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The Impact of a Computer-Based Interactive Informed Consent for Surgery on Decision Conflict
Sina Ramtin1, Floor Davids1, Amir Reza Farhoud1
1Department of Surgery and Perioperative Care, Division of Orthopedics, University of Texas at Austin Dell Medical School, Austin, TX.
The Journal of Hand Surgery
|May 13, 2024
Summary
Interactive surgical consent forms did not improve patient decision-making or empathy compared to standard forms. Focus on surgeon-patient dialogue, not just information format, for better informed consent.
Area of Science:
- Medical Ethics
- Patient Communication
- Surgical Consent
Background:
- Informed consent is crucial for legal and ethical surgical care.
- Traditional written consents may not always be optimal for patient understanding or experience.
- Interactive consent tools have been developed to potentially enhance the process.
Purpose of the Study:
- To compare interactive informed consents with standard written consents.
- To identify factors associated with decision conflict and patient-rated clinician empathy.
- To explore factors influencing patient ratings of the consent process as informative, comfortable, and satisfying.
Main Methods:
- 94 adult patients undergoing common hand surgeries were randomized.
- 53 received interactive consent; 41 received standard written consent.
- Assessed decision conflict, physician empathy, and satisfaction with the consent process.
Main Results:
- Consent format did not significantly impact decision conflict or patient comfort.
- Patient preference for surgery was associated with rating the consent as informative, not the format.
- Higher patient-reported unhelpful thoughts correlated with greater decisional conflict.
Conclusions:
- Interactive consent tools showed no significant advantage over standard formats.
- Improving informed consent may depend more on the patient-surgeon dialogue than the presentation method.
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