Using a Multimedia Tool for Informed Consent in Mohs Surgery: A Randomized Trial Measuring Effects on Patient Anxiety, Knowledge, and Satisfaction

Macey Delcambre, Dylan Haynes, Tamar Hajar, Spring Golden, Anna Bar, Emile Latour, Justin J. Leitenberger

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

BACKGROUNDMultimedia educational materials have been found to improve aspects of informed consent, although data in the context of Mohs micrographic surgery (MMS) is limited.OBJECTIVETo assess whether a preoperative educational video decreases anxiety, increases comprehension, and improves overall satisfaction for patients undergoing same-day office consultation and MMS.MATERIALS AND METHODSThis single-center randomized controlled trial included patients above the age of 18 years undergoing MMS for skin cancer between October 2015 and December 2015. Patients were randomized to view a short preoperative video on MMS in addition to traditional informed consent versus informed consent without video viewing. Questionnaires were used to assess preoperative anxiety, knowledge, and satisfaction.RESULTSFrom 231 consecutively enrolled subjects, there were no significant differences in anxiety (p =.626) or satisfaction (p =.065) between groups. Subjects receiving the intervention were able to more accurately recognize risks of MMS (88% vs 69% of controls, p <.001) and had improved subject-reported confidence in understanding procedural risks and benefits (89% vs 71% of controls, p =.049). Composite comprehension scores were similar between groups (p =.131).CONCLUSIONA preoperative MMS educational video increased recognition of procedural risks, but did not improve patient anxiety or satisfaction.

Original languageEnglish (US)
Pages (from-to)591-598
Number of pages8
JournalDermatologic Surgery
Volume46
Issue number5
DOIs
StatePublished - May 1 2020

ASJC Scopus subject areas

  • Surgery
  • Dermatology

Fingerprint

Dive into the research topics of 'Using a Multimedia Tool for Informed Consent in Mohs Surgery: A Randomized Trial Measuring Effects on Patient Anxiety, Knowledge, and Satisfaction'. Together they form a unique fingerprint.

Cite this