Using a Multimedia Tool for Informed Consent in Mohs Surgery : A Randomized Trial Measuring Effects on Patient Anxiety, Knowledge, and Satisfaction
BACKGROUND: Multimedia educational materials have been found to improve aspects of informed consent, although data in the context of Mohs micrographic surgery (MMS) is limited.
OBJECTIVE: To assess whether a preoperative educational video decreases anxiety, increases comprehension, and improves overall satisfaction for patients undergoing same-day office consultation and MMS.
MATERIALS AND METHODS: This single-center randomized controlled trial included patients above the age of 18 years undergoing MMS for skin cancer between October 2015 and December 2015. Patients were randomized to view a short preoperative video on MMS in addition to traditional informed consent versus informed consent without video viewing. Questionnaires were used to assess preoperative anxiety, knowledge, and satisfaction.
RESULTS: From 231 consecutively enrolled subjects, there were no significant differences in anxiety (p = .626) or satisfaction (p = .065) between groups. Subjects receiving the intervention were able to more accurately recognize risks of MMS (88% vs 69% of controls, p < .001) and had improved subject-reported confidence in understanding procedural risks and benefits (89% vs 71% of controls, p = .049). Composite comprehension scores were similar between groups (p = .131).
CONCLUSION: A preoperative MMS educational video increased recognition of procedural risks, but did not improve patient anxiety or satisfaction.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:46 |
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| Enthalten in: |
Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al. - 46(2020), 5 vom: 01. Mai, Seite 591-598 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Delcambre, Macey [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 30.10.2020 Date Revised 06.02.2021 published: Print Citation Status MEDLINE |
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| doi: |
10.1097/DSS.0000000000002213 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM302404961 |
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| 245 | 1 | 0 | |a Using a Multimedia Tool for Informed Consent in Mohs Surgery |b A Randomized Trial Measuring Effects on Patient Anxiety, Knowledge, and Satisfaction |
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| 500 | |a Date Completed 30.10.2020 | ||
| 500 | |a Date Revised 06.02.2021 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a BACKGROUND: Multimedia educational materials have been found to improve aspects of informed consent, although data in the context of Mohs micrographic surgery (MMS) is limited | ||
| 520 | |a OBJECTIVE: To assess whether a preoperative educational video decreases anxiety, increases comprehension, and improves overall satisfaction for patients undergoing same-day office consultation and MMS | ||
| 520 | |a MATERIALS AND METHODS: This single-center randomized controlled trial included patients above the age of 18 years undergoing MMS for skin cancer between October 2015 and December 2015. Patients were randomized to view a short preoperative video on MMS in addition to traditional informed consent versus informed consent without video viewing. Questionnaires were used to assess preoperative anxiety, knowledge, and satisfaction | ||
| 520 | |a RESULTS: From 231 consecutively enrolled subjects, there were no significant differences in anxiety (p = .626) or satisfaction (p = .065) between groups. Subjects receiving the intervention were able to more accurately recognize risks of MMS (88% vs 69% of controls, p < .001) and had improved subject-reported confidence in understanding procedural risks and benefits (89% vs 71% of controls, p = .049). Composite comprehension scores were similar between groups (p = .131) | ||
| 520 | |a CONCLUSION: A preoperative MMS educational video increased recognition of procedural risks, but did not improve patient anxiety or satisfaction | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Randomized Controlled Trial | |
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| 700 | 1 | |a Bar, Anna |e verfasserin |4 aut | |
| 700 | 1 | |a Latour, Emile |e verfasserin |4 aut | |
| 700 | 1 | |a Leitenberger, Justin J |e verfasserin |4 aut | |
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