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Multimedia Support for Improving Preoperative Patient Education: A Randomized Controlled Trial Using the Example of Radical Prostatectomy

  • Healthcare Policy and Outcomes
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

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).

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Acknowledgment

We gratefully acknowledge all participating patients and colleagues. The whole team of the Department of Urology in Heidelberg provided reliable backing throughout the study course. Dirk Fischer valuably contributed by drawing some of the intervention’s images. Ülkü Degirmenci and Nicole Hensley deserve special thanks for their organizational efforts. We are also indebted to Anne Lagally, PhD, for her constructive comments. The study was supported by the Foundation of the Federal Bank of Baden-Wuerttemberg (Grant 2008020007). BK received a personal scholarship for this project provided by the German Academic Exchange Service.

Competing interest

All authors declare: “I certify that all my affiliations with or financial involvement (e.g., employment; consultancies; honoraria; speakers bureau; stock ownership or options; expert testimony; grants; patents filed, received, pending, or in preparation; royalties; or donation of medical equipment) with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript are completely disclosed.”

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Authors and Affiliations

  1. Department of Urology, University of Heidelberg, Heidelberg, Germany

    Johannes Huber MD, PhD, Beryl Konyango, Novica Lozankovski, Regina J.F. Stredele MD, Peter Moll, Meike Schneider MD, Sascha Pahernik MD & Markus Hohenfellner MD

  2. Division of Psychooncology, Department of General Internal Medicine and Psychosomatic, University of Heidelberg, Heidelberg, Germany

    Andreas Ihrig PhD

  3. Heidelberg Institute of Applied Informatics (HIAI), Heidelberg, Germany

    Mohammed Yass PhD

  4. Department of Medical Biometry, University of Heidelberg, Heidelberg, Germany

    Tom Bruckner PhD

  5. Institute for Medical Ethics and History of Medicine, Ruhr-University Bochum, Bochum, Germany

    Tim Peters MA

  6. Center for Medical Education, Ruhr-University Bochum, Bochum, Germany

    Tim Peters MA

  7. Center for Psychosocial Medicine, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany

    Christian G. Huber MD

Authors
  1. Johannes Huber MD, PhD
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  2. Andreas Ihrig PhD
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  3. Mohammed Yass PhD
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  4. Tom Bruckner PhD
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  6. Christian G. Huber MD
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  7. Beryl Konyango
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  8. Novica Lozankovski
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  9. Regina J.F. Stredele MD
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  10. Peter Moll
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  11. Meike Schneider MD
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  12. Sascha Pahernik MD
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  13. Markus Hohenfellner MD
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Corresponding author

Correspondence to Johannes Huber MD, PhD.

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Huber, J., Ihrig, A., Yass, M. et al. Multimedia Support for Improving Preoperative Patient Education: A Randomized Controlled Trial Using the Example of Radical Prostatectomy. Ann Surg Oncol 20, 15–23 (2013). https://doi.org/10.1245/s10434-012-2536-7

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  • DOI: https://doi.org/10.1245/s10434-012-2536-7

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