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Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
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Video-Based Decision Aids Improve Sleep Surgery Decision-Making: A Randomized Controlled Trial.

Arushi Gulati1, Hasan Abdulbaki1, Jacquelyn K Callander1

  • 1Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, California, U.S.A.

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Summary

Pre-consultation videos may improve decision-making for obstructive sleep apnea (OSA) patients considering positive airway pressure (PAP) alternatives. While decisional conflict improved similarly in both groups, videos advanced the decision-making stage for intervention patients.

Keywords:
decision aidobstructive sleep apneapositive airway pressureshared decision‐makingsleep surgeryvideos

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Area of Science:

  • Sleep Medicine
  • Surgical Decision Making

Background:

  • Patients with obstructive sleep apnea (OSA) often experience high decisional conflict (DC) when choosing between positive airway pressure (PAP) and surgical alternatives.
  • Effective decision support tools are needed to aid patients in navigating these complex treatment choices.

Purpose of the Study:

  • To evaluate the impact of pre-consultation video decision aids on patient DC and decision readiness for OSA patients considering PAP alternatives.
  • To assess how video decision aids influence the patient's stage of decision-making and overall consultation experience.

Main Methods:

  • Adult OSA patients considering PAP alternatives were randomized to receive pre-consultation videos (intervention) or no videos (control).
  • Decisional conflict, decision readiness, and patient engagement were assessed using questionnaires and audio recordings of consultations.
  • High-conflict patients were identified as those considering three or more treatment options.

Main Results:

  • Both groups showed significant post-visit improvement in DC scores, with no significant difference between intervention and control groups.
  • The intervention group demonstrated a significant advancement in their decision-making stage, with more patients reporting being "close to selecting an option" post-visit.
  • For high-conflict patients, pre-visit video use was associated with fewer words spoken and shorter consultation times.

Conclusions:

  • Patients considering alternatives to PAP for OSA exhibit high levels of decisional conflict.
  • Pre-consultation video decision aids show potential to enhance the treatment decision-making process for sleep surgery candidates.