An interactive videodisc program for low back pain patients

B. S. Spunt, R. A. Deyo, V. M. Taylor, K. M. Leek, H. I. Goldberg, A. G. Mulley

Research output: Contribution to journalArticle

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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 1 1996

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ASJC Scopus subject areas

  • Education
  • Public Health, Environmental and Occupational Health

Cite this

Spunt, B. S., Deyo, R. A., 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