Evidence map›Paper›PMID 24552970›Full record

Trial reportInternational journal of medical informatics2014

Enhancing patient understanding of medical procedures: evaluation of an interactive multimedia program with in-line exercises.

Alan R Tait, Terri Voepel-Lewis, Stanley J Chetcuti, Colleen Brennan-Martinez, Robert Levine

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of medical informatics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Interventions to Improve Patient Comprehension in Informed Consent for Medical and Surgical Procedures: An Updated Systematic Review.Medical decision making : an international journal of the Society for Medical Decision Making · 2020
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  16. Assessing the Acceptability, Feasibility, and Effectiveness of a Tablet-Based Cervical Cancer Educational Intervention.Journal of cancer education : the official journal of the American Association for Cancer Education · 2017
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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

5 authors.

Alan R TaitDepartment of Anesthesiology, University of Michigan Health System, Ann Arbor, MI, United States; Center for Bioethics and Social Sciences in Medicine, University of Michigan, United States. Electronic address: atait@umich.edu.
Terri Voepel-LewisDepartment of Anesthesiology, University of Michigan Health System, Ann Arbor, MI, United States.
Stanley J ChetcutiDepartment of Cardiology, University of Michigan Health System, Ann Arbor, MI, United States.
Colleen Brennan-MartinezDepartment of Cardiology, University of Michigan Health System, Ann Arbor, MI, United States.
Robert LevineEmergency Care Center, Jackson Memorial Hospital, Miami, FL, United States; ArchieMD, Inc., Boca Raton, FL, United States.

Funding

Strategies to Optimize Communication of Informed Consent for Pediatric ResearchR01HD053594 · NICHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI TAIT, ALAN R · 2007 to 2011
$1.6M
An Interactive Informed Consent Program for Cardiac ProceduresR42HL087488 · NHLBI · ARCHIEMD, INC. · PI LEVINE, ROBERT J, TAIT, ALAN R · 2010 to 2011
$977k
NHLBI NIH HHS 2R42HL087488NHLBI NIH HHS R42 HL087488NICHD NIH HHS R01 HD053594NICHD NIH HHS R01HD053594
6 · The paper itself

Abstract

introductionStandard print and verbal information provided to patients undergoing treatments are often difficult to understand and may impair their ability to be truly informed. This study examined the effect of an interactive multimedia informational program with in-line exercises and corrected feedback on patients' real-time understanding of their cardiac catheterization procedure.

methods151 adult patients scheduled for diagnostic cardiac catheterization were randomized to receive information about their procedure using either the standard institutional verbal and written information (SI) or an interactive iPad-based informational program (IPI). Subject understanding was evaluated using semi-structured interviews at baseline, immediately following catheterization, and 2 weeks after the procedure. In addition, for those randomized to the IPI, the ability to respond correctly to several in-line exercises was recorded. Subjects' perceptions of, and preferences for the information delivery were also elicited.

resultsSubjects randomized to the IPI program had significantly better understanding following the intervention compared with those randomized to the SI group (8.3±2.4 vs 7.4±2.5, respectively, 0-12 scale where 12=complete understanding, P<0.05). First-time correct responses to the in-line exercises ranged from 24.3% to 100%. Subjects reported that the in-line exercises were very helpful (9.1±1.7, 0-10 scale, where 10=extremely helpful) and the iPad program very easy to use (9.0±1.6, 0-10 scale, where 10=extremely easy) suggesting good clinical utility. DISCUSSION: Results demonstrated the ability of an interactive multimedia program to enhance patients' understanding of their medical procedure. Importantly, the incorporation of in-line exercises permitted identification of knowledge deficits, provided corrected feedback, and confirmed the patients' understanding of treatment information in real-time when consent was sought.

Indexed as

User-Computer InterfaceAdultCardiac CatheterizationComprehensionComputer-Assisted InstructionFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMedical Informatics ApplicationsMiddle AgedMultimediaPatient Education as TopicProgram EvaluationHealth information technologyMultimediaPatient comprehension

Identifiers

PMID24552970
PMCPMC3980467

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.