Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/10989
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dc.contributor.authorGyomber, Dennisen
dc.contributor.authorLawrentschuk, Nathanen
dc.contributor.authorWong, Peteren
dc.contributor.authorParker, Franken
dc.contributor.authorBolton, Damien Men
dc.date.accessioned2015-05-16T00:34:05Z
dc.date.available2015-05-16T00:34:05Z
dc.date.issued2010-10-01en
dc.identifier.citationBJU International; 106(8): 1152-6en
dc.identifier.govdoc20346048en
dc.identifier.otherPUBMEDen
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/10989en
dc.description.abstractto compare the comprehension gained by standard consent (SC) vs a unique interactive multimedia presentation (IMP), for radical prostatectomy (RP), as informed consent for RP requires that the patient understands the procedure and potential complications.forty patients undergoing RP were prospectively randomized to SC or IMP, followed by a 26-question test on critical aspects of the surgery and its implications. The groups were crossed over and re-tested, with a subsequent statistical analysis. SC involved typical verbal interaction and consultation with physicians and nurses, whilst the IMP provided consistent and animated information on these topics, and included multiple-choice questions probing understanding of key points. Progression through the IMP only occurred with correct responses; incorrect responses prompted a review of the information before repeating the question. Telephone interviews assessed usability, overall understanding, educational level and primary language.the patient groups had similar demographics. The IMP group (78%) had significantly higher knowledge test scores (P < 0.001) than the SC group (57%), suggesting a better understanding of the implications of surgery. This was maintained on crossover, with the SC group scores improving by 11% compared to testing before IMP (P < 0.001). The initial IMP group scores were unchanged on crossover and repeat testing (P < 0.05).IMP provides better patient understanding than SC for RP, by ensuring that the procedure and risks have been explained consistently, and by actively testing the patient. Such tools assist in obtaining ethical and legally informed consent, thus increasing patient knowledge whilst reducing patient anxiety and potential dissatisfaction or medico-legal consequences when less than ideal outcomes occur.en
dc.language.isoenen
dc.subject.otherDecision Making, Computer-Assisteden
dc.subject.otherEpidemiologic Methodsen
dc.subject.otherHumansen
dc.subject.otherInformed Consent.psychologyen
dc.subject.otherMaleen
dc.subject.otherMiddle Ageden
dc.subject.otherMultimediaen
dc.subject.otherPatient Education as Topic.methodsen
dc.subject.otherProstatectomy.psychologyen
dc.subject.otherProstatic Neoplasms.psychology.surgeryen
dc.titleImproving informed consent for patients undergoing radical prostatectomy using multimedia techniques: a prospective randomized crossover study.en
dc.typeJournal Articleen
dc.identifier.journaltitleBJU Internationalen
dc.identifier.affiliationUniversity of Melbourne, Department of Urology, Austin Health, Heidelberg, Victoria, Australiaen
dc.identifier.doi10.1111/j.1464-410X.2010.09309.xen
dc.description.pages1152-6en
dc.relation.urlhttps://pubmed.ncbi.nlm.nih.gov/20346048en
dc.type.austinJournal Articleen
local.name.researcherBolton, Damien M
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.fulltextNo Fulltext-
item.grantfulltextnone-
item.languageiso639-1en-
item.openairetypeJournal Article-
crisitem.author.deptUrology-
crisitem.author.deptUrology-
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