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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 1/2013

01-01-2013 | Healthcare Policy and Outcomes

Multimedia Support for Improving Preoperative Patient Education: A Randomized Controlled Trial Using the Example of Radical Prostatectomy

Authors: Johannes Huber, MD, PhD, Andreas Ihrig, PhD, Mohammed Yass, PhD, Tom Bruckner, PhD, Tim Peters, MA, Christian G. Huber, MD, Beryl Konyango, Novica Lozankovski, Regina J.F. Stredele, MD, Peter Moll, Meike Schneider, MD, Sascha Pahernik, MD, Markus Hohenfellner, MD

Published in: Annals of Surgical Oncology | Issue 1/2013

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Abstract

Background

Growing 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.

Methods

We 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.

Results

We 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.

Conclusions

Multimedia support should be considered worthwhile for improving the informed consent process before surgery (www.​germanctr.​de; DRKS00000096).
Appendix
Available only for authorised users
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Metadata
Title
Multimedia Support for Improving Preoperative Patient Education: A Randomized Controlled Trial Using the Example of Radical Prostatectomy
Authors
Johannes Huber, MD, PhD
Andreas Ihrig, PhD
Mohammed Yass, PhD
Tom Bruckner, PhD
Tim Peters, MA
Christian G. Huber, MD
Beryl Konyango
Novica Lozankovski
Regina J.F. Stredele, MD
Peter Moll
Meike Schneider, MD
Sascha Pahernik, MD
Markus Hohenfellner, MD
Publication date
01-01-2013
Publisher
Springer-Verlag
Published in
Annals of Surgical Oncology / Issue 1/2013
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-012-2536-7

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