Comparison of Understanding and Recall of Informed Consent Information in Written and Video Formats: A Focus on Retrograde Intrarenal Surgery
Öz
Objective: The aim of this study was to assess the impact of using video as an educational tool in the
informed consent process for retrograde intrarenal surgery (RIRS) on patient understanding, satisfaction,
and preferences compared to traditional written consent forms.
Material and Methods: A total of 114 patients scheduled for RIRS participated in this study. After reading
informed consent, participants completed a questionnaire assessing their baseline knowledge about the
RIRS procedure. They then watched an educational video about the procedure and completed a post-video
questionnaire to assess changes in knowledge and preferences between written and video-based informed
consent.
Results: The results demonstrated that incorporating a video into the informed consent process led to
significant improvements in patients’ knowledge about the RIRS procedure (p<0.001). A majority of
participants (94.5%) found the video presentation to be more helpful than the written consent form and
preferred it over the traditional method. Additionally, the use of video was associated with increased
confidence in making informed decisions about the procedure. The majority of participants found the
video to be easily accessible and comprehensible, which contributed to their overall satisfaction.
Conclusion: Video-enhanced informed consent process can be a valuable addition to the standard
informed consent process in clinical practice. By providing easily accessible and comprehensible information,
healthcare providers can better meet patients’ needs and improve the overall quality of care. This approach
may lead to better patient outcomes, increased trust in healthcare providers, and a more patient-centered
approach to medical care.
Anahtar Kelimeler
Retrograde Intrarenal Surgery informed consent videoinfography
Kaynakça
- 1. Horton J. Principles of biomedical ethics. Transactions of the Royal Society of Tropical Medicine and Hygiene. 2002;96(1):107. https://doi.org/10.1016/S0035-9203(02)90265-8
- 2. Cocanour CS. Informed consent—It’s more than a signature on a piece of paper. The American Journal of Surgery. 2017;214(6):993–7. https://doi.org/10.1016/j.amjsurg. 2017.09.015
- 3. King JS, Moulton BW. Rethinking Informed Consent: The Case for Shared Medical Decision-Making. Am J Law Med. 2006;32(4):429-501. https://doi.org/10.1177/009885880603200401
- 4. Paasche-Orlow MK, Taylor HA, Brancati FL. Readability Standards for Informed-Consent Forms as Compared with Actual Readability. N Engl J Med. 2003 Feb 20;348(8):721-6. https://doi.org/10.1056/NEJMsa021212
- 5. Flory J, Emmanuel E. Interventions to improve research participants’ understanding in informed consent for research. A systematic review. American Journal of Ophthalmology. 2005 Feb;139(2):399. https://doi.org/10.1001/jama.292.13.1593
- 6. Türk C, Petřík A, Sarica K, Seitz C, Skolarikos A, Straub M, et al. EAU Guidelines on Interventional Treatment for Urolithiasis. Eur Urol. 2016;69(3):475-82. https://doi.org/10.1016/j.eururo.2015.07.041
- 7. Halawani A, Koo KC, Wong VKF, Chew BH. Preoperative patient optimization for endourological procedures: the current best clinical practice. Current Opinion in Urology. 2023;33(2):122-8. https://doi.org/10.1097/MOU.0000000000001060
- 8. EAU Patient Information [Internet]. [cited 2023 Mar 8]. Available from: https://patients.uroweb.org/
