Multimedia support for improving preoperative patient education: a randomized controlled trial using the example of radical prostatectomy

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 pro...

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Main Authors: Huber, Johannes (Author) , Ihrig, Andreas (Author) , Yass, Mohammed (Author) , Bruckner, Thomas (Author) , Konyango-Fellhauer, Beryl Awuor (Author) , Lozankovski, Novica (Author) , Stredele, Regina Johanna Franziska (Author) , Moll, Peter (Author) , Schneider, Meike (Author) , Pahernik, Sascha (Author) , Hohenfellner, Markus (Author)
Format: Article (Journal)
Language:English
Published: 2013
In: Annals of surgical oncology
Year: 2013, Volume: 20, Issue: 1, Pages: 15-23
ISSN:1534-4681
DOI:10.1245/s10434-012-2536-7
Online Access:Verlag, Volltext: http://dx.doi.org/10.1245/s10434-012-2536-7
Verlag, Volltext: https://doi.org/10.1245/s10434-012-2536-7
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Author Notes: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

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520 |a 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). 
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