The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Preconsent Video-Assisted Instruction Improves the Comprehension and Satisfaction in Elderly Patient Visiting Pain Clinic

  • Kim, Sung-Hoon (Department of Anesthesiology and Pain Medicine, University of Ulsan College of Medicine) ;
  • Koh, Won-Uk (Department of Anesthesiology and Pain Medicine, University of Ulsan College of Medicine) ;
  • Rhim, Jin-Ho (Department of Anesthesiology and Pain Medicine, University of Ulsan College of Medicine) ;
  • Karm, Myong-Hwan (Department of Anesthesiology and Pain Medicine, University of Ulsan College of Medicine) ;
  • Yu, Hye-Suk (Department of Nursing, Asan Medical Center) ;
  • Lee, Bo-Yoeng (Department of Nursing, Asan Medical Center) ;
  • Shin, Jin-Woo (Department of Anesthesiology and Pain Medicine, University of Ulsan College of Medicine) ;
  • Leem, Jeong-Gill (Department of Anesthesiology and Pain Medicine, University of Ulsan College of Medicine)
  • Received : 2012.07.25
  • Accepted : 2012.09.03
  • Published : 2012.10.01
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Abstract

Background: Elderly patients visiting pain clinic may be at greater risk of misunderstanding the explanation because of age-related cognitive decline. Video instruction may provide a consistent from of teaching in a visual and realistic manner. We evaluated the effect of educational video on the patient understanding and satisfaction in a group of geriatric patients visiting pain clinic. Methods: Ninety two patients aged more than 60 years old who were scheduled for transforaminal epidural block were recruited. After exposure to either video or paper instruction process, each patient was asked 5-item comprehension questions, overall satisfaction and preference question. During follow-up period, number of outpatient referral-line call for further explanation was counted. Results: We observed significantly better comprehension in the video education compared with paper instruction (P < 0.001). Patient satisfaction was also higher in the video group (P = 0.015), and patients visiting pain clinic were more preferred video instruction (P < 0.001). Proportion of referral-line call for further explanation were similar (P = 0.302). Conclusions: Video approach to instruction process before consent improves treatment comprehension in geriatric patient visiting pain clinic.

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References

  1. Park EJ, Han KR, Kim DW, Kim C. A clinical survey of the patients in neuro-pain clinic at Ajou University. Korean J Pain 2007; 20: 181-185. https://doi.org/10.3344/kjp.2007.20.2.181
  2. Jo DH, Hong JH, Kim MH. A survey on clinical characteristics of patients visiting pain clinics. Korean J Pain 2005; 18: 146-150. https://doi.org/10.3344/kjp.2005.18.2.146
  3. Blyth FM, March LM, Brnabic AJ, Jorm LR, Williamson M, Cousins MJ. Chronic pain in Australia: a prevalence study. Pain 2001; 89: 127-134. https://doi.org/10.1016/S0304-3959(00)00355-9
  4. Karp JF, Reynolds CF 3rd, Butters MA, Dew MA, Mazumdar S, Begley AE, et al. The relationship between pain and mental flexibility in older adult pain clinic patients. Pain Med 2006; 7: 444-452. https://doi.org/10.1111/j.1526-4637.2006.00212.x
  5. Jackson JL, Kroenke K. The effect of unmet expectations among adults presenting with physical symptoms. Ann Intern Med 2001; 134: 889-897. https://doi.org/10.7326/0003-4819-134-9_Part_2-200105011-00013
  6. Petrie KJ, Frampton T, Large RG, Moss-Morris R, Johnson M, Meechan G. What do patients expect from their first visit to a pain clinic? Clin J Pain 2005; 21: 297-301. https://doi.org/10.1097/01.ajp.0000113058.92184.74
  7. Meade CD. Producing videotapes for cancer education: methods and examples. Oncol Nurs Forum 1996; 23: 837-846.
  8. Gagliano ME. A literature review on the efficacy of video in patient education. J Med Educ 1988; 63: 785-792.
  9. Phelan EA, Deyo RA, Cherkin DC, Weinstein JN, Ciol MA, Kreuter W, et al. Helping patients decide about back surgery: a randomized trial of an interactive video program. Spine (Phila Pa 1976) 2001; 26: 206-211. https://doi.org/10.1097/00007632-200101150-00016
  10. Eaden J, Abrams K, Shears J, Mayberry J. Randomized controlled trial comparing the efficacy of a video and information leaflet versus information leaflet alone on patient knowledge about surveillance and cancer risk in ulcerative colitis. Inflamm Bowel Dis 2002; 8: 407-12. https://doi.org/10.1097/00054725-200211000-00005
  11. Oermann MH, Webb SA, Ashare JA. Outcomes of videotape instruction in clinic waiting area. Orthop Nurs 2003; 22: 102-105. https://doi.org/10.1097/00006416-200303000-00006
  12. Abramowitz S, Cote AA, Berry E. Analyzing patient satisfaction: a multianalytic approach. QRB Qual Rev Bull 1987; 13: 122-130. https://doi.org/10.1016/S0097-5990(16)30118-X
  13. Stalonas PM, Keane TM, Foy DW. Alcohol education for inpatient alcoholics: a comparison of live, videotape and written presentation modalities. Addict Behav 1979; 4: 223-229. https://doi.org/10.1016/0306-4603(79)90031-5
  14. Flory J, Emanuel E. Interventions to improve research participants' understanding in informed consent for research: a systematic review. JAMA 2004; 292: 1593-1601. https://doi.org/10.1001/jama.292.13.1593

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