Eric H Rosenfeld1, Monica E Lopez1, Yangyang R Yu1, Caitlin A Justus1, Matthew M Borges1, Rincy C Mathai1, Aleena Karediya1, Wei Zhang2, Mary L Brandt3. 1. Michael E. DeBakey Department of Surgery, Pediatric Surgery Division, Texas Children's Hospital, Houston, TX, United States. 2. Outcomes & Impact Services, Texas Children's Hospital, Houston, TX, United States. 3. Michael E. DeBakey Department of Surgery, Pediatric Surgery Division, Texas Children's Hospital, Houston, TX, United States. Electronic address: mary.brandt@bcm.edu.
Abstract
BACKGROUND: Obtaining informed consent for surgical procedures is often compromised by patient and family educational background, complexity of the forms, and language barriers. We developed and tested a visual aid in order to improve the informed consent process for families of children with appendicitis. METHODS: Families were randomized to receive either a standard surgical consent or a standard consent plus visual aid. Univariate and multivariate analyses were performed to assess the effectiveness of adding the visual aid to the consent procedure. RESULTS: Parents in both cohorts were similar in age, gender and education level (p > 0.05). On multivariate analysis, visual consent had the strongest influence on parent/guardian comprehension (OR 4.0; 95%CI 2.2-7.2; p < 0.01), followed by post-secondary education (OR 2.7; 95%CI 1.5-4.9; p < 0.01), and use of external resources to look up appendicitis (OR 2.0; 95%CI 1.1-3.6; p = 0.02). CONCLUSION:Visual aids improve understanding and retention of information given during the informed consent process of children with appendicitis.
RCT Entities:
BACKGROUND: Obtaining informed consent for surgical procedures is often compromised by patient and family educational background, complexity of the forms, and language barriers. We developed and tested a visual aid in order to improve the informed consent process for families of children with appendicitis. METHODS: Families were randomized to receive either a standard surgical consent or a standard consent plus visual aid. Univariate and multivariate analyses were performed to assess the effectiveness of adding the visual aid to the consent procedure. RESULTS: Parents in both cohorts were similar in age, gender and education level (p > 0.05). On multivariate analysis, visual consent had the strongest influence on parent/guardian comprehension (OR 4.0; 95%CI 2.2-7.2; p < 0.01), followed by post-secondary education (OR 2.7; 95%CI 1.5-4.9; p < 0.01), and use of external resources to look up appendicitis (OR 2.0; 95%CI 1.1-3.6; p = 0.02). CONCLUSION: Visual aids improve understanding and retention of information given during the informed consent process of children with appendicitis.
Authors: Tyler J Loftus; Maria E Alfaro; Tiffany N Anderson; Travis W Murphy; Olga Zayko; John P Davis; Zachary A Hothem; Dijoia B Darden; Rohit P Patel; Wanda Whittet; Edward K McGough; Azra Bihorac; Chasen A Croft; Martin D Rosenthal; R Stephen Smith; Erin L Vanzant; Fredrick A Moore; Scott C Brakenridge; Gabriela L Ghita; Babette A Brumback; Alicia M Mohr; Philip A Efron Journal: Crit Care Explor Date: 2020-11-23