Effect of a multimedia-assisted informed consent procedure on the information gain, satisfaction, and anxiety of cataract surgery patients

Tipotsch-Maca, Saskia M; Varsits, Ralph; Ginzel, Christian; Vécsei-Marlovits, Pia Veronika

doi:10.1016/j.jcrs.2015.08.019

Cited by 55 publications

(83 citation statements)

References 12 publications

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“…In terms of desire for information, both the control and intervention groups reported a high score; this suggests that, despite counselling in clinic, patients still wanted to receive more information. This resonates with findings from previous research that suggests patients a) have low level of understanding recollection of information given in clinic 7,14 and b) want more information than they felt they received. 20 Furthermore, studies have shown that information provision is a substantial factor influencing overall patient satisfaction; with perceived lack of information correlating to poorer satisfaction outcomes.…”

Section: Discussionsupporting

confidence: 87%

“…Patients who watched the "expectations" video were found to be more satisfied following the surgery than those in the "anatomy" group. 13 With cataract surgery being the most frequently performed ophthalmic operation 14 , the presence of such a simple intervention to potentially reduce anxiety levels for such a large number of patients represents an important opportunity for health care providers to improve the service they offer. Videos have the added advantage of being able to show patients information in a way that is not possible verbally.…”

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confidence: 99%

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Effect of a patient-information video on the preoperative anxiety levels of cataract surgery patients

Ahmed

Pilling

Ahmed

et al. 2019

Journal of Cataract and Refractive Surgery

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Telephone: 075844392912 Abstract Purpose To assess whether a cataract surgery patient-information video reduces patients' preoperative anxiety levels. SettingLeeds Teaching Hospitals NHS Trust, UK. Design 3Prospective controlled trial of an intervention to reduce anxiety for first eye elective cataract surgery patients. MethodsA total of 200 patients attending for first eye elective cataract surgery were included in the study. The primary outcome measure was a questionnaire based upon the Amsterdam Pre-operative Anxiety and Information Score (APAIS), and a 80mm Visual Analogue Score (VAS). The questionnaire was administered to a control group of 100 consecutive pre-operative cataract surgery patients who had not seen the information video. Subsequently, the video was introduced to the surgical pathway and the questionnaire was administered pre-operatively to an intervention group of 100 consecutive patients who had watched the video.4 ResultsThere was a significant difference in mean VAS anxiety scores between the control 45.5mm ± 21.4mm [SD] and intervention group 11.2mm ± 11.4mm (p< 0.001). On a 5stage Likert scale, responses to the APAIS statement "I am worried about the procedure" (range 1 = not at all to 5 = extremely worried) also showed that the control group patients were significantly more worried than the intervention group (p<0.001). The mode response score was 3 in the control group, compared to 1 in the intervention group. ConclusionsThe patient information video prior to cataract surgery was a cheap and effective intervention in reducing pre-operative anxiety. Such interventions could improve overall patient experience of cataract surgery.

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Section: Discussionsupporting

confidence: 87%

mentioning

confidence: 99%

Effect of a patient-information video on the preoperative anxiety levels of cataract surgery patients

Ahmed

Pilling

Ahmed

et al. 2019

Journal of Cataract and Refractive Surgery

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“…In addition to patient satisfaction, patients' attitudes toward using multimedia PtDA program to supplement the consent process survey was created based on the main benefits of using multimedia PtDAs identified in the literature [5,[9][10][13][14][15][16][17]. The survey consisted of 6 items of a 5-point Likert-type agreement scale where 5= strongly agree and 1= strongly disagree.…”

Section: Patients' Perceptions About the Current Processmentioning

confidence: 99%

“…These evidence-based tools help people make informed decisions congruent with their personal values and preferences about their treatment options. Extensive work has been undertaken to test the effectiveness of PtDAs [3][4][5][6][7][8][9][10]. In a 2017 Cochrane review of 105 studies with 31,043 participants, the use of PtDAs helped patients feel clear about their personal values and improved the rate of patient engagement in the decision-making by reducing the proportions of undecided patients and passive decision makers compared to usual care [4].…”

