An interactive videodisc program for low back pain patients

B. S. Spunt, Richard (Rick) Deyo, V. M. Taylor, K. M. Leek, H. I. Goldberg, A. G. Mulley

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Decisions about back pain treatment are often made in the presence of both physician and patient uncertainty. Therefore, we developed a computerized, interactive video program to help patients make informed decisions about undergoing low back surgery. Program development was guided by the shared decision-making model, a comprehensive literature synthesis, information from administrative databases, and focus groups of patients and physicians. Core segments are tailored to each patient's age and diagnosis; and include a narrative, excerpts from patient interviews, animated graphics illustrating spinal anatomy, and tabular summaries of the benefits and risks of both surgical and non-surgical treatment. As part of a multifocal information dissemination effort, interactive videodiscs were placed in five medical facilities in two Washington State counties. Patients (N = 239) who viewed the video program completed short evaluation forms. The majority rated the video's understandability (84%) and interest (64%) as very good or excellent. Most patients felt the amount of information provided was appropriate (75%) and over half (56%) believed the discussion of surgical versus non-surgical treatment was completely balanced. Fewer patients (17%) remained undecided about therapy after watching the program than before (29%). We conclude that interactive videodisc technology offers substantial promise as a means of involving patients in their own medical decision making.

Original languageEnglish (US)
Pages (from-to)535-541
Number of pages7
JournalHealth Education Research
Volume11
Issue number4
DOIs
StatePublished - Dec 1996
Externally publishedYes

Fingerprint

videodisc
Low Back Pain
pain
video
physician
decision making
surgery
uncertainty
narrative
Physicians
Program Development
Information Dissemination
interview
evaluation
Therapeutics
Back Pain
Focus Groups
Uncertainty
Group
Anatomy

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Education

Cite this

Spunt, B. S., Deyo, R. R., Taylor, V. M., Leek, K. M., Goldberg, H. I., & Mulley, A. G. (1996). An interactive videodisc program for low back pain patients. Health Education Research, 11(4), 535-541. https://doi.org/10.1093/her/11.4.535

An interactive videodisc program for low back pain patients. / Spunt, B. S.; Deyo, Richard (Rick); Taylor, V. M.; Leek, K. M.; Goldberg, H. I.; Mulley, A. G.

In: Health Education Research, Vol. 11, No. 4, 12.1996, p. 535-541.

Research output: Contribution to journalArticle

Spunt, BS, Deyo, RR, Taylor, VM, Leek, KM, Goldberg, HI & Mulley, AG 1996, 'An interactive videodisc program for low back pain patients', Health Education Research, vol. 11, no. 4, pp. 535-541. https://doi.org/10.1093/her/11.4.535
Spunt, B. S. ; Deyo, Richard (Rick) ; Taylor, V. M. ; Leek, K. M. ; Goldberg, H. I. ; Mulley, A. G. / An interactive videodisc program for low back pain patients. In: Health Education Research. 1996 ; Vol. 11, No. 4. pp. 535-541.
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