Older adults’ memory for medical information, effect of number and mode of presentation: An experimental study

Postigo, José Miguel Latorre; Ros, Laura; Bravo, Beatriz Navarro; Ricarte, Jorge Javier; Serrano-Selva, Juan Pedro; López-Torres-Hidalgo, Jesús

doi:10.1016/j.pec.2016.08.001

Cited by 13 publications

(10 citation statements)

References 33 publications

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“…Furthermore, the memory of the medical consultation within the scope of therapy planning is still present at the beginning of the therapy, whereas within a month of the consultation, the memory of information provided decreases. 6,15 Consequently, it is plausible that the PIL could be used as a memory aid, particularly during the course of therapy. The additional use of the PIL to prepare for the doctor-patient consultation should be encouraged by the person providing the PIL, as this offers considerable advantages.…”

Section: Use and Assessment Of The Pil By Participantsmentioning

confidence: 99%

“…4 This is difficult to achieve in the abovementioned context, given that the ability of patients to process information from medical consultations is generally limited. 5,6 In particular, the dental consultation typically occurs while patients are experiencing substantial psychological stress, which reduces the intake and retention of essential information. 7 The information and instructions related to the dental education interview pertain to all stages of treatment, and thus, much of the information should be retained over a long period of time to enable its recall at the relevant time.…”

Section: Introductionmentioning

confidence: 99%

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<p>Use of a Patient Information Leaflet on Oro-Dental Care During Radiotherapy</p>

Bacher¹,

Schweyen²,

Kuhnt³

et al. 2020

PPA

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Purpose: A patient information leaflet (PIL) on oral and dental care during radiotherapy was tested whether and at which time during therapy it would be helpful to increase the knowledge about the therapy and the resulting side effects and the management of these. Additionally, the participants' subjective perception of being well informed about the topic was examined. Participants and Methods: Surveys were conducted in August 2018-April 2019, at the University Hospitals Halle and Leipzig (Germany). The study population consisted of patients who were treated with radiotherapy in the head and neck region. Half of them received access to the PIL. The survey was conducted with three different versions of a printout questionnaire, which covered the relevant topics at three different times of therapy. The time the participants were surveyed depended on the time of their first therapy appointment. The items of the questionnaires tested their concrete knowledge and assessed the subjective perception of the level of information received. Results: Of the 81 participants who received the PIL, 93.8% read it and 92.1% of them considered it helpful. The sample comprised 181 participants aged 32 to 85 years (M = 62.9), of which 135 were males, 42 were females, and 4 were unspecified. Evaluation showed a difference of 4.7%; 18.5%; and 13.6% in correct answers between subjects with and without access to the PIL before, during, and after the therapy, respectively. The assessment of the participants' personal information level was independent of their access to the PIL (chi-squared test, p = 0.89). Conclusion: Having access to the PIL increased participants' ability to answer the questionnaires correctly. Access to the PIL had no influence on the subjective feeling of being well informed.

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Section: Use and Assessment Of The Pil By Participantsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

<p>Use of a Patient Information Leaflet on Oro-Dental Care During Radiotherapy</p>

Bacher¹,

Schweyen²,

Kuhnt³

et al. 2020

PPA

View full text Add to dashboard Cite

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“…One of the characteristics of these devices, especially smartphones, is that people often carry the device with them, lowering the barrier to use them. Within the app, we used a combination of known mechanisms on information retention: small bits of information [11,[13][14][15], information about specific themes [6], multiple modes of information [37], and quiz-like questions with instant feedback to test (and reflect) patients' knowledge [11,19]. None of the studies in the Cochrane review used this combination of mechanisms.…”

Section: Comparison With Prior Workmentioning

confidence: 99%

“…Several factors, some of which are difficult to change, contribute to poor memory acquisition, including patient age [7][8][9], patient level of education [10][11][12], the fact that too much information is provided in too little time [13][14][15], and that is likely exasperated by doctors' busy schedules and their difficult use of language and jargon [5,16,17]. On the other hand, there are numerous factors that can positively influence patient recall, for example, subdividing the delivery of information [11,[13][14][15] and the explicit categorization of content [18]. Furthermore, the usage of questions and feedback to test (and reflect) patients' knowledge [11,19] as well as the specific modality of information transmission contribute to patient recall of medical information.…”

Section: Introductionmentioning

confidence: 99%

Assessing the Efficacy of an Educational Smartphone or Tablet App With Subdivided and Interactive Content to Increase Patients’ Medical Knowledge: Randomized Controlled Trial (Preprint)