Section: Introductionmentioning

confidence: 99%

“…Multimedia is the "field concerned with the computer-controlled integration of text, graphics, drawings, still and moving images (video), animation, audio, and any other media where every type of information can be represented, stored, transmitted and processed digitally" [12]. The majority of the available studies used multimedia applications to support the informed consent process for surgeries and consistently found significant effects on reducing patient anxiety, improving patient understanding of the indications, risks, and benefits of the surgery, and increasing satisfaction with the informed consent process [5,[9][10][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

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Developing, Implementing, and Evaluating a Multimedia Patient Decision Aid Program to Reform the Informed Consent Process of a Peripherally Inserted Central Venous Catheter Procedure: Protocol for Quality Improvement (Preprint)

Sowan¹,

Beraya²,

Carrola³

et al. 2018

Preprint

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BACKGROUND Informed consent has considerable clinical, ethical, and legal implications for patient safety and liability. Little information is available about the use of multimedia patient decision aids (PtDA) in the consent process for therapeutic invasive procedures such as the peripherally inserted central venous catheter (PICC). In addition, none of the available studies have designed their multimedia PtDAs based on the Agency for Healthcare Research and Quality’s (AHRQ) comprehensive guide for informed consent. OBJECTIVE This paper describes a patient-centered, systematic, multidisciplinary approach to develop, implement, and alpha test a multimedia PtDA to reform the informed consent process of a PICC for patients in 10 acute and intensive care units. METHODS The development, implementation, and evaluation processes of the PtDA followed the phases in the Multimedia Production Framework: preproduction, production, and postproduction. Within this framework, we applied the criteria for judging the quality of PtDAs, the AHRQ’s Health Literacy Universal Precautions Toolkit, and the AHRQ’s Patient Education Materials Assessment Tool Guide. The methodology was guided by the Interprofessional Shared Decision-Making Model and the AHRQ’s Making Informed Consent an Informed Choice guide. In the preproduction phase, we (1) reviewed the current consent form; (2) observed 18 consent processes; (3) surveyed the vascular access team (N=6 nurses) about their perception of the current process; (4) surveyed 30 patients for knowledge recall and retention, overall satisfaction, and attitude toward using a multimedia PtDA; and (5) wrote and reviewed the script for the multimedia program. The production phase focused on filming the PtDA in English and Spanish languages. The postproduction phase included integrating the multimedia programs into the care processes, developing a modified workflow for the consent process, and alpha testing of the English and Spanish PtDAs by (1) a group of 5 patients for clarity and understandability of the information; (2) nurses using the AHRQ’s Patient Education Materials Assessment Tool Audio and Video; and (3) by the multidisciplinary change team. RESULTS Based on the alpha testing, patients indicated that the content was easy to follow and read; nurses provided positive feedback, and their comments were mainly related to the changes in the workflow in the consent process of the PICC after using the PtDA; and the multidisciplinary change team suggested edits related to changing a few scenes. The final multimedia program consisted of 7 min and 37 s demonstrating detailed information about the PICC. CONCLUSIONS A systematic development of PtDAs for nonurgent invasive procedures may eliminate many limitations of the conventional consent process by ensuring comprehensive, standardized, and easy-to-comprehend information and providing sufficient time for the patients to reflect on the information. To be effective, PtDAs should follow a systematic, patient-centered, evidence-based, and rigorous approach in the development, implementation, and evaluation processes. INTERNATIONAL REGISTERED REPOR RR1-10.2196/10709

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Anaesthesia for Cataract Surgery

Lersch¹,

Eke²

2023

Cataract and Lens Surgery

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Effect of a multimedia-assisted informed consent procedure on the information gain, satisfaction, and anxiety of cataract surgery patients

Abstract: No author has a financial or proprietary interest in any material or method mentioned.

Cited by 55 publications

References 12 publications

Effect of a patient-information video on the preoperative anxiety levels of cataract surgery patients

Effect of a patient-information video on the preoperative anxiety levels of cataract surgery patients

Developing, Implementing, and Evaluating a Multimedia Patient Decision Aid Program to Reform the Informed Consent Process of a Peripherally Inserted Central Venous Catheter Procedure: Protocol for Quality Improvement (Preprint)

Anaesthesia for Cataract Surgery

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