- 9. Tait AR, Voepel-Lewis T, Moscucci M, Brennan-Martinez CM, Levine R. Patient comprehension of an interactive, computer-based information program for cardiac catheterization: a comparison with standard information. Arch Intern Med. 2009 Nov 9;169(20):1907-14. https://doi.org/10.1001/archinternmed.2009.390
- 10. Fink AS, Prochazka AV, Henderson WG, Bartenfeld D, Nyirenda C, Webb A, et al. Enhancement of surgical informed consent by addition of repeat back: a multicenter, randomized controlled clinical trial. Ann Surg. 2010 Jul;252(1):27-36. https://doi.org/10.1097/SLA.0b013e3181e3ec61
- 11. Paas F, Renkl A, Sweller J. Cognitive Load Theory and Instructional Design: Recent Developments. Educational Psychologist. 2003 Jan 1;38(1):1-4. https://doi.org/10.1207/S15326985EP3801_1
- 12. Mayer RE, Moreno R. Nine Ways to Reduce Cognitive Load in Multimedia Learning. Educational Psychologist. 2003 Jan 1;38(1):43-52. https://doi.org/10.1207/S15326985EP3801_6
- 13. Rossi MJ, Guttmann D, MacLennan MJ, Lubowitz JH. Video Informed Consent Improves Knee Arthroscopy Patient Comprehension. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2005 Jun;21(6):739-43. https://doi.org/10.1016/j.arthro.2005.02.015
- 14. Sahai A, Kucheria R, Challacombe B, Dasgupta P. Video consent: a pilot study of informed consent in laparoscopic urology and its impact on patient satisfaction. JSLS. 2006;10(1):21-5. PMID: 16709351PMCID: PMC3015669
- 15. Taş S, Eren AE. Evaluation intelligibility of urology consent forms. Endourol Bull. 2022 Sep 30;14(3):57-62. https://doi.org/10.54233/endouroloji.1161827
Yazılı ve Video Formatlarındaki Bilgilendirilmiş Onam Bilgilerinin Anlaşılması ve Geri Çağırılmasının Karşılaştırılması: Retrograd İntrarenal Cerrahiye Odaklanma
Öz
Amaç: Bu çalışmanın amacı, retrograd intrarenal cerrahi (RIRS) için bilgilendirilmiş onam alınması sürecinde
bir eğitim aracı olarak video kullanımının hasta anlayışı, memnuniyeti ve tercihleri üzerindeki etkisini
geleneksel yazılı onam formlarına kıyasla değerlendirmektir.
Gereç ve Yöntemler: Bu çalışmaya RIRS planlanan toplam 114 hasta dahil edildi. Katılımcılar, RIRS prosedürü
hakkındaki bilgilendirilmiş onamı okuduktan sonra hazırlanan soru anketini yanıtladılar. Daha sonra
prosedürle ilgili bir eğitim videosu izlediler ve yazılı ve video tabanlı bilgilendirilmiş onam arasındaki bilgi
ve tercihlerdeki değişiklikleri değerlendirmek için video sonrası bir anket doldurdular.
Bulgular: Bilgilendirilmiş onam sürecine videonun dahil edilmesinin, hastaların RIRS prosedürü hakkında
daha doğru yanıtlar vermesine katkı sağladığı izlendi (p<0.001). Katılımcıların çoğunluğu (%94,5) video
sunumunu yazılı onam formuna göre daha faydalı bulmuş ve geleneksel yönteme tercih etmiştir. Ek olarak,
video kullanımı, prosedür hakkında bilinçli kararlar vermede artan güven ile ilişkilendirildi. Katılımcıların
çoğu, videoyu kolay erişilebilir ve anlaşılır buldu ve bu da genel memnuniyetlerine katkıda bulundu.
Sonuç: Video ile zenginleştirilmiş bilgilendirilmiş onam süreci, klinik uygulamada standart bilgilendirilmiş
onam sürecine değerli bir katkı olabilir. Sağlık hizmeti sunucuları, kolay erişilebilir ve anlaşılır bilgiler
sağlayarak hastaların ihtiyaçlarını daha iyi karşılayabilir ve genel bakım kalitesini iyileştirebilir. Bu yaklaşım,
daha iyi hasta sonuçlarına,
Anahtar Kelimeler
Retrograd İntrarenal Cerrahi aydınlatılmış onam videoinfografi
Etik Beyan
Bakirkoy Dr. Sadi Konuk Education and Research Hospital Clinical Trials Ethics Committee Date Protocol: 02.09.2019/2019-17-22.
