Oxford Video Informed Consent Tool (OxVIC): a pilot study of informed video consent in spinal surgery and preoperative patient satisfaction

Gerard Mawhinney, Chrishan Thakar, Victoria Williamson, Dominique A Rothenfluh, Jeremy Reynolds, Gerard Mawhinney, Chrishan Thakar, Victoria Williamson, Dominique A Rothenfluh, Jeremy Reynolds

Abstract

Objectives: The British Association of Spinal Surgeons recently called for updates in consenting practice. This study investigates the utility and acceptability of a personalised video consent tool to enhance patient satisfaction in the preoperative consent giving process.

Design: A single-centre, prospective pilot study using questionnaires to assess acceptability of video consent and its impacts on preoperative patient satisfaction.

Setting: A single National Health Service centre with individuals undergoing surgery at a regional spinal centre in the UK.

Outcome measure: As part of preoperative planning, study participants completed a self-administered questionnaire (CSQ-8), which measured their satisfaction with the use of a video consent tool as an adjunct to traditional consenting methods.

Participants: 20 participants with a mean age of 56 years (SD=16.26) undergoing spinal surgery.

Results: Mean patient satisfaction (CSQ-8) score was 30.2/32. Median number of video views were 2-3 times. Eighty-five per cent of patients watched the video with family and friends. Eighty per cent of participants reported that the video consent tool helped to their address preoperative concerns. All participants stated they would use the video consent service again. All would recommend the service to others requiring surgery. Implementing the video consent tool did not endure any significant time or costs.

Conclusions: Introduction of a video consent tool was found to be a positive adjunct to traditional consenting methods. Patient-clinician consent dialogue can now be documented. A randomised controlled study to further evaluate the effects of video consent on patients' retention of information, preoperative and postoperative anxiety, patient reported outcome measures as well as length of stay may be beneficial.

Keywords: informed consent; patient satisfaction; spinal surgery; video consent.

Conflict of interest statement

Competing interests: None declared.

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Figures

Figure 1
Figure 1
An overview of the Oxford Video Informed Consent Tool process.

