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Video discharge instructions increase patient understanding for office-based procedures: a randomized controlled
Jenna Bates Maffei1, Jeffrey J Song1, Gal Saffati1
1Scott Department of Urology, Baylor College of Medicine, Houston, TX, USA.
Translational Andrology and Urology
|April 14, 2025
Summary
Video discharge instructions significantly improved patient comprehension after vasectomy. While satisfaction was similar, more patients preferred combined video and written formats for better understanding of post-procedure care.
Area of Science:
- Urology
- Health Literacy
- Medical Education
Background:
- Health literacy is crucial for healthcare outcomes, impacting quality of life and mortality.
- Poor health literacy leads to increased hospital readmissions.
- Current post-procedure education methods include teach-back, patient preference assessments, and standardized instructions.
Purpose of the Study:
- To evaluate patient comprehension and satisfaction with video discharge instructions after outpatient vasectomy.
- To address the gap in utilizing video discharge instructions in urology.
Main Methods:
- An unblinded randomized controlled study was conducted with 22 men undergoing vasectomy.
- Patients were randomized to receive either video or written discharge instructions.
- A questionnaire assessed comprehension, preference, usefulness, and understandability of instructions.
Main Results:
- The video cohort showed significantly higher comprehension scores (P<0.001).
- No significant differences were found in perceived helpfulness or understandability between groups.
- 73% of the video group preferred combined video and written instructions, versus 73% of the written group preferring only written instructions (P<0.001).
Conclusions:
- Video discharge instructions enhance objective comprehension in urology patients.
- Combined video and written instructions may be preferred by patients receiving video education.
- Video discharge instructions are a valuable tool in urologic care settings.
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