Visual teaching aids improve patient understanding and reduce anxiety prior to a colectomy
Informed consent forms consist of large blocks of written information that may be difficult for patients to understand. Visual teaching aids are promising, however, they have not been studied as a pre-operative educational tool for common surgical procedures. We pilot tested the use of a visual teac...
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| Veröffentlicht in: | The American journal of surgery 2021-10, Vol.222 (4), p.780-785 |
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| creator | Stewart, James A. Wood, Lauren Wiener, Jameson Kennedy, Gregory D. Chu, Daniel I. Lancaster, Jeffrey R. Morris, Melanie S. |
| description | Informed consent forms consist of large blocks of written information that may be difficult for patients to understand. Visual teaching aids are promising, however, they have not been studied as a pre-operative educational tool for common surgical procedures. We pilot tested the use of a visual teaching aid during the informed consent process for a colectomy.
A randomized pilot study was performed. Participants were randomized into the visual teaching aid group or standard care. Following the consent process, participants were questioned about potential surgical complications, anxiety, satisfaction, and understanding.
30 participants were enrolled. Potential complication recall and patient-reported understanding were improved in the visual group (p = 0.01, p = 0.03). Anxiety levels were reduced in the visual group (p = 0.02). No statistically significant data were found for satisfaction (p = 0.75).
Utilizing a visual teaching aid during the consent process for colectomy increases patient recall of risks, reduces anxiety, and improves understanding.
[Display omitted]
•Informed consent forms for surgery are often written at an advanced level.•Use of visual teaching aids is not well documented for common surgical procedures.•Visual teaching aids improve recall of three major complications of a colectomy.•Visual teaching aids improve understanding and reduce anxiety prior to a colectomy.•Tools are needed that can reach patients with a wide range of health literacy. |
| doi_str_mv | 10.1016/j.amjsurg.2021.01.029 |
| format | Article |
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A randomized pilot study was performed. Participants were randomized into the visual teaching aid group or standard care. Following the consent process, participants were questioned about potential surgical complications, anxiety, satisfaction, and understanding.
30 participants were enrolled. Potential complication recall and patient-reported understanding were improved in the visual group (p = 0.01, p = 0.03). Anxiety levels were reduced in the visual group (p = 0.02). No statistically significant data were found for satisfaction (p = 0.75).
Utilizing a visual teaching aid during the consent process for colectomy increases patient recall of risks, reduces anxiety, and improves understanding.
[Display omitted]
•Informed consent forms for surgery are often written at an advanced level.•Use of visual teaching aids is not well documented for common surgical procedures.•Visual teaching aids improve recall of three major complications of a colectomy.•Visual teaching aids improve understanding and reduce anxiety prior to a colectomy.•Tools are needed that can reach patients with a wide range of health literacy.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2021.01.029</identifier><identifier>PMID: 33541690</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Alabama ; Anxiety ; Anxiety - prevention & control ; Audiovisual Aids ; Colectomy ; Colorectal surgery ; Complications ; Comprehension ; Enrollments ; Female ; Health education ; Health Literacy ; Humans ; Illustrations ; Infections ; Informed Consent ; Instructional aids ; Male ; Middle Aged ; Patient education ; Patient Education as Topic ; Patient Satisfaction ; Pilot Projects ; Postoperative Complications ; Recall ; Statistical analysis ; Surgeons ; Surgical instruments ; Visual aid ; Visual aids</subject><ispartof>The American journal of surgery, 2021-10, Vol.222 (4), p.780-785</ispartof><rights>2021</rights><rights>Published by Elsevier Inc.</rights><rights>Copyright Elsevier Limited Oct 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-33d03ca1c2d99e60b1d1443825cb94a442eb634ef1e3d721fc48dfdf5849a3073</citedby><cites>FETCH-LOGICAL-c393t-33d03ca1c2d99e60b1d1443825cb94a442eb634ef1e3d721fc48dfdf5849a3073</cites><orcidid>0000-0002-8835-6508 ; 0000-0002-7591-9068 ; 0000-0002-8655-7760 ; 0000-0002-0976-2349 ; 0000-0002-8808-2535 ; 0000-0001-6033-5660</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2572884927?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978,64366,64368,64370,72220</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33541690$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stewart, James A.</creatorcontrib><creatorcontrib>Wood, Lauren</creatorcontrib><creatorcontrib>Wiener, Jameson</creatorcontrib><creatorcontrib>Kennedy, Gregory D.</creatorcontrib><creatorcontrib>Chu, Daniel I.</creatorcontrib><creatorcontrib>Lancaster, Jeffrey R.</creatorcontrib><creatorcontrib>Morris, Melanie S.</creatorcontrib><title>Visual teaching aids improve patient understanding and reduce anxiety prior to a colectomy</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Informed consent forms consist of large blocks of written information that may be difficult for patients to understand. Visual teaching aids are promising, however, they have not been studied as a pre-operative educational tool for common surgical procedures. We pilot tested the use of a visual teaching aid during the informed consent process for a colectomy.
A randomized pilot study was performed. Participants were randomized into the visual teaching aid group or standard care. Following the consent process, participants were questioned about potential surgical complications, anxiety, satisfaction, and understanding.
30 participants were enrolled. Potential complication recall and patient-reported understanding were improved in the visual group (p = 0.01, p = 0.03). Anxiety levels were reduced in the visual group (p = 0.02). No statistically significant data were found for satisfaction (p = 0.75).
