Use of an iPad™ application in preoperative counseling for pelvic reconstructive surgery: a randomized trial
| Autor: | Deslyn T. G. Hobson, Jeremy T. Gaskins, Casey L. Kinman, Sean L. Francis, Kate V. Meriwether, Cayse M. Powell |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Counseling medicine.medical_specialty Reconstructive surgery Urology Preoperative counseling Pelvic Organ Prolapse law.invention 03 medical and health sciences 0302 clinical medicine Patient satisfaction Primary outcome Randomized controlled trial Patient Education as Topic Informed consent law Preoperative Care medicine Humans 030212 general & internal medicine Pop surgery Aged 030219 obstetrics & reproductive medicine business.industry Significant difference Obstetrics and Gynecology Middle Aged Plastic Surgery Procedures Surgery Treatment Outcome Patient Satisfaction Female business |
| Zdroj: | International urogynecology journal. 29(9) |
| ISSN: | 1433-3023 |
| Popis: | The goal of this study was to evaluate whether the addition of an iPad™ application to the informed consent process for pelvic organ prolapse (POP) surgery improves patient understanding and retention of information compared with standard verbal counseling (SVC) alone. Patients scheduled for POP surgery were randomized to SVC alone or SVC augmented with an iPad™ application. Prior to counseling, immediately following counseling, and 6 weeks after surgery, patients completed a written quiz testing their understanding of POP and surgical repair (worst score 0; best score 20). Primary outcome was score change from pre- to immediately postcounseling. Secondary outcomes were patient satisfaction and score change from postcounseling to 6 weeks after surgery. Twenty-six patients per group were needed to detect a 2.8-point difference in score change between groups (80% power; α = 0.05). Sixty patients were randomized, and 57 patients (29 SVC; 28 iPad) were included in the final analysis. There was no significant difference in score change between groups immediately postcounseling. Six weeks after surgery, patients in the iPad group had more deterioration of score (iPad −4.0 ± 2.8 vs. SVC −0.6 ± 2.3 points; p = 0.02). Both groups reported similar satisfaction with counseling. The addition of a POP-based iPad™ application to the informed consent process for POP surgery did not improve patient comprehension immediately postcounseling and resulted in poorer retention of information 6 weeks after surgery compared with SVC alone. |
| Databáze: | OpenAIRE |
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