Submission ID 77402

Code P32
At the end of this workshop, participants will be able to:
Category Medical Education
Type Poster
Will the presenter be a: Student
Title Evaluating the Effectiveness of Video-Assisted Informed Consent in Surgery: A Systematic Review
Background/Purpose Here we review the impact of video-assisted informed consent (VAIC) on patient knowledge and experience, compared to traditional informed consent (IC), for surgical interventions.
Methods MEDLINE, EMBASE, CINAHL, EBM Reviews, and Google Scholar were searched for peer-reviewed studies published until May 21, 2022, that: (i) were full-text randomized or non-randomized controlled trials, and (ii) evaluated the effect of VAIC, compared to standard IC, on patient comprehension, recall and/or anxiety for surgical procedures.
Results Thirty-six studies were included, comprising a total of 3483 patients. Twenty-four studies (82.8%) demonstrated significant improvement in patient comprehension and three in recall (75%) with the implementation of the video-adjunct. Patient anxiety was evaluated in 16 studies, three of which saw a significant improvement using VAIC. Overall satisfaction improved with the use of VAIC in 24 (96.0%) studies; however, this difference only reached significance in nine (36.0%) studies. VAIC decreased consultation length compared to standard IC.
Discussion Notwithstanding substantial heterogeneity between studies, most reported an improvement in patient knowledge, patient satisfaction, and clinical efficiency with VAIC. The paucity of data on the feasibility of developing video-adjuncts and their acceptability to clinicians and patients, makes it difficult to identify and subsequently address potential implementation barriers. Notably, most VAICs did not adequately address all four tenets of IC: procedure knowledge, risks, benefits, and alternatives; procedure knowledge and risks were the most consistently communicated. Further well-designed studies are required to develop a standardized framework for the development and validation of VAIC tools to optimize the IC process.
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Abstract content most relevant to: (check all that apply) Continuing Professional Development (CPD) (faculty development, CME)
Abstract Track - First Choice Patient Safety
Authors Apoorva Bhandari
Apoorva Bhandari
Peter Gariscsak
Laryssa Kemp
Faizal Haji

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