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Enhancing the "informed" in informed consent: a pilot test of a multimedia presentation
Melissa Bekelja Wanzer1, Ann M Wojtaszczyk, Jessica Schimert
1Communication Studies Department, Canisius College, NY, USA.
Insights
Multimedia presentations significantly improved patient comprehension for endoscopy procedures. While anxiety and satisfaction remained unchanged, this enhanced informed consent process is beneficial for pediatric patients.
Area of Science:
- Pediatric Gastroenterology
- Medical Education
- Patient Communication
Background:
- Informed consent is crucial for medical procedures, especially in pediatrics.
- Traditional methods may not fully optimize patient and guardian understanding.
- Endoscopy procedures require clear communication regarding risks and benefits.
Purpose of the Study:
- To evaluate the effectiveness of a multimedia presentation in supplementing informed consent for pediatric endoscopy.
- To assess the impact of multimedia on patient anxiety, comprehension, and satisfaction.
- To compare objective and physician-rated comprehension between standard and multimedia-enhanced consent.
Main Methods:
- A randomized controlled trial involving 50 pediatric patients undergoing endoscopy.
- Group 1 received standard physician-led informed consent.
- Group 2 received standard consent plus a multimedia presentation.
Main Results:
- The multimedia group demonstrated significantly higher scores on an objective comprehension test.
- Physicians rated the comprehension of the multimedia group as significantly higher.
- No significant differences were found in self-reported anxiety, satisfaction, or questions asked.
Conclusions:
- Multimedia presentations can enhance comprehension in pediatric informed consent for endoscopy.
- This tool improves objective understanding without negatively impacting patient anxiety or satisfaction.
- Integrating multimedia into informed consent may be a valuable strategy for pediatric procedures.
Abstract:
The use of a multimedia presentation to supplement the informed consent process for endoscopy procedures was tested at a children's hospital. Fifty consecutive children who presented for an endoscopy were randomized to one of two conditions. In group 1, informed consent for the procedure was obtained by the physician in the usual manner. In the second group, parents/guardians viewed a multimedia presentation on endoscopic procedures in addition to the typical consent process. Both groups completed measures of state anxiety, comprehension, and satisfaction. As predicted, there was a significant positive correlation between all participants' self-reported comprehension and satisfaction and a negative correlation between comprehension and anxiety. The group that viewed the multimedia presentation scored significantly higher on an objective test and was rated significantly higher in comprehension by physicians than the comparison group. There were no significant differences between the groups in self-reports of anxiety, satisfaction with medical care, and number of questions asked during consent delivery.
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