TY - JOUR
T1 - Using a Multimedia Tool for Informed Consent in Mohs Surgery
T2 - A Randomized Trial Measuring Effects on Patient Anxiety, Knowledge, and Satisfaction
AU - Delcambre, Macey
AU - Haynes, Dylan
AU - Hajar, Tamar
AU - Golden, Spring
AU - Bar, Anna
AU - Latour, Emile
AU - Leitenberger, Justin J.
N1 - Publisher Copyright:
© 2019 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.
PY - 2020/5/1
Y1 - 2020/5/1
N2 - BACKGROUNDMultimedia educational materials have been found to improve aspects of informed consent, although data in the context of Mohs micrographic surgery (MMS) is limited.OBJECTIVETo assess whether a preoperative educational video decreases anxiety, increases comprehension, and improves overall satisfaction for patients undergoing same-day office consultation and MMS.MATERIALS AND METHODSThis single-center randomized controlled trial included patients above the age of 18 years undergoing MMS for skin cancer between October 2015 and December 2015. Patients were randomized to view a short preoperative video on MMS in addition to traditional informed consent versus informed consent without video viewing. Questionnaires were used to assess preoperative anxiety, knowledge, and satisfaction.RESULTSFrom 231 consecutively enrolled subjects, there were no significant differences in anxiety (p =.626) or satisfaction (p =.065) between groups. Subjects receiving the intervention were able to more accurately recognize risks of MMS (88% vs 69% of controls, p <.001) and had improved subject-reported confidence in understanding procedural risks and benefits (89% vs 71% of controls, p =.049). Composite comprehension scores were similar between groups (p =.131).CONCLUSIONA preoperative MMS educational video increased recognition of procedural risks, but did not improve patient anxiety or satisfaction.
AB - BACKGROUNDMultimedia educational materials have been found to improve aspects of informed consent, although data in the context of Mohs micrographic surgery (MMS) is limited.OBJECTIVETo assess whether a preoperative educational video decreases anxiety, increases comprehension, and improves overall satisfaction for patients undergoing same-day office consultation and MMS.MATERIALS AND METHODSThis single-center randomized controlled trial included patients above the age of 18 years undergoing MMS for skin cancer between October 2015 and December 2015. Patients were randomized to view a short preoperative video on MMS in addition to traditional informed consent versus informed consent without video viewing. Questionnaires were used to assess preoperative anxiety, knowledge, and satisfaction.RESULTSFrom 231 consecutively enrolled subjects, there were no significant differences in anxiety (p =.626) or satisfaction (p =.065) between groups. Subjects receiving the intervention were able to more accurately recognize risks of MMS (88% vs 69% of controls, p <.001) and had improved subject-reported confidence in understanding procedural risks and benefits (89% vs 71% of controls, p =.049). Composite comprehension scores were similar between groups (p =.131).CONCLUSIONA preoperative MMS educational video increased recognition of procedural risks, but did not improve patient anxiety or satisfaction.
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U2 - 10.1097/DSS.0000000000002213
DO - 10.1097/DSS.0000000000002213
M3 - Article
C2 - 31634258
AN - SCOPUS:85084104317
SN - 1076-0512
VL - 46
SP - 591
EP - 598
JO - Dermatologic Surgery
JF - Dermatologic Surgery
IS - 5
ER -