Web App- and Text Message-Based Patient Education in Mohs Micrographic Surgery-A Randomized Controlled Trial
| Autor: | Sarah B Koch, Steven R. Feldman, Phillip M. Williford, Spencer D Hawkins, Daniel J. Pearce |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Skin Neoplasms Adolescent Visual analogue scale Psychological intervention Pilot Projects Dermatology Anxiety law.invention 030207 dermatology & venereal diseases 03 medical and health sciences Young Adult 0302 clinical medicine Patient satisfaction Randomized controlled trial Patient Education as Topic law medicine Humans Aged Postoperative Care Text Messaging business.industry Patient Preference General Medicine Perioperative Middle Aged Mohs Surgery Mobile Applications Patient Satisfaction 030220 oncology & carcinogenesis Helpfulness Physical therapy Surgery Female medicine.symptom business Patient education Computer-Assisted Instruction |
| Zdroj: | Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]. 44(7) |
| ISSN: | 1524-4725 |
| Popis: | Background Consent and wound care (WC) videos are used for education in Mohs micrographic surgery (MMS). Postoperative text messaging is poorly studied. Objective Develop and evaluate perioperative resources for MMS patients-video modules (DermPatientEd.com) and postoperative text messaging (DermTexts.com). Materials and methods A study was conducted on 90 MMS patients. Patients were randomized 1:1:1:1 to videos with text messages, videos-only, text messages-only, or control. Primary outcomes included preoperative anxiety and knowledge of MMS and postoperative care. The secondary outcome included helpfulness/preference of interventions. Results Patients experienced a 19% reduction in anxiety as measured by a visual analog scale after the MMS video (p = .00062). There was no difference in knowledge after the WC video (p = .21498). Patients were more likely to report the WC video "very helpful" when compared with the pamphlet in understanding postoperative WC (p = .0016). Patients in text messaging groups were not more likely to report the service as "very helpful" when compared with the pamphlet (p = .3566), but preferred to receive WC instructions by text message for future visits (p = .0001). Conclusion These resources proved helpful and effective in reducing preoperative anxiety. Patients prefer text message-based WC instructions over pamphlets after experiencing the service, but do not find them more helpful. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|