Austin Health

Title
Prospective randomised controlled trial of written supplement to verbal communication of results to patients at the time of flexible cystoscopy.
Publication Date
2018-06
Author(s)
D'Arcy, Frank
Yip, Chew Lin
Manya, Kiran
McGivern, Paul
Manecksha, Rustom P
Bolton, Damien M
Sengupta, Shomik
Subject
Flexible cystoscopy
Information
RCT
Verbal
Written
Type of document
Journal Article
OrcId
0000-0003-3357-1216
0000-0002-5145-6783
DOI
10.1007/s00345-018-2233-7
Abstract
This trial assessed if written information on procedural findings and subsequent treatment improved understanding and reduced anxiety among patients undergoing day case flexible cystoscopy (FC). Participants completed pre- and post-procedure questionnaires self-rating anxiety and feeling well informed on 5-point Likert scales. Supplemental written information was provided after FC to half the patients on a standardized template, according to randomized allocation. Comparisons between the groups were undertaken using the Wilcoxon test. Two hundred patients were recruited, with 171 evaluable questionnaires (83 from written group). The distribution of age, sex and prior FC, as well as the pre-procedure self-assessment of anxiety and understanding, was similar between the two groups. Patients receiving written information reported feeling better informed, with median (range) Likert score of 5 (4-5) compared to 4 (1-5) out of 5 (p < 0.0001) and less anxious (score 1 [1-4] compared to 2 [1-5] out of 5, p < 0.005), although all except four patients had an accurate understanding of the information provided (p = NS). Written information at the time of FC leads to patients feeling better informed and less anxious, although verbal information alone appears to lead to an adequate understanding. ACTRN12616000288426.
Link
Citation
World Journal of Urology 2018; 36(6): 883-887
Jornal Title
World Journal of Urology

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