Related Experiment Video
Updated: Jun 30, 2025
Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
Improving Health Literacy of Elective Procedures in Pediatric Otolaryngology
Amanda Del Risco1, Alexander Cherches1, Lauren Polcaro2
1Department of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, North Carolina, USA.
Insights
Supplementary materials like videos and written summaries significantly improve health literacy for pediatric procedures. This enhances informed decision-making for patients and guardians during the consent process.
Area of Science:
- Pediatric Otolaryngology
- Health Literacy
- Informed Consent
Background:
- Effective communication is crucial for informed consent in pediatric otolaryngology.
- Assessing patient and guardian health literacy is vital for understanding medical information.
Purpose of the Study:
- To evaluate if supplementary materials (video, written) enhance health literacy during the pediatric otolaryngology consent process.
- To determine the impact of these resources on patient and guardian comprehension of procedures.
Main Methods:
- Prospective randomized crossover study with 151 participants (children and guardians).
- Baseline and post-resource testing using a 6-question accuracy scale.
- Analysis of score differences using Wilcoxon signed-rank tests and logistic regression.
Main Results:
- Post-resource scores were significantly higher than pretest scores (P < .001).
- Younger age and white race were associated with less score improvement.
- 87.4% of participants preferred the addition of video resources.
Conclusions:
- Video and written resources significantly improve understanding of elective procedures.
- Procedure-specific supplementary materials enhance health literacy for informed decision-making.
- Integrating multimedia aids can optimize the consent process in pediatric otolaryngology.
Objective:
To identify if the addition of supplementary material, such as video or written resources, to the consent process, can improve a patient's or guardian's health literacy in pediatric otolaryngology.
Study Design:
Prospective randomized crossover design.
Setting:
Tertiary Academic Center.
Methods:
From April 18, 2022 to August 29, 2023, 151 children scheduled to undergo 1 of 6 procedures by the same provider were queried and completed a 6-question baseline test based on the information. They each watched a 2-minute video and read a written summary about the procedure; the order of resources was randomized. They answered the same 6-questions after viewing each resource. All tests were scored based on accuracy using an ordinal scale of 1 to 6. Resource preference was collected. Wilcoxon signed-rank tests were run to analyze differences in scores after the addition of supplementary resources and logistic regression modeling was run to analyze demographic effects on postresource score differences.
Results:
Of 151 participants, 74.2% were guardians, with 78.8% having completed a high school or greater education. The Wilcoxon signed-rank test indicated that postresource scores were statistically significantly higher (P < .001) than pretest scores. Logistic regression modeling showed that participants were less likely to show score improved if they were younger than 18 and were of white race. A majority (87.4%) preferred the addition of a video to the consent process.
Conclusion:
The addition of video or written resources significantly improves understanding of elective procedures. The development of procedure-specific resources can supplement the consent process and ensure decision-makers have adequate health literacy for informed decision-making.
Related Concept Videos
01:21Health Literacy
01:23Chronic Pharyngitis
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
01:26Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
01:25Suctioning the Oropharyngeal Airway
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...