Multimedia support for improving preoperative patient education

• Verfasst von: Huber, Johannes [VerfasserIn]
• Verfasst von: Ihrig, Andreas [VerfasserIn]
• Verfasst von: Yass, Mohammed [VerfasserIn]
• Verfasst von: Bruckner, Thomas [VerfasserIn]
• Verfasst von: Konyango-Fellhauer, Beryl Awuor [VerfasserIn]
• Verfasst von: Lozankovski, Novica [VerfasserIn]
• Verfasst von: Stredele, Regina Johanna Franziska [VerfasserIn]
• Verfasst von: Moll, Peter [VerfasserIn]
• Verfasst von: Schneider, Meike [VerfasserIn]
• Verfasst von: Pahernik, Sascha [VerfasserIn]
• Verfasst von: Hohenfellner, Markus [VerfasserIn]
• Titel: Multimedia support for improving preoperative patient education
• Titelzusatz: a randomized controlled trial using the example of radical prostatectomy
• Verf.angabe: Johannes Huber, Andreas Ihrig, Mohammed Yass, Tom Bruckner, Tim Peters, Christian G. Huber, Beryl Konyango, Novica Lozankovski, Regina J.F. Stredele, Peter Moll, Meike Schneider, Sascha Pahernik, Markus Hohenfellner
• Jahr: 2013
• Umfang: 9 S.
• Fussnoten: Online: 01 August 2012 ; Gesehen am 08.11.2018
• Titel Quelle: Enthalten in: Annals of surgical oncology
• Ort Quelle: Berlin [u.a.] : Springer, 1994
• Jahr Quelle: 2013
• Band/Heft Quelle: 20(2013), 1, Seite 15-23
• ISSN Quelle: 1534-4681
• DOI: doi:10.1245/s10434-012-2536-7
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Multimedia Tool
• Sach-SW: Preoperative Education
• Sach-SW: Radical Prostatectomy
• Sach-SW: Standard Education
• Sach-SW: Supplemental Digital Content
• K10plus-PPN: 1582702721

Abstract

BackgroundGrowing evidence supports the use of multimedia presentations for informing patients. Therefore, we supported preoperative education by adding a multimedia tool and examined the effects in a randomized controlled trial.MethodsWe randomized German-speaking patients scheduled for radical prostatectomy at our center to receive either a multimedia-supported (MME) or a standard education (SE). Outcomes were measured in a structured interview. Primary outcome was patient satisfaction. In addition, we applied validated instruments to determine anxiety and measures of decision-making. Results were given by mean and standard deviation. For comparison of groups we used t test and chi-square test. For an explorative analysis we applied multivariate logistic regression.ResultsWe randomized 203 patients to receive MME (n = 102) or SE (n = 101). Complete satisfaction with preoperative education was more frequent in the MME group (69 vs 52 %, p = .016) and patients after MME reported more questions (5.7 vs 4.2, p = .018). There was no difference concerning the duration of talks and the number of recalled risks. However, perceived knowledge was higher after MME (1.3 vs 1.6, p = .037). Anxiety and measures of decision-making were comparable. Patients judged the multimedia tool very positive, and 74 % of the MME group thought that their preoperative education had been superior to SE.ConclusionsMultimedia support should be considered worthwhile for improving the informed consent process before surgery (www.germanctr.de; DRKS00000096).