Video-Assisted Informed Consent for Cataract Surgery: A Randomized Controlled Trial

Overview

Journal J Ophthalmol

Publisher Wiley

Specialty Ophthalmology

Date 2017 Feb 14

PMID 28191349

Citations 11

Authors

YueHong Zhang

Xiangcai Ruan

Haoying Tang

Weizhong Yang

Zhuanhua Xian

Min Lu

Affiliations

Soon will be listed here.

Abstract

. To investigate whether adding video assistance to traditional verbal informed consent advisement improved satisfaction among cataract surgery patients. . This trial enrolled 80 Chinese patients with age-related cataracts scheduled to undergo unilateral phacoemulsification surgery. Patients were randomized into two groups: the video group watched video explaining cataract-related consent information and rewatched specific segments of the video at their own discretion, before receiving traditional verbal consent advisement; the control group did not watch the video. Outcomes included patient satisfaction, refusal to consent, time to complete the consent process, and comprehension measured by a ten-item questionnaire. . All 80 enrolled patients signed informed consent forms. Compared with the control group, members of the video group exhibited greater satisfaction (65% versus 86%, = 0.035) and required less time to complete the consent process (12.3 ± 6.7 min versus 5.6 ± 5.4 min, < 0.001), while also evincing levels of comprehension commensurate with those reported for patients who did not watch the video (accuracy rate, 77.5% versus 80.2%, = 0.386). . The video-assisted informed consent process had a positive impact on patients' cataract surgery experiences. Additional research is needed to optimize patients' comprehension of the video.

Citing Articles

The effect of video-assisted learning on pre-operative knowledge and satisfaction for total knee arthroplasty surgery: a randomised-controlled study.

Wasim A, Choudri M, Saidani Z, Khan A, Siddiqui R, Ridha A J Orthop Surg Res. 2024; 19(1):592.

PMID: 39342315 PMC: 11438008. DOI: 10.1186/s13018-024-04974-8.

Video consent significantly improves patient knowledge of general surgery procedures.

Bremer K, Brown E, Schenkel R, Walters R, Nandipati K Surg Endosc. 2024; 38(8):4641-4647.

PMID: 38926236 PMC: 11289049. DOI: 10.1007/s00464-024-10975-9.

The use of e-consent in surgery and application to neurosurgery: a systematic review and meta-analysis.

Baig Mirza A, Khizar Khoja A, Ali F, El-Sheikh M, Bibi-Shahid A, Trindade J Acta Neurochir (Wien). 2023; 165(11):3149-3180.

PMID: 37695436 PMC: 10624752. DOI: 10.1007/s00701-023-05776-3.

An evaluation of the efficacy of a supplemental computer-based tutorial to enhance the informed consent process for cataract surgery: an exploratory randomized clinical study.

Ullrich M, Findl O, Kefer K, Doller B, Varsits R, Hienert J BMC Ophthalmol. 2022; 22(1):430.

PMID: 36368980 PMC: 9650904. DOI: 10.1186/s12886-022-02652-z.

Video Consent for Upper Endoscopy and Colonoscopy Improves Patient Comprehension in a Safety-net, Multi-lingual Population.

Lawrence Z, Castillo G, Jang J, Zaki T, Tzimas D, Guttentag A J Immigr Minor Health. 2022; 25(2):350-356.

PMID: 36152235 DOI: 10.1007/s10903-022-01398-6.

References

Salzwedel C, Petersen C, Blanc I, Koch U, Goetz A, Schuster M . The effect of detailed, video-assisted anesthesia risk education on patient anxiety and the duration of the preanesthetic interview: a randomized controlled trial. Anesth Analg. 2008; 106(1):202-9, table of contents. DOI: 10.1213/01.ane.0000287665.96156.72. View

Ader D, Seibring A, Bhaskar P, Melamed B . Information seeking and interactive videodisc preparation for third molar extraction. J Oral Maxillofac Surg. 1992; 50(1):27-31; discussion 31-2. DOI: 10.1016/0278-2391(92)90188-6. View

Shukla A, Daly M, Legutko P . Informed consent for cataract surgery: patient understanding of verbal, written, and videotaped information. J Cataract Refract Surg. 2011; 38(1):80-4. DOI: 10.1016/j.jcrs.2011.07.030. View

