Monica M Van Acker1, Mark A Kuriata2. 1. Michigan State University College of Osteopathic Medicine, East Lansing, Michigan. 2. Lakeland Regional Medical Center, Saint Joseph, Michigan.
Abstract
OBJECTIVE: The objective of this study was to determine if delivery of wound care instruction pre-Mohs micrographic surgery versus the typical, post-Mohs surgery would allow for greater patient retention. DESIGN: A non-blinded, randomized, controlled trial receiving institutional review board exemption from Michigan State University was conducted over a three-month period. Patients scheduled for Mohs surgery on 13 selected days were randomized into pre- versus post-procedure groups to receive wound care education. SETTING: This study was conducted at a dermatology practice in Saint Joseph, Michigan. PARTICIPANTS: Fifty cognitive and literate patients greater than 18 years of age were evaluated in this study. MEASUREMENTS: PARTICIPANTS' ability to recall instructions delivered by a Mohs surgeon in the form of digital media was assessed by a 10-question, multiple-choice exam. Additional analyses were conducted on patient's disposition around medical professionals, past experience with Mohs surgery, preference for digital media versus human instruction, and desire for home access. RESULTS: Pre- (n=24; score=77±14%) versus post-(n=26; 83±11%) procedure education displayed no significant difference (p=0.13) in overall questionnaire performance. Seventy-four percent of participants preferred video delivery as opposed to provider instruction. Thirty-four percent reported being intimidated by healthcare workers. Participant performance showed no significant change (p=0.78) with previous exposure (79±19%) to Mohs surgery versus a first-time encounter (80±11%). CONCLUSION:Video education prior to or post-Mohs surgery serves as an effective mechanism for patient education and improvement of time management in clinical practice.
RCT Entities:
OBJECTIVE: The objective of this study was to determine if delivery of wound care instruction pre-Mohs micrographic surgery versus the typical, post-Mohs surgery would allow for greater patient retention. DESIGN: A non-blinded, randomized, controlled trial receiving institutional review board exemption from Michigan State University was conducted over a three-month period. Patients scheduled for Mohs surgery on 13 selected days were randomized into pre- versus post-procedure groups to receive wound care education. SETTING: This study was conducted at a dermatology practice in Saint Joseph, Michigan. PARTICIPANTS: Fifty cognitive and literate patients greater than 18 years of age were evaluated in this study. MEASUREMENTS: PARTICIPANTS' ability to recall instructions delivered by a Mohs surgeon in the form of digital media was assessed by a 10-question, multiple-choice exam. Additional analyses were conducted on patient's disposition around medical professionals, past experience with Mohs surgery, preference for digital media versus human instruction, and desire for home access. RESULTS: Pre- (n=24; score=77±14%) versus post-(n=26; 83±11%) procedure education displayed no significant difference (p=0.13) in overall questionnaire performance. Seventy-four percent of participants preferred video delivery as opposed to provider instruction. Thirty-four percent reported being intimidated by healthcare workers. Participant performance showed no significant change (p=0.78) with previous exposure (79±19%) to Mohs surgery versus a first-time encounter (80±11%). CONCLUSION: Video education prior to or post-Mohs surgery serves as an effective mechanism for patient education and improvement of time management in clinical practice.
Authors: Rina M Sobel; Michael K Paasche-Orlow; Katherine R Waite; Sarah S Rittner; Elizabeth A H Wilson; Michael S Wolf Journal: J Community Health Date: 2009-08
Authors: S Doering; F Katzlberger; G Rumpold; S Roessler; B Hofstoetter; D S Schatz; H Behensky; M Krismer; G Luz; P Innerhofer; H Benzer; A Saria; G Schuessler Journal: Psychosom Med Date: 2000 May-Jun Impact factor: 4.312
Authors: Rachael Powell; Neil W Scott; Anne Manyande; Julie Bruce; Claus Vögele; Lucie M T Byrne-Davis; Mary Unsworth; Christian Osmer; Marie Johnston Journal: Cochrane Database Syst Rev Date: 2016-05-26