Double-blinded randomized controlled trial to evaluate a multimedia surgical care tour in improving patient satisfaction and knowledge after functional endoscopic sinus surgery.


Journal

International forum of allergy & rhinology
ISSN: 2042-6984
Titre abrégé: Int Forum Allergy Rhinol
Pays: United States
ID NLM: 101550261

Informations de publication

Date de publication:
03 2019
Historique:
received: 12 03 2018
revised: 27 09 2018
accepted: 05 10 2018
pubmed: 15 12 2018
medline: 18 1 2020
entrez: 15 12 2018
Statut: ppublish

Résumé

Current delivery of patient education is done during the clinic visit, where physicians or clinic staff have limited time for each patient. One potential solution is to provide a multimedia surgical care tour delivered to patients throughout the perioperative period. The purpose of the study is to evaluate the effectiveness of this surgical care tour in enhancing patient knowledge and satisfaction after functional endoscopic sinus surgery (FESS). A total of 121 patients were enrolled and a double-blinded randomized controlled trial was initiated. Patients in the experimental group received 4 educational videos and automated reminders to take medications. The control group received a sham platform. Patients were randomized by MEDUMO software, and physicians, clinic staff, and patients were blinded. Patient satisfaction was measured by Consumer Assessment of Healthcare Providers and Systems (CAHPS) Surgical Care Survey Version 2.0. Patient knowledge was graded by the blinded surgeon and clinic staff. Fischer's exact test and 2-tailed independent samples Student t test were used to compare the satisfaction and patient knowledge outcomes, respectively. Patients in the experimental group were more likely to answer "Yes, definitely" to "Did these pictures drawings models or videos help you better understand your condition and its treatment?" (95.7% vs 74.1%, p = 0.011). The mean ± standard deviation clinic staff assessment of patient knowledge was 3.04 ± 1.05 in the control group and 3.68 ± 1.41 in the experimental group (p = 0.043). A multimedia surgical care tour was developed and has promising effects on patient satisfaction and knowledge after FESS.

Sections du résumé

BACKGROUND
Current delivery of patient education is done during the clinic visit, where physicians or clinic staff have limited time for each patient. One potential solution is to provide a multimedia surgical care tour delivered to patients throughout the perioperative period. The purpose of the study is to evaluate the effectiveness of this surgical care tour in enhancing patient knowledge and satisfaction after functional endoscopic sinus surgery (FESS).
METHODS
A total of 121 patients were enrolled and a double-blinded randomized controlled trial was initiated. Patients in the experimental group received 4 educational videos and automated reminders to take medications. The control group received a sham platform. Patients were randomized by MEDUMO software, and physicians, clinic staff, and patients were blinded. Patient satisfaction was measured by Consumer Assessment of Healthcare Providers and Systems (CAHPS) Surgical Care Survey Version 2.0. Patient knowledge was graded by the blinded surgeon and clinic staff. Fischer's exact test and 2-tailed independent samples Student t test were used to compare the satisfaction and patient knowledge outcomes, respectively.
RESULTS
Patients in the experimental group were more likely to answer "Yes, definitely" to "Did these pictures drawings models or videos help you better understand your condition and its treatment?" (95.7% vs 74.1%, p = 0.011). The mean ± standard deviation clinic staff assessment of patient knowledge was 3.04 ± 1.05 in the control group and 3.68 ± 1.41 in the experimental group (p = 0.043).
CONCLUSION
A multimedia surgical care tour was developed and has promising effects on patient satisfaction and knowledge after FESS.

Identifiants

pubmed: 30548928
doi: 10.1002/alr.22233
doi:

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

286-291

Informations de copyright

© 2018 ARS-AAOA, LLC.

Auteurs

Yue Ma (Y)

Department of Otolaryngology-Head and Neck Surgery, Mount Sinai Medical Center, New York, NY.

Josh Zeiger (J)

Department of Otolaryngology-Head and Neck Surgery, Mount Sinai Medical Center, New York, NY.

Sean McKee (S)

State University of New York (SUNY) Downstate Medical Center, Brooklyn, NY.

Anthony Yang (A)

Department of Otolaryngology-Head and Neck Surgery, Mount Sinai Medical Center, New York, NY.

Madeleine Schaberg (M)

Department of Otolaryngology-Head and Neck Surgery, Mount Sinai Medical Center, New York, NY.

Anthony Del-Signore (A)

Department of Otolaryngology-Head and Neck Surgery, Mount Sinai Medical Center, New York, NY.

Satish Govindaraj (S)

Department of Otolaryngology-Head and Neck Surgery, Mount Sinai Medical Center, New York, NY.

Alfred Iloreta (A)

Department of Otolaryngology-Head and Neck Surgery, Mount Sinai Medical Center, New York, NY.

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Classifications MeSH