Deyo R, Cherkin D, Weinstein J, Howe J, Ciol M, Mulley Jr A . Involving patients in clinical decisions: impact of an interactive video program on use of back surgery. Med Care. 2000; 38(9):959-69. DOI: 10.1097/00005650-200009000-00009. View

Tait A, Voepel-Lewis T, Malviya S, Philipson S . Improving the readability and processability of a pediatric informed consent document: effects on parents' understanding. Arch Pediatr Adolesc Med. 2005; 159(4):347-52. DOI: 10.1001/archpedi.159.4.347. View

Antrobus J . Anxiety and informed consent. Does anxiety influence consent for inclusion in a study of anxiolytic premedication?. Anaesthesia. 1988; 43(4):267-9. View

Campbell F, Goldman B, Boccia M, Skinner M . The effect of format modifications and reading comprehension on recall of informed consent information by low-income parents: a comparison of print, video, and computer-based presentations. Patient Educ Couns. 2004; 53(2):205-16. DOI: 10.1016/S0738-3991(03)00162-9. View

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. PMC: 3015669. View

Schenker Y, Meisel A . Informed consent in clinical care: practical considerations in the effort to achieve ethical goals. JAMA. 2011; 305(11):1130-1. DOI: 10.1001/jama.2011.333. View

10.

Marco C . Impact of detailed informed consent on research subjects' participation: a prospective, randomized trial. J Emerg Med. 2007; 34(3):269-75. DOI: 10.1016/j.jemermed.2007.06.026. View

11.

Faden R, Becker C, Lewis C, Freeman J, Faden A . Disclosure of information to patients in medical care. Med Care. 1981; 19(7):718-33. DOI: 10.1097/00005650-198107000-00003. View

12.

Cowan E, Calderon Y, Gennis P, Macklin R, Ortiz C, Wall S . Spanish and English video-assisted informed consent for intravenous contrast administration in the emergency department: a randomized controlled trial. Ann Emerg Med. 2006; 49(2):221-30, 230.e1-3. DOI: 10.1016/j.annemergmed.2006.07.934. View

13.

Goldberger J, Kruse J, Kadish A, Passman R, Bergner D . Effect of informed consent format on patient anxiety, knowledge, and satisfaction. Am Heart J. 2011; 162(4):780-785.e1. DOI: 10.1016/j.ahj.2011.07.006. View

14.

Johnson M, Singh J, Stewart T, Gioe T . Patient understanding and satisfaction in informed consent for total knee arthroplasty: a randomized study. Arthritis Care Res (Hoboken). 2011; 63(7):1048-54. DOI: 10.1002/acr.20475. View

15.

Byrne D, Rice P, Cuschieri A . Factors affecting quality of informed consent. BMJ. 1993; 306(6882):885-90. PMC: 1677345. DOI: 10.1136/bmj.306.6882.885. View

16.

Bhan A, Dave D, Vernon S, Bhan K, Bhargava J, Goodwin H . Risk management strategies following analysis of cataract negligence claims. Eye (Lond). 2004; 19(3):264-8. DOI: 10.1038/sj.eye.6701493. View

17.

Zieren J, Paul M, Menenakos C, Neuss H, Muller J . [First clinical experience with a video presentation informing patients before surgery for inguinal hernia]. Chirurg. 2005; 77(2):150-3. DOI: 10.1007/s00104-005-1097-8. View

18.

Eggers C, Obliers R, Koerfer A, Thomas W, Koehle K, Hoelscher A . A multimedia tool for the informed consent of patients prior to gastric banding. Obesity (Silver Spring). 2007; 15(11):2866-73. DOI: 10.1038/oby.2007.340. View

19.

Gautschi O, Stienen M, Hermann C, Cadosch D, Fournier J, Hildebrandt G . Web-based audiovisual patient information system--a study of preoperative patient information in a neurosurgical department. Acta Neurochir (Wien). 2010; 152(8):1337-41. DOI: 10.1007/s00701-010-0663-0. View

20.

Kiss C, Richter-Mueksch S, Stifter E, Diendorfer-Radner G, Velikay-Parel M, Radner W . Informed consent and decision making by cataract patients. Arch Ophthalmol. 2004; 122(1):94-8. DOI: 10.1001/archopht.122.1.94. View