Matthew Winter|Jonathan Kam|Sunny Nalavenkata|Ellen Hardy|Marcus Handmer|Hannah Ainsworth|Wai Gin Lee|Mark Louie?Johnsun
The use of portable video media vs standard verbal communication in the urological consent process: a multicentre, randomised controlled, crossover trial
Royal North Shore Hospital|Gosford Hospital|Gosford Hospital|Hornsby Ku-ring-gai Hospital|Gosford Hospital|Gosford Hospital|Gosford Hospital|Gosford Hospital|Gosford Hospital
determine portable video media pvm improves patients knowledge satisfaction acquired consent process cystoscopy insertion ureteric stent compared standard verbal communication svc informed consent crucial component patient care pvm emerging technology may help improve consent processin multicentre randomised controlled crossover trial patients requiring cystoscopy stent insertion recruited two major teaching hospitals australia 15month period july 2014december 2015 patient information delivery via pvm svc pvm consisted audiovisual presentation cartoon animation presented ipad patient satisfaction assessed using validated client satisfaction questionnaire 8 csq8 maximum score 32 knowledge tested using truefalse questionnaire maximum score 28 questionnaires completed first intervention crossover scores analysed using independent samples ttest wilcoxon signedrank test crossover analysisin 88 patients recruited significant 31 point 155 increase understanding demonstrable favouring use pvm p 0001 difference patient satisfaction groups judged csq8 significant 36 point 178 increase knowledge score seen svc group crossed pvm arm total 807 patients preferred pvm 193 preferred svc limitations include lack validated questionnaire test knowledge acquired interventionsthis study demonstrates patients preference towards pvm urological consent process cystoscopy ureteric stent insertion pvm improves patients understanding compared svc effective means content delivery patients terms overall preference knowledge gained consent process