| Title: |
A randomized controlled trial comparing video-assisted informed consent with standard consent for Mohs micrographic surgeryCapsule Summary |
| Authors: |
Yueyue Miao, BAdvSci; Victoria L. Venning, MD; Kylie-Ann Mallitt, PhD; Julia E.J. Rhodes, MD; Noah J. Isserman, PhD; Gilberto Moreno, MD; Simon Lee, MD; William Ryman, MD; Gayle Fischer, MD; Rebecca B. Saunderson, MD |
| Source: |
JAAD International, Vol 1, Iss 1, Pp 13-20 (2020) |
| Publisher Information: |
Elsevier |
| Publication Year: |
2020 |
| Collection: |
Directory of Open Access Journals: DOAJ Articles |
| Subject Terms: |
Dermatology; RL1-803 |
| Description: |
Background: There is a need for improvement in informed medical consent to address the lack of standardization and to increase patient engagement. Objective: To investigate the use of a video to aid informed consent for Mohs micrographic surgery and evaluate patient understanding, satisfaction, anxiety, and time savings relative to verbal consent. Methods: A 2-armed randomized controlled trial involving 102 patients compared video-assisted consent with a control group who underwent consent in the standard verbal manner. All participants underwent questionnaire-based testing of knowledge, satisfaction, and anxiety, and the time of each consultation was measured. Results: Patients who watched the video performed significantly better in the knowledge questionnaire compared with the control group (P = .02), were more satisfied with their understanding of the risks of Mohs micrographic surgery (P = .013), and spent less time with their physician (P = .008). Additionally, 78.4% of video group patients reported that they preferred seeing the video before speaking with their physician. Limitations: The study design may not replicate day-to-day clinical practice. Conclusion: Video-assisted consent for Mohs micrographic surgery improves patient knowledge, leads to a better understanding of the risks, and saves physicians time without compromising patient satisfaction and anxiety levels in this study setting. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| Relation: |
http://www.sciencedirect.com/science/article/pii/S2666328720300092; https://doaj.org/toc/2666-3287; https://doaj.org/article/682a2184eb0b431dacce356289ecf05e |
| DOI: |
10.1016/j.jdin.2020.03.005 |
| Availability: |
https://doi.org/10.1016/j.jdin.2020.03.005; https://doaj.org/article/682a2184eb0b431dacce356289ecf05e |
| Accession Number: |
edsbas.76A64DD1 |
| Database: |
BASE |