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Web App- and Text Message-Based Patient Education in Mohs Micrographic Surgery-A Randomized Controlled Trial

Spencer D Hawkins1,2, Sarah B Koch1,3, Phillip M Williford1

  • 1Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, North Carolina.

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
|February 7, 2018
PubMed
Abstract

Insights

Mohs surgery patients experienced reduced anxiety with educational videos. While patients prefer text message wound care instructions, they don't find them more helpful than pamphlets.

Area of Science:

  • Dermatology
  • Surgical Education
  • Patient Communication

Background:

  • Mohs micrographic surgery (MMS) education currently utilizes consent and wound care (WC) videos.
  • The effectiveness of postoperative text messaging for MMS patients remains understudied.

Purpose of the Study:

  • To develop and evaluate perioperative educational resources for Mohs micrographic surgery patients.
  • Resources include video modules (DermPatientEd.com) and postoperative text messaging (DermTexts.com).

Main Methods:

  • A randomized controlled trial involving 90 MMS patients.
  • Patients were assigned to four groups: videos with text messages, videos-only, text messages-only, or a control group.
  • Primary outcomes assessed were preoperative anxiety and knowledge of MMS and postoperative care; secondary outcomes included intervention helpfulness and patient preference.

Main Results:

  • MMS videos significantly reduced preoperative anxiety by 19% (p = .00062).
  • Wound care videos were rated as more helpful than pamphlets for understanding postoperative care (p = .0016).
  • Patients preferred text message wound care instructions over pamphlets for future visits (p = .0001), though they did not find them significantly more helpful (p = .3566).

Conclusions:

  • Perioperative video modules and text messaging are effective educational resources for Mohs surgery patients.
  • Educational videos can reduce preoperative anxiety.
  • Patients prefer text message-based wound care instructions, indicating a potential shift in patient communication preferences.

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