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Using media to improve the informed consent process for youth undergoing pediatric endoscopy and their parents

Debra M Yeh1, Stanford Chun1, Laura Terrones1

  • 1Division of Gastroenterology, Department of Pediatrics, University of California San Diego, La Jolla, California, United States.

Endoscopy International Open
|February 14, 2017
PubMed

Insights

Informational videos significantly improved understanding of the informed consent process for children undergoing pediatric endoscopy and their parents. This media intervention enhanced comprehension for both youth and guardians.

Area of Science:

  • Pediatric Gastroenterology
  • Medical Education
  • Informed Consent Research

Background:

  • Pediatric endoscopic procedures require informed consent (IC) from youth and parents.
  • Current IC processes often result in suboptimal comprehension among pediatric patients and their guardians.

Purpose of the Study:

  • To develop and evaluate the effectiveness of informational videos on pediatric endoscopy IC.
  • To assess the impact of video intervention on youth and parental comprehension of the IC process.

Main Methods:

  • A randomized controlled trial was conducted at an academic children's hospital.
  • Participants included youth undergoing endoscopy and their parents, randomized into intervention and control groups.
  • Comprehension was assessed via structured interviews and the Informed Consent Overall Score (ICOS).

Main Results:

  • Seventy-seven parent-child pairs participated in the study.
  • Intervention group parents showed significantly higher ICOS scores (3.6) compared to controls (2.9).
  • Intervention group youth also demonstrated significantly higher ICOS scores (2.7) versus controls (1.7).

Conclusions:

  • A media intervention using informational videos effectively improved IC comprehension in pediatric endoscopy.
  • The video intervention enhanced understanding for both pediatric patients and their parents.
  • This approach offers a promising strategy to improve informed consent in pediatric procedures.

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