A randomized controlled trial comparing video-assisted informed consent with standard consent for Mohs micrographic surgeryCapsule Summary

Yueyue Miao, BAdvSci; Victoria L. Venning, MD; Kylie-Ann Mallitt, PhD; Julia E.J. Rhodes, MD; Noah J. Isserman, PhD; Gilberto Moreno, MD; Simon Lee, MD; William Ryman, MD; Gayle Fischer, MD; Rebecca B. Saunderson, MD

JAAD International (Jul 2020)

A randomized controlled trial comparing video-assisted informed consent with standard consent for Mohs micrographic surgeryCapsule Summary

Yueyue Miao, BAdvSci,
Victoria L. Venning, MD,
Kylie-Ann Mallitt, PhD,
Julia E.J. Rhodes, MD,
Noah J. Isserman, PhD,
Gilberto Moreno, MD,
Simon Lee, MD,
William Ryman, MD,
Gayle Fischer, MD,
Rebecca B. Saunderson, MD

Affiliations

Yueyue Miao, BAdvSci: Sydney Medical School, The University of Sydney, Camperdown, New South Wales, Australia; Correspondence to: Yueyue Miao, BAdvSci, Sydney Medical School, University of Sydney, Camperdown, NSW 2050, Australia.
Victoria L. Venning, MD: Sydney Skin Hospital, Darlinghurst, New South Wales, Australia
Kylie-Ann Mallitt, PhD: Centre for Big Data Research in Health, The University of New South Wales, Kensington, New South Wales, Australia
Julia E.J. Rhodes, MD: Department of Dermatology, The Alfred Hospital, Melbourne, Victoria, Australia
Noah J. Isserman, PhD: The University of Illinois Urbana-Champaign, Champaign, Illinois
Gilberto Moreno, MD: Department of Dermatology, Royal North Shore Hospital, St Leonards, New South Wales, Australia
Simon Lee, MD: Sydney Skin Hospital, Darlinghurst, New South Wales, Australia
William Ryman, MD: Sydney Skin Hospital, Darlinghurst, New South Wales, Australia; Department of Dermatology, Royal North Shore Hospital, St Leonards, New South Wales, Australia
Gayle Fischer, MD: Sydney Medical School, The University of Sydney, Camperdown, New South Wales, Australia; Department of Dermatology, Royal North Shore Hospital, St Leonards, New South Wales, Australia
Rebecca B. Saunderson, MD: Sydney Medical School, The University of Sydney, Camperdown, New South Wales, Australia; Department of Dermatology, Royal North Shore Hospital, St Leonards, New South Wales, Australia; Department of Dermatology, Prince of Wales Hospital, Randwick, New South Wales, Australia

Journal volume & issue: Vol. 1, no. 1
pp. 13 – 20

Abstract

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Background: There is a need for improvement in informed medical consent to address the lack of standardization and to increase patient engagement. Objective: To investigate the use of a video to aid informed consent for Mohs micrographic surgery and evaluate patient understanding, satisfaction, anxiety, and time savings relative to verbal consent. Methods: A 2-armed randomized controlled trial involving 102 patients compared video-assisted consent with a control group who underwent consent in the standard verbal manner. All participants underwent questionnaire-based testing of knowledge, satisfaction, and anxiety, and the time of each consultation was measured. Results: Patients who watched the video performed significantly better in the knowledge questionnaire compared with the control group (P = .02), were more satisfied with their understanding of the risks of Mohs micrographic surgery (P = .013), and spent less time with their physician (P = .008). Additionally, 78.4% of video group patients reported that they preferred seeing the video before speaking with their physician. Limitations: The study design may not replicate day-to-day clinical practice. Conclusion: Video-assisted consent for Mohs micrographic surgery improves patient knowledge, leads to a better understanding of the risks, and saves physicians time without compromising patient satisfaction and anxiety levels in this study setting.

Published in JAAD International

ISSN: 2666-3287 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Dermatology
Website: https://www.journals.elsevier.com/jaad-international

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