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

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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.

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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.