Evidence map›Paper›PMID 15249265›Full record

Trial reportJournal of medical Internet research2004

Improvement of the educational process by computer-based visualization of procedures: randomized controlled trial.

Manuel Enzenhofer, Hans-Bernd Bludau, Nadja Komm, Beate Wild, Knut Mueller, Wolfgang Herzog, Achim Hochlehnert

Abstract readClinical TrialComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Patient education in the management of coronary heart disease.The Cochrane database of systematic reviews · 2017
    Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Article
  7. Article
  8. Shared decision making and patient decision aids: knowledge, attitudes, and practices among Hawai'i physicians.Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2013
    Article
  9. Informed consent for digestive endoscopy.World journal of gastrointestinal endoscopy · 2012
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Manuel EnzenhoferDepartment of General Internal and Psychosomatic Medicine, University of Heidelberg, Medical University Hospital, Heidelberg, Germany. ManuelEnzenhofer@web.de
Hans-Bernd Bludau
Nadja Komm
Beate Wild
Knut Mueller
Wolfgang Herzog
Achim Hochlehnert

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBefore any invasive procedure, physicians have a legal obligation to inform patients. Traditionally, this involves a discussion with a physician, supplemented by written leaflet information directed at the specific procedure.

objectiveComparison of the use and effectiveness of computer-based visualization opposed to standardized conversation for providing patients with information of forthcoming procedures (coronary catheters or endoscopy procedures).

methodsProspective, randomized trial with 56 participants allocated in two different groups: Visualization Group (standardized information supported by a tool for displaying two-dimensional pictures to explain medical facts as well as informative leaflet) or Control Group (standardized information and informative leaflet only). Detailed information was given about the indication, the probable complications and the details of the forthcoming procedures (coronary catheters or endoscopy procedures). All participants had to reach a Karnofsky Score of 70 points and be able to understand German or English. Main outcome measures were patient's satisfaction with physician-patient conversation, patient's acquired knowledge and duration of the intervention as described above.

resultsPatients of the Visualization Group were more satisfied with the conversation and had higher knowledge scores after the conversation. A Mann-Whitney-U-Test between the two groups showed that these differences in satisfaction (P<0.001) and knowledge (P= or <0.006) were statistically significant. Length of time needed for the conversation was slightly higher in the Visualization Group, but this difference was not statistically significant (25 versus 23 min; P= 0.441). No differences could be found due to differing age or educational level in the results of the Visualization and the Control Group.

conclusionsUsing computerized visualization increased the satisfaction and knowledge of the patients. The presentation of the visualized information in the Visualization Group did not demand significantly more time than the standard conversation in the Control Group.

Indexed as

AdultAgedAged, 80 and overComputer-Assisted InstructionComputer GraphicsDisclosureFemaleGeneral SurgeryHumansInformed ConsentMaleMiddle AgedPatient Education as TopicPatient SatisfactionPhysician-Patient RelationsProspective Studies

Identifiers

PMID15249265
PMCPMC1550596

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.