Frank D'Arcy1,2, Chew Lin Yip1, Kiran Manya1, Paul McGivern1, Rustom P Manecksha1,3, Damien Bolton1,4, Shomik Sengupta5,6,7. 1. Urology Department, Austin Health, Heidelberg, Australia. 2. Urology Department, Galway Hospital, Galway, Ireland. 3. Urology Department, St James Hospital, Dublin, Ireland. 4. Austin Department of Surgery, University of Melbourne, Heidelberg, Australia. 5. Urology Department, Austin Health, Heidelberg, Australia. shomik.sengupta@monash.edu. 6. Austin Department of Surgery, University of Melbourne, Heidelberg, Australia. shomik.sengupta@monash.edu. 7. Eastern Health Clinical School, Monash University, Level 2, 5 Arnold Street, Box Hill, VIC, 3128, Australia. shomik.sengupta@monash.edu.
Abstract
PURPOSE: This trial assessed if written information on procedural findings and subsequent treatment improved understanding and reduced anxiety among patients undergoing day case flexible cystoscopy (FC). METHODS:Participants completed pre- and post-procedure questionnaires self-rating anxiety and feeling well informed on 5-point Likert scales. Supplemental written information was provided after FC to half the patients on a standardized template, according to randomized allocation. Comparisons between the groups were undertaken using the Wilcoxon test. RESULTS:Two hundred patients were recruited, with 171 evaluable questionnaires (83 from written group). The distribution of age, sex and prior FC, as well as the pre-procedure self-assessment of anxiety and understanding, was similar between the two groups. Patients receiving written information reported feeling better informed, with median (range) Likert score of 5 (4-5) compared to 4 (1-5) out of 5 (p < 0.0001) and less anxious (score 1 [1-4] compared to 2 [1-5] out of 5, p < 0.005), although all except four patients had an accurate understanding of the information provided (p = NS). CONCLUSIONS: Written information at the time of FC leads to patients feeling better informed and less anxious, although verbal information alone appears to lead to an adequate understanding. CLINICAL TRIAL REGISTRATION NUMBER: ACTRN12616000288426.
RCT Entities:
PURPOSE: This trial assessed if written information on procedural findings and subsequent treatment improved understanding and reduced anxiety among patients undergoing day case flexible cystoscopy (FC). METHODS:Participants completed pre- and post-procedure questionnaires self-rating anxiety and feeling well informed on 5-point Likert scales. Supplemental written information was provided after FC to half the patients on a standardized template, according to randomized allocation. Comparisons between the groups were undertaken using the Wilcoxon test. RESULTS: Two hundred patients were recruited, with 171 evaluable questionnaires (83 from written group). The distribution of age, sex and prior FC, as well as the pre-procedure self-assessment of anxiety and understanding, was similar between the two groups. Patients receiving written information reported feeling better informed, with median (range) Likert score of 5 (4-5) compared to 4 (1-5) out of 5 (p < 0.0001) and less anxious (score 1 [1-4] compared to 2 [1-5] out of 5, p < 0.005), although all except four patients had an accurate understanding of the information provided (p = NS). CONCLUSIONS: Written information at the time of FC leads to patients feeling better informed and less anxious, although verbal information alone appears to lead to an adequate understanding. CLINICAL TRIAL REGISTRATION NUMBER: ACTRN12616000288426.
Entities:
Keywords:
Flexible cystoscopy; Information; RCT; Verbal; Written
Authors: Matthew Mossanen; Liam C Macleod; Alice Chu; Jonathan L Wright; Bruce Dalkin; Daniel W Lin; Lawrence True; John L Gore Journal: J Urol Date: 2016-05-19 Impact factor: 7.450
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