Does the use of video improve patient satisfaction in the consent process for local-anaesthetic urological procedures?

Abstract

To assess patient satisfaction with the use of Portable Video Media (PVM) for the purpose of taking informed consent for common urological outpatient procedures performed under local anaesthesia. MethodsPatients undergoing the following procedures were approached for recruitment: flexible cystoscopy with or without biopsy, transrectal ultrasound-guided prostate biopsy or flexible cystoscopy with insertion or removal of a ureteric stent. Audio-visual media were developed for each procedure, with each script translated from English into isiXhosa and Afrikaans.The study involved a cross-over for each patient between Standard Verbal Consent (SVC) and PVM consent, with each patient randomised to start with SVC or PVM consent. Each of these consent-arms were assessed via a questionnaire. Results60 patients completed participation, with PVM as the first exposure for 28 patients and 32 patients receiving SVC as their first arm of the study.When comparing the overall satisfaction between SVC and PVM consent (the total scores out of 18 for the questionnaire), patients scored significantly higher for PVM consent (M = 16.3 ± 2.4) compared to SVC (M = 15.4 ± 2.9) (p = 0.002). 92% of the total patient sample preferred PVM consent. 6 ConclusionPVM proved superior to SVC in improving satisfaction in the consent process for common outpatient urological procedures performed under local anaesthesia.

The use of e-consent in surgery and application to neurosurgery: a systematic review and meta-analysis

“…The rest ( n = 2) [ 10 , 16 ] included parents who consented on behalf of their children who were undergoing surgical procedures. Most studies used a two-arm parallel RCT design ( n = 39) [ 1 , 6 , 7 , 9 , 13 , 14 , 16 , 20 , 23 , 24 , 33 , 39 , 40 , 46 , 52 , 55 , 59 , 62 , 63 , 65 , 72 , 75 , 76 , 78 , 79 , 82 , 85 , 86 , 90 , 91 , 94 , 95 ] to compare a purpose-built digital intervention for the IC process with control groups receiving traditional non-electronic IC practice. Two of these 39 RCTs implemented a cross-over design where participants served as their own controls [ 61 , 91 ].…”

“…Sixty-one of 63 included studies reported the primary outcome, patient satisfaction. Forty-eight publications (76.1%) measured the secondary outcome, patient knowledge gain [ 1 , 2 , 4 , 5 , 9 , 13 , 14 , 16 , 18 , 20 , 24 , 25 , 27 , 28 , 33 , 34 , 39 , 42 , 46 , 52 , 54 , 55 , 59 , 62 , 63 , 65 , 66 , 71 , 75 , 76 , 78 , 79 , 82 , 85 – 91 , 94 , 95 ]. Of the 109 outcomes measured across the 63 publications, only 10 (9.2%) were assessed using validated instruments.…”

“…Although suboptimal patient engagement can be a direct cause for this, it is largely due to poor disclosure of information by healthcare providers, which reduces patient understanding and hinders satisfaction [ 36 , 44 ]. This leads to lower confidence in healthcare providers and affects treatment adherence, postoperative recovery, and ultimately clinical outcomes [ 31 , 62 , 93 ].…”

Strengthening The Character of Elementary School Students on Online Learning Through Video Utilization

“…In the digital age, the use of media in learning tends to increase. This condition needs to be adapted early (Moore et al, 2021). During the pandemic, the main educational activities were carried out online (Indrawati, 2021).…”

“…Instructional video media becomes an effective educational tool (Hapsari et al, 2019;Zuhriyah et al, 2021). Most of the literature in research publications suggests that video media adds to the understanding and attention of a study (Moore et al, 2021). Video media effectively improves natural science learning outcomes for elementary school students (Hanif, 2020).…”