaction, and Chronic Rhinosinusitis Care in the Era of COVID-19

Morisada

Hwang

Gill

et al. 2020

Am J Rhinol�Allergy

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Background Telemedicine has become increasingly popular in the care of rhinologic patients during the COVID-19 pandemic. This change in practice patterns may place patients at risk of a perceived lower-quality exchange with their healthcare provider, which may in turn impact satisfaction. Objective This study compares patient satisfaction scores between in-person clinic visits and telemedicine video visits in patients with chronic rhinosinusitis (CRS). Methods Sixty-nine patients with CRS presenting to an academic rhinology clinic between March to April 2020 were retrospectively divided into video visits (VV) and clinic visits (CV) groups based on mandated state quarantine orders on March 19. Patient demographics, disease severity measures, and Patient Satisfaction Questionnaire-18 (PSQ-18) scores were collected and analyzed. Chi square test and Fisher’s exact test were performed. Results There were no significant differences in age (p = 0.81), gender (p = 0.55), CRS phenotype (p = 0.16), and disease severity measures (Sinonasal Outcomes Test-22 (SNOT-22) (p = 0.92); Lund-Mackay score (p = 0.96)) between the video and clinic visit groups. There were no significant differences in PSQ-18 total scores (VV PSQ-18 mean score = 78.1, CV PSQ-18 mean score = 78.4; p = 0.67) or the following subdomain scores between the two groups: general satisfaction (p = 0.73), technical quality (p = 0.62), interpersonal manner (p = 0.41), communication (p = 0.31), financial aspects (p = 0.89), time spent with doctor (p = 0.88), and accessibility and convenience (p = 0.47). Conclusion Patient satisfaction with telemedicine in the COVID-19 pandemic parallels that of traditional in-person visits. Video visits can serve as a viable alternative to clinic visits, while still maintaining high satisfaction.

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“…Other recommendations are to avoid medical jargon, use smaller and more manageable concrete steps to break down instructions, and assess comprehension ( Hersh et al, 2015 ). Instructional videos, in comparison to textual information, have also been shown to be effective communication tools to increase memory retention and patient satisfaction ( Güner & Ekmekci, 2019 ; Sharma et al, 2018 ). As important as these recommendations are for in-person studies, they will be even more critical for remote studies.…”

Section: Recruitment Considerations For Patient-facing Devicesmentioning

confidence: 99%

Evaluating Medical Devices Remotely: Current Methods and Potential Innovations

et al. 2020

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Objective We present examples of laboratory and remote studies, with a focus on studies appropriate for medical device design and evaluation. From this review and description of extant options for remote testing, we provide methods and tools to achieve research goals remotely. Background The FDA mandates human factors evaluation of medical devices. Studies show similarities and differences in results collected in laboratories compared to data collected remotely in non-laboratory settings. Remote studies show promise, though many of these are behavioral studies related to cognitive or experimental psychology. Remote usability studies are rare but increasing, as technologies allow for synchronous and asynchronous data collection. Method We reviewed methods of remote evaluation of medical devices, from testing labels and instruction to usability testing and simulated use. Each method was coded for the attributes (e.g., supported media) that need consideration in usability studies. Results We present examples of how published usability studies of medical devices could be moved to remote data collection. We also present novel systems for creating such tests, such as the use of 3D printed or virtual prototypes. Finally, we advise on targeted participant recruitment. Conclusion Remote testing will bring opportunities and challenges to the field of medical device testing. Current methods are adequate for most purposes, excepting the validation of Class III devices. Application The tools we provide enable the remote evaluation of medical devices. Evaluations have specific research goals, and our framework of attributes helps to select or combine tools for valid testing of medical devices.

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A prospective, randomized, single‐blinded trial for improving health outcomes in rhinology by the use of personalized video recordings

Abstract: Our results show that patients in both groups were enthusiastic about this technology and often shared their videos with family and friends. Video-recordings of physician-patient encounters may be a possible solution to improve physician-patient communication.

Cited by 12 publications

References 19 publications

Interventions to Improve Patient Comprehension in Informed Consent for Medical and Surgical Procedures: An Updated Systematic Review

Interventions to Improve Patient Comprehension in Informed Consent for Medical and Surgical Procedures: An Updated Systematic Review

Telemedicine, Patient Satisfaction, and Chronic Rhinosinusitis Care in the Era of COVID-19

Evaluating Medical Devices Remotely: Current Methods and Potential Innovations

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