Prolapse Education Video for Patient Satisfaction: A Randomized Clinical Trial

Area of Science:

• Urogynecology and Pelvic Floor Disorders
• Patient Education Strategies
• Clinical Trial Design

Background:

• Pelvic organ prolapse (POP) is a common condition with significant public knowledge gaps.
• Effective patient education is crucial for informed decision-making in POP management.

Purpose of the Study:

• To evaluate if a previsit educational video on POP improves patient satisfaction with management decisions.
• To assess secondary outcomes including POP knowledge, perceived knowledge, decision conflict, and counseling effectiveness.

Main Methods:

• A physician-blinded, randomized trial involving 37 participants with POP symptoms.
• Participants were assigned to a video group (n=18) or a control group (n=19).
• Data collected via baseline, postvisit, and postmanagement surveys, including validated questionnaires for POP knowledge and decision satisfaction.

Main Results:

• No significant difference in patient satisfaction with management decisions between the video and control groups (P=0.44).
• The video group showed a significantly greater increase in POP knowledge scores (P=0.03) and self-perceived knowledge (P=0.02).
• No significant differences were observed in decision conflict or physician-reported counseling ease and patient comprehension.

Conclusions:

• Supplemental previsit POP educational videos did not enhance patient decision satisfaction.
• Educational videos may improve POP knowledge, but the study was not powered to confirm this outcome definitively.