| Autor: |
Yueyue Miao, BAdvSci, Victoria L. Venning, MD, Kylie-Ann Mallitt, PhD, Julia E.J. Rhodes, MD, Noah J. Isserman, PhD, Gilberto Moreno, MD, Simon Lee, MD, William Ryman, MD, Gayle Fischer, MD, Rebecca B. Saunderson, MD |
| Jazyk: |
angličtina |
| Rok vydání: |
2020 |
| Předmět: |
|
| Zdroj: |
JAAD International, Vol 1, Iss 1, Pp 13-20 (2020) |
| Druh dokumentu: |
article |
| ISSN: |
2666-3287 |
| DOI: |
10.1016/j.jdin.2020.03.005 |
| Popis: |
Background: There is a need for improvement in informed medical consent to address the lack of standardization and to increase patient engagement. Objective: To investigate the use of a video to aid informed consent for Mohs micrographic surgery and evaluate patient understanding, satisfaction, anxiety, and time savings relative to verbal consent. Methods: A 2-armed randomized controlled trial involving 102 patients compared video-assisted consent with a control group who underwent consent in the standard verbal manner. All participants underwent questionnaire-based testing of knowledge, satisfaction, and anxiety, and the time of each consultation was measured. Results: Patients who watched the video performed significantly better in the knowledge questionnaire compared with the control group (P = .02), were more satisfied with their understanding of the risks of Mohs micrographic surgery (P = .013), and spent less time with their physician (P = .008). Additionally, 78.4% of video group patients reported that they preferred seeing the video before speaking with their physician. Limitations: The study design may not replicate day-to-day clinical practice. Conclusion: Video-assisted consent for Mohs micrographic surgery improves patient knowledge, leads to a better understanding of the risks, and saves physicians time without compromising patient satisfaction and anxiety levels in this study setting. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
|
