PMID- 27440499
OWN - NLM
STAT- MEDLINE
DCOM- 20170524
LR  - 20170524
IS  - 1464-410X (Electronic)
IS  - 1464-4096 (Linking)
VI  - 118
IP  - 5
DP  - 2016 Nov
TI  - The use of portable video media vs standard verbal communication in the 
      urological consent process: a multicentre, randomised controlled, crossover 
      trial.
PG  - 823-828
LID - 10.1111/bju.13595 [doi]
AB  - OBJECTIVES: To determine if portable video media (PVM) improves patient's 
      knowledge and satisfaction acquired during the consent process for cystoscopy and 
      insertion of a ureteric stent compared to standard verbal communication (SVC), as 
      informed consent is a crucial component of patient care and PVM is an emerging 
      technology that may help improve the consent process. PATIENTS AND METHODS: In 
      this multi-centre randomised controlled crossover trial, patients requiring 
      cystoscopy and stent insertion were recruited from two major teaching hospitals 
      in Australia over a 15-month period (July 2014-December 2015). Patient 
      information delivery was via PVM and SVC. The PVM consisted of an audio-visual 
      presentation with cartoon animation presented on an iPad. Patient satisfaction 
      was assessed using the validated Client Satisfaction Questionnaire 8 (CSQ-8; 
      maximum score 32) and knowledge was tested using a true/false questionnaire 
      (maximum score 28). Questionnaires were completed after first intervention and 
      after crossover. Scores were analysed using the independent samples t-test and 
      Wilcoxon signed-rank test for the crossover analysis. RESULTS: In all, 88 
      patients were recruited. A significant 3.1 point (15.5%) increase in 
      understanding was demonstrable favouring the use of PVM (P < 0.001). There was no 
      difference in patient satisfaction between the groups as judged by the CSQ-8. A 
      significant 3.6 point (17.8%) increase in knowledge score was seen when the SVC 
      group were crossed over to the PVM arm. A total of 80.7% of patients preferred 
      PVM and 19.3% preferred SVC. Limitations include the lack of a validated 
      questionnaire to test knowledge acquired from the interventions. CONCLUSIONS: 
      This study demonstrates patients' preference towards PVM in the urological 
      consent process of cystoscopy and ureteric stent insertion. PVM improves 
      patient's understanding compared with SVC and is a more effective means of 
      content delivery to patients in terms of overall preference and knowledge gained 
      during the consent process.
CI  - (c) 2016 The Authors BJU International (c) 2016 BJU International Published by John 
      Wiley & Sons Ltd.
FAU - Winter, Matthew
AU  - Winter M
AD  - Gosford District Hospital, Gosford, NSW, Australia. matthewwinter01@gmail.com.
AD  - Royal North Shore Hospital, NSW, Australia. matthewwinter01@gmail.com.
FAU - Kam, Jonathan
AU  - Kam J
AD  - Gosford District Hospital, Gosford, NSW, Australia.
FAU - Nalavenkata, Sunny
AU  - Nalavenkata S
AD  - Hornsby Ku-Ring Gai Hospital, Hornsby, NSW, Australia.
FAU - Hardy, Ellen
AU  - Hardy E
AD  - Gosford District Hospital, Gosford, NSW, Australia.
FAU - Handmer, Marcus
AU  - Handmer M
AD  - Gosford District Hospital, Gosford, NSW, Australia.
FAU - Ainsworth, Hannah
AU  - Ainsworth H
AD  - Gosford District Hospital, Gosford, NSW, Australia.
FAU - Lee, Wai Gin
AU  - Lee WG
AD  - Gosford District Hospital, Gosford, NSW, Australia.
FAU - Louie-Johnsun, Mark
AU  - Louie-Johnsun M
AD  - Gosford District Hospital, Gosford, NSW, Australia.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Multicenter Study
PT  - Randomized Controlled Trial
DEP - 20160825
PL  - England
TA  - BJU Int
JT  - BJU international
JID - 100886721
SB  - IM
CIN - J Urol. 2017 Aug;198(2):227. PMID: 29370598
MH  - Adult
MH  - *Communication
MH  - Cross-Over Studies
MH  - *Cystoscopy
MH  - Female
MH  - Humans
MH  - *Informed Consent
MH  - Male
MH  - Middle Aged
MH  - *Patient Satisfaction
MH  - *Stents
MH  - Ureter/*surgery
MH  - *Video Recording
OTO - NOTNLM
OT  - informed consent
OT  - multimedia
OT  - patient education
OT  - portable video media
EDAT- 2016/10/19 06:00
MHDA- 2017/05/26 06:00
CRDT- 2016/07/22 06:00
PHST- 2016/10/19 06:00 [pubmed]
PHST- 2017/05/26 06:00 [medline]
PHST- 2016/07/22 06:00 [entrez]
AID - 10.1111/bju.13595 [doi]
PST - ppublish
SO  - BJU Int. 2016 Nov;118(5):823-828. doi: 10.1111/bju.13595. Epub 2016 Aug 25.