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Published on: August 1, 2019
Video-based education about systemic corticosteroids enhances patient knowledge more than verbal education: A
Christina M Correnti, Suephy C Chen, Benjamin K Stoff1
1Division of Dermatology, Atlanta VA Medical Center, Decatur, Georgia Department of Dermatology, Emory University, Atlanta, Georgia. BSTOFF@emory.edu.
Background:
Video-based patient education about long-term systemic corticosteroid treatment has not been assessed.
Objective:
To compare video-based versus verbal education in patient knowledge gained and satisfaction.
Methods:
English-speaking adults (≥18 years) were recruited from March-August 2013 from medical dermatology clinics. Study provider clinics were the unit of randomization. Verbal subjects heard a script based on the standard discussions of two top systemic corticosteroid prescribers at Emory. Video subjects viewed a video developed by the investigators. A 12-item survey created by the the investigators assessed baseline and post-education knowledge (immediate, one-, three-, and six-month).
Results:
Baseline knowledge scores averaged 7.2±2.2 correct answers with no between-group differences. Post-education, the video group's (N=39) mean paired score difference was 0.9±2.0 higher than the verbal group's (p<0.04). After 1 month, most scores maintained gains with no between-group differences. 97% of patients in each group were satisfied (none were unsatisfied) with their education.
Limitations:
Our cohort was more literate than the general public, and a minority of subjects completed long-term follow up assessments.
Conclusion:
Video education enhanced near-term patient knowledge more than verbal education and maintained patient satisfaction.
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