Kaynakça
- 1. Horton J. Principles of biomedical ethics. Transactions of the Royal Society of Tropical Medicine and Hygiene. 2002;96(1):107. https://doi.org/10.1016/S0035-9203(02)90265-8
- 2. Cocanour CS. Informed consent—It’s more than a signature on a piece of paper. The American Journal of Surgery. 2017;214(6):993–7. https://doi.org/10.1016/j.amjsurg. 2017.09.015
- 3. King JS, Moulton BW. Rethinking Informed Consent: The Case for Shared Medical Decision-Making. Am J Law Med. 2006;32(4):429-501. https://doi.org/10.1177/009885880603200401
- 4. Paasche-Orlow MK, Taylor HA, Brancati FL. Readability Standards for Informed-Consent Forms as Compared with Actual Readability. N Engl J Med. 2003 Feb 20;348(8):721-6. https://doi.org/10.1056/NEJMsa021212
- 5. Flory J, Emmanuel E. Interventions to improve research participants’ understanding in informed consent for research. A systematic review. American Journal of Ophthalmology. 2005 Feb;139(2):399. https://doi.org/10.1001/jama.292.13.1593
- 6. Türk C, Petřík A, Sarica K, Seitz C, Skolarikos A, Straub M, et al. EAU Guidelines on Interventional Treatment for Urolithiasis. Eur Urol. 2016;69(3):475-82. https://doi.org/10.1016/j.eururo.2015.07.041
- 7. Halawani A, Koo KC, Wong VKF, Chew BH. Preoperative patient optimization for endourological procedures: the current best clinical practice. Current Opinion in Urology. 2023;33(2):122-8. https://doi.org/10.1097/MOU.0000000000001060
- 8. EAU Patient Information [Internet]. [cited 2023 Mar 8]. Available from: https://patients.uroweb.org/
- 9. Tait AR, Voepel-Lewis T, Moscucci M, Brennan-Martinez CM, Levine R. Patient comprehension of an interactive, computer-based information program for cardiac catheterization: a comparison with standard information. Arch Intern Med. 2009 Nov 9;169(20):1907-14. https://doi.org/10.1001/archinternmed.2009.390
- 10. Fink AS, Prochazka AV, Henderson WG, Bartenfeld D, Nyirenda C, Webb A, et al. Enhancement of surgical informed consent by addition of repeat back: a multicenter, randomized controlled clinical trial. Ann Surg. 2010 Jul;252(1):27-36. https://doi.org/10.1097/SLA.0b013e3181e3ec61
- 11. Paas F, Renkl A, Sweller J. Cognitive Load Theory and Instructional Design: Recent Developments. Educational Psychologist. 2003 Jan 1;38(1):1-4. https://doi.org/10.1207/S15326985EP3801_1
- 12. Mayer RE, Moreno R. Nine Ways to Reduce Cognitive Load in Multimedia Learning. Educational Psychologist. 2003 Jan 1;38(1):43-52. https://doi.org/10.1207/S15326985EP3801_6
- 13. Rossi MJ, Guttmann D, MacLennan MJ, Lubowitz JH. Video Informed Consent Improves Knee Arthroscopy Patient Comprehension. Arthroscopy: The Journal of Arthroscopic & Related Surgery. 2005 Jun;21(6):739-43. https://doi.org/10.1016/j.arthro.2005.02.015
- 14. Sahai A, Kucheria R, Challacombe B, Dasgupta P. Video consent: a pilot study of informed consent in laparoscopic urology and its impact on patient satisfaction. JSLS. 2006;10(1):21-5. PMID: 16709351PMCID: PMC3015669
- 15. Taş S, Eren AE. Evaluation intelligibility of urology consent forms. Endourol Bull. 2022 Sep 30;14(3):57-62. https://doi.org/10.54233/endouroloji.1161827
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Üroloji |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Eylül 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 15 Sayı: 3 |
