Watch this space: a systematic review of the use of video-based media as a patient education tool in ophthalmology

Reem Farwana, Adam Sheriff, Haider Manzar, Mohammad Farwana, Ammar Yusuf, Ibrahim Sheriff, Reem Farwana, Adam Sheriff, Haider Manzar, Mohammad Farwana, Ammar Yusuf, Ibrahim Sheriff

Abstract

Effective clinician-patient communication is particularly important in ophthalmology where long-term adherence to treatment is often required. However, in the context of increasingly pressurised clinics, there is a tendency to resort to written information leaflets not suited to patients with visual impairment, non-English speakers or those with low levels of literacy. Video-based media could be harnessed to enhance clinician-patient communication. This systematic review aimed to assess the efficacy of using video-based media for patient education in ophthalmology. A pre-defined search strategy was used by two independent researchers to systematically review the PubMed, MEDLINE, EMBASE and PsycINFO databases. Eligible articles included peer-reviewed studies involving ophthalmology patients, who received a solely video-based educational intervention to assess for improvement in patient knowledge, behaviour and overall health-related outcomes. The search yielded 481 studies of which 31 passed initial screening. Following full-text analysis, 12 studies met the inclusion criteria, of which seven studies (58.3%) were randomised controlled trials. The majority of studies (58.3%) reported outcomes on patient comprehension with 5/7 (71%) showing statistically significant improvement after video intervention. Four studies (33.3%) reported on patient performance in a task (e.g. drop application method) or overall health-related outcome with 2/4 (50%) showing statistically significant improvement after intervention. Though more evidence is needed, the use of video-based media appears to be effective in improving patient understanding and in certain cases may ameliorate overall outcome. There is a paucity of well-designed studies and future research is required to fully examine the role of video-based media in patient education.

Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1. PRISMA flow diagram highlighting the…
Fig. 1. PRISMA flow diagram highlighting the process of study selection.
A total of 12 studies were included in the systematic review.
Fig. 2
Fig. 2
Study designs of the papers included in the systematic review.
Fig. 3. Countries of origin on the…
Fig. 3. Countries of origin on the studies included.
Eleven out of twelve studies were single centre; Note that one multicentre study assessed cohorts in the USA and UK.

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Source: PubMed

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