References

    1. Montgomery v Lanarkshire Health Board Scotland. UKSC 11. 2015.
    1. Bolam v Friern Hospital Management Committee. 1: WLR 583. 1957.
    1. Sidaway v Board of Governors of the Bethlem Royal Hospital. 1: All ER 643. 1985.
    1. De Freitas v O’Brien. P.I.Q.R. P281. 1995.
    1. Bolitho (Deceased) v City & Hackney HA. P.I.Q.R. P334. 1997.
    1. Herring J, Fulford K, Dunn M, et al. . Elbow Room for Best Practice? Montgomery, Patients' values, and Balanced Decision-Making in Person-Centred Clinical Care. Med Law Rev 2017;25:582–603. 10.1093/medlaw/fwx029
    1. Powell JM, Rai A, Foy M, et al. . The ‘three-legged stool’ - A system for spinal infomred consent. Bone Joint J 2016;98:427–30.
    1. Saigal R, Clark AJ, Scheer JK, et al. . Adult Spinal Deformity Patients Recall Fewer Than 50% of the Risks Discussed in the Informed Consent Process Preoperatively and the Recall Rate Worsens Significantly in the Postoperative Period. Spine 2015;40:1079–85. 10.1097/BRS.0000000000000964
    1. Grady C, Cummings SR, Rowbotham MC, et al. . Informed Consent. N Engl J Med Overseas Ed 2017;376:856–67. 10.1056/NEJMra1603773
    1. Rowbotham MC, Astin J, Greene K, et al. . Interactive informed consent: randomized comparison with paper consents. PLoS One 2013;8:e58603 10.1371/journal.pone.0058603
    1. McConnell MV, Shcherbina A, Pavlovic A, et al. . Feasibility of obtaining measures of lifestyle from a smartphone app: the My Heart Counts Cardiovascular Health Study. JAMA 2017;2:67–76.
    1. Batuyong ED, Jowett AJ, Wickramasinghe N, et al. . Using multimedia to enhance the consent process for bunion correction surgery. ANZ J Surg 2014;84:249–54. 10.1111/ans.12534
    1. Briggs M, Wilkinson C, Golash A. Digital multimedia books produced using iBooks Author for pre-operative surgical patient information. J Vis Commun Med 2014;37:59–64. 10.3109/17453054.2014.974516
    1. Bowers NE, Montbriand E, Jaskolka J, et al. . Using a multimedia presentation to improve patient understanding and satisfaction with informed consent for minimally invasive vascular proceddures. Surgeon 2015;17:7–11.
    1. Tipotsch-Maca SM, Varsits RM, Ginzel C, et al. . Effect of a multimedia-assisted informed consent procedure on the information gain, satisfaction, and anxiety of cataract surgery patients. J Cataract Refract Surg 2016;42:110–6. 10.1016/j.jcrs.2015.08.019
    1. Eggers C, Obliers R, Koerfer A, et al. . A multimedia tool for the informed consent of patients prior to gastric banding. Obesity 2007;15:2866–73. 10.1038/oby.2007.340
    1. Winter M, Kam J, Nalavenkata S, et al. . The use of portable video media vs standard verbal communication in the urological consent process: a multicentre, randomised controlled, crossover trial. BJU Int 2016;118:823–8. 10.1111/bju.13595
    1. Nguyen TD, Attkisson CC, Stegner BL. Assessment of patient satisfaction: Development and refinement of a Service Evaluation Questionnaire. Eval Program Plann 1983;6(3-4):299–313. 10.1016/0149-7189(83)90010-1
    1. Attkisson CC, Zwick R. The client satisfaction questionnaire: Psychometric properties and correlations with service utilisation and psychotherapy outcome’. Eval Program Plann 1983;5:233–7.
    1. Larson DLA, Hargreaves CC, W.A Nguyen, T.D. Assessment of client / patient satisfaction: development and refinement of a service evaluation questionnaire. Eval Program Plann 1979;6:299–313.
    1. Nguyen TD, Attkisson CC, Stegner BL. Assessment of patient satisfaction: development and refinement of a service evaluation questionnaire. Eval Program Plann 1983;6:299–313. 10.1016/0149-7189(83)90010-1
    1. LLC TMS. CSQ Scales. 2018.
    1. Sahai A, Kucheria R, Challacombe B, et al. . Video consent: a pilot study of informed consent in laparoscopic urology and its impact on patient satisfaction. JSLS 2006;10:21–5.
    1. Bollschweiler E, Apitzsch J, Apitsch J, et al. . Improving informed consent of surgical patients using a multimedia-based program? Results of a prospective randomized multicenter study of patients before cholecystectomy. Ann Surg 2008;248:205–11. 10.1097/SLA.0b013e318180a3a7
    1. Gyomber D, Lawrentschuk N, Wong P, et al. . Improving informed consent for patients undergoing radical prostatectomy using multimedia techniques: a prospective randomized crossover study. BJU Int 2010;106:1152–6. 10.1111/j.1464-410X.2010.09309.x
    1. Wang C, Ammon P, Beischer AD. The use of multimedia as an adjunct to the informed consent process for Morton’s neuroma resection surgery. Foot Ankle Int 2014;35:1037–44. 10.1177/1071100714543644
    1. Stacey D, Légaré F, Lewis K, et al. . Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev 2017;4:CD001431 10.1002/14651858.CD001431.pub5
    1. Hallock JL, Rios R, Handa VL. Patient satisfaction and informed consent for surgery. Am J Obstet Gynecol 2017;217:181.e1–7. 10.1016/j.ajog.2017.03.020
    1. Nehme J, El-Khani U, Chow A, et al. . The use of multimedia consent programs for surgical procedures: a systematic review. Surg Innov 2013;20:13–23. 10.1177/1553350612446352
    1. UK C. UK smartphone penetration continues to rise to 85% of adult population UK: . 2017.
    1. Sacks GD, Lawson EH, Dawes AJ, et al. . Relationship Between Hospital Performance on a Patient Satisfaction Survey and Surgical Quality. JAMA Surg 2015;150:858–64. 10.1001/jamasurg.2015.1108

Source: PubMed

Спонсоры и соавторы

Заболевания

Медикаментозные вмешательства

Подписаться