Annals of Surgical Oncology, 2013, Vol.20(1), pp.15-23
Byline: Johannes Huber (1), Andreas Ihrig (2), Mohammed Yass (3), Tom Bruckner (4), Tim Peters (5,6), Christian G. Huber (7), Beryl Konyango (1), Novica Lozankovski (1), Regina J.F. Stredele (1), Peter Moll (1), Meike Schneider (1), Sascha Pahernik (1), Markus Hohenfellner (1) 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). Author Affiliation: (1) Department of Urology, University of Heidelberg, Heidelberg, Germany (2) Division of Psychooncology, Department of General Internal Medicine and Psychosomatic, University of Heidelberg, Heidelberg, Germany (3) Heidelberg Institute of Applied Informatics (HIAI), Heidelberg, Germany (4) Department of Medical Biometry, University of Heidelberg, Heidelberg, Germany (5) Institute for Medical Ethics and History of Medicine, Ruhr-University Bochum, Bochum, Germany (6) Center for Medical Education, Ruhr-University Bochum, Bochum, Germany (7) Center for Psychosocial Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany Article History: Registration Date: 11/07/2012 Received Date: 30/01/2012 Online Date: 01/08/2012 Article note: Previous Presentations A portion of this work was presented in abstract form as a poster at the 63rd Annual meeting of the German Urological Association, September 14--17, 2011, Hamburg, Germany, and at the 31st Congress of the Societe Internationale d'Urologie, October 16--20, 2011, Berlin, Germany. Moreover, our project won the "Best Practice Award 2012" (first price). This scientific initiative from the German Cancer Society (DKG) in cooperation with the sponsor Novartis Pharma GmbH, Germany honors efforts to improve communication for cancer patients. Electronic supplementary material The online version of this article (doi: 10.1245/s10434-012-2536-7) contains supplementary material, which is available to authorized users.
Surgery -- Usage ; Surgery -- Analysis ; Patient Education -- Usage ; Patient Education -- Analysis;
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