Timmers¹,

Janssen²,

Pronk³

et al. 2018

Preprint

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BACKGROUND Modern health care focuses on shared decision making (SDM) because of its positive effects on patient satisfaction, therapy compliance, and outcomes. Patients’ knowledge about their illness and available treatment options, gained through medical education, is one of the key drivers for SDM. Current patient education relies heavily on medical consultation and is known to be ineffective. OBJECTIVE This study aimed to determine whether providing patients with information in a subdivided, categorized, and interactive manner via an educational app for smartphone or tablet might increase the knowledge of their illness. METHODS A surgeon-blinded randomized controlled trial was conducted with 213 patients who were referred to 1 of the 6 Dutch hospitals by their general practitioner owing to knee complaints that were indicative of knee osteoarthritis. An interactive app that, in addition to standard care, actively sends informative and pertinent content to patients about their illness on a daily basis by means of push notifications in the week before their consultation. The primary outcome was the level of perceived and actual knowledge that patients had about their knee complaints and the relevant treatment options after the intervention. RESULTS In total, 122 patients were enrolled in the control group and 91 in the intervention group. After the intervention, the level of actual knowledge (measured on a 0-36 scale) was 52% higher in the app group (26.4 vs 17.4, P<.001). Moreover, within the app group, the level of perceived knowledge (measured on a 0-25 scale) increased by 22% during the week within the app group (from 13.5 to 16.5, P<.001), compared with no gain in the control group. CONCLUSIONS Actively offering patients information in a subdivided (per day), categorized (per theme), and interactive (video and quiz questions) manner significantly increases the level of perceived knowledge and demonstrates a higher level of actual knowledge, compared with standard care educational practices. CLINICALTRIAL International Standard Randomized Controlled Trial Number ISRCTN98629372; http://www.isrctn.com/ISRCTN98629372 (Archived by WebCite at http://www.webcitation.org/73F5trZbb)

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“…A retrospective survey about IC for spinal surgery showed the percentage of correctly answered questions was almost as low as the likelihood of nearness in guessing [ 12]. In one aspect, patients might be burdened with too much information [ [14][15][16]…”

Section: Introductionmentioning

confidence: 99%

What patients really got and what they wanted in surgical informed consent: a cross-sectional survey in China

et al. 2019

Preprint

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Background Informed consent (IC) is a fundamental element of modern clinical medicine based on the spirit of individual autonomy. Patients’ comprehension of the key elements of clinical IC is often poor. Aims and Objectives This study aimed to explore patients’ perceptions and expectations of IC process in invasive and surgical procedures. Design A cross-sectional descriptive study was carried out in Shanghai, China. Methods A self-administered structured questionnaire was developed to evaluate patients’ perceptions and expectations of the IC process. In total, 317 individuals were included in the final analysis. Results Majority (73.8%) of the process was undertaken one day prior to the procedure and nearly half (47.6%) lasted less than 15 minutes. Most (96.8%) patients were given verbal explanation information by healthcare professionals. The nature of illness, potential risks and complications (74.1%) and the necessity of the procedure (69.4%) were mostly memorized while alternative treatments rarely (13.6%). Patients expected their family members involved in the decision making and could be provided more time to read the IC document and prepare for the decision-making. What the patients got was significantly different from what they expected in the following aspects, such as who participated in IC, where and when it took place, how long it lasted and main contents that should be discussed in IC (P <0.05). Statistically significant relationship was found in expectations of IC patients and their income and payment type of medical expenses (P <0.05). Discussion This study explored patients’ expectation and perception of IC process regarding invasive procedures. Patients wanted to be more involved in IC process. To promote patient participation, more time should be given to the patients to comprehend and understand the IC document. In addition, information related with long-term issues should be discussed as a focal point. There is a need to re-consider IC process and to develop methods to promote the patients’ satisfaction in achieving autonomy.

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Older adults’ memory for medical information, effect of number and mode of presentation: An experimental study

Cited by 13 publications

References 33 publications

<p>Use of a Patient Information Leaflet on Oro-Dental Care During Radiotherapy</p>

<p>Use of a Patient Information Leaflet on Oro-Dental Care During Radiotherapy</p>

Assessing the Efficacy of an Educational Smartphone or Tablet App With Subdivided and Interactive Content to Increase Patients’ Medical Knowledge: Randomized Controlled Trial (Preprint)

What patients really got and what they wanted in surgical informed consent: a cross-sectional survey in China

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