Utilizing a visual teaching aid during the consent process for colectomy increases patient recall of risks, reduces anxiety, and improves understanding.
[Display omitted]
•Informed consent forms for surgery are often written at an advanced level.•Use of visual teaching aids is not well documented for common surgical procedures.•Visual teaching aids improve recall of three major complications of a colectomy.•Visual teaching aids improve understanding and reduce anxiety prior to a colectomy.•Tools are needed that can reach patients with a wide range of health literacy.</description><subject>Aged</subject><subject>Alabama</subject><subject>Anxiety</subject><subject>Anxiety - prevention & control</subject><subject>Audiovisual Aids</subject><subject>Colectomy</subject><subject>Colorectal surgery</subject><subject>Complications</subject><subject>Comprehension</subject><subject>Enrollments</subject><subject>Female</subject><subject>Health education</subject><subject>Health Literacy</subject><subject>Humans</subject><subject>Illustrations</subject><subject>Infections</subject><subject>Informed Consent</subject><subject>Instructional aids</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient education</subject><subject>Patient Education as Topic</subject><subject>Patient Satisfaction</subject><subject>Pilot Projects</subject><subject>Postoperative Complications</subject><subject>Recall</subject><subject>Statistical analysis</subject><subject>Surgeons</subject><subject>Surgical instruments</subject><subject>Visual aid</subject><subject>Visual aids</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkM9rFDEUx4Modlv9E5SAl15mzUsyP3IqUlpbKHjRHnoJ2eRNzTAz2SaZ4v73Zt21By_CgyTwed_38iHkA7A1MGg-D2szDWmJj2vOOKxZKa5ekRV0raqg68RrsmKM8Uo1wE7IaUpDeQJI8ZacCFFLaBRbkYd7nxYz0ozG_vTzIzXeJeqnbQzPSLcme5wzXWaHMWUzuz_I7GhEt1gs118e845uow-R5kANtWFEm8O0e0fe9GZM-P54npEf11ffL2-qu29fby-_3FVWKJErIRwT1oDlTils2AYcSCk6XtuNkkZKjptGSOwBhWs59FZ2rnd93UllBGvFGTk_5JadnxZMWU8-WRxHM2NYkuaya6Fhotmjn_5Bh7DEuWyned3yrkTyPVUfKBtDShF7Xb43mbjTwPRevh70Ub7ey9esFFel7-MxfdlM6F66_touwMUBwKLj2WPUyRa_Fp2PxZl2wf9nxG-0eZiF</recordid><startdate>202110</startdate><enddate>202110</enddate><creator>Stewart, James A.</creator><creator>Wood, Lauren</creator><creator>Wiener, Jameson</creator><creator>Kennedy, Gregory D.</creator><creator>Chu, Daniel I.</creator><creator>Lancaster, Jeffrey R.</creator><creator>Morris, Melanie S.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8835-6508</orcidid><orcidid>https://orcid.org/0000-0002-7591-9068</orcidid><orcidid>https://orcid.org/0000-0002-8655-7760</orcidid><orcidid>https://orcid.org/0000-0002-0976-2349</orcidid><orcidid>https://orcid.org/0000-0002-8808-2535</orcidid><orcidid>https://orcid.org/0000-0001-6033-5660</orcidid></search><sort><creationdate>202110</creationdate><title>Visual teaching aids improve patient understanding and reduce anxiety prior to a colectomy</title><author>Stewart, James A. ; 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Visual teaching aids are promising, however, they have not been studied as a pre-operative educational tool for common surgical procedures. We pilot tested the use of a visual teaching aid during the informed consent process for a colectomy.
A randomized pilot study was performed. Participants were randomized into the visual teaching aid group or standard care. Following the consent process, participants were questioned about potential surgical complications, anxiety, satisfaction, and understanding.
30 participants were enrolled. Potential complication recall and patient-reported understanding were improved in the visual group (p = 0.01, p = 0.03). Anxiety levels were reduced in the visual group (p = 0.02). No statistically significant data were found for satisfaction (p = 0.75).
Utilizing a visual teaching aid during the consent process for colectomy increases patient recall of risks, reduces anxiety, and improves understanding.
[Display omitted]
•Informed consent forms for surgery are often written at an advanced level.•Use of visual teaching aids is not well documented for common surgical procedures.•Visual teaching aids improve recall of three major complications of a colectomy.•Visual teaching aids improve understanding and reduce anxiety prior to a colectomy.•Tools are needed that can reach patients with a wide range of health literacy.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33541690</pmid><doi>10.1016/j.amjsurg.2021.01.029</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-8835-6508</orcidid><orcidid>https://orcid.org/0000-0002-7591-9068</orcidid><orcidid>https://orcid.org/0000-0002-8655-7760</orcidid><orcidid>https://orcid.org/0000-0002-0976-2349</orcidid><orcidid>https://orcid.org/0000-0002-8808-2535</orcidid><orcidid>https://orcid.org/0000-0001-6033-5660</orcidid></addata></record> |
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| subjects | Aged Alabama Anxiety Anxiety - prevention & control Audiovisual Aids Colectomy Colorectal surgery Complications Comprehension Enrollments Female Health education Health Literacy Humans Illustrations Infections Informed Consent Instructional aids Male Middle Aged Patient education Patient Education as Topic Patient Satisfaction Pilot Projects Postoperative Complications Recall Statistical analysis Surgeons Surgical instruments Visual aid Visual aids |
| title | Visual teaching aids improve patient understanding and reduce anxiety prior to a colectomy |
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