Department of Surgery, Johns Hopkins Bayview Medical Center, Baltimore, Maryland, USA.
Surg Obes Relat Dis. 2012 Mar-Apr;8(2):225-9; discussion 229. doi: 10.1016/j.soard.2011.10.015. Epub 2011 Nov 7.
All patients at our academic medical center complete a mandatory bariatric surgery information session before scheduling their first clinic visit. The patients could attend an in-person information session or view a prerecorded information session through our Web site. The study aimed to compare the information retention after both delivery methods using an institutional review board-approved test in an academic medical center in the United States.
From February 2010 through March 2011, 338 tests were voluntarily completed by new preoperative bariatric patients at their clinic visit. The patients provided basic demographic information, co-morbid medical conditions, and identified which bariatric procedures they were interested in. The test assessed the retention of information delivered during the information session, including knowledge of the risks and benefits of bariatric surgery, the surgical options available at our center, and the steps commonly required for insurance approval. The patients and surgeons were kept unaware of the results.
Of the patients, 54% attended the on-line information session; 80% of these participants were women, and their mean body mass index was 48.09 kg/m(2). The remaining 46% attended the in-person information session, and 83% of these participants were women and their mean body mass index was 49.08 kg/m(2). The average test score was 85.69% for the on-line group and 80.32% for the in-person group. The difference in test scores for the on-line and in-person groups was statistically significant (P = .003).
Internet-based training is rapidly becoming a key educational tool. Our results suggest that on-line training has the potential to be as effective as traditional in-person training in educating patients about bariatric surgery. Bariatric surgery centers might consider incorporating on-line training into their educational programs as a convenient and potentially effective way to educate patients.
我们的学术医疗中心的所有患者在安排首次就诊前都要参加强制性减重手术信息会议。患者可以参加现场信息会议，也可以通过我们的网站观看预先录制的信息会议。该研究旨在使用美国学术医疗中心机构审查委员会批准的测试比较两种传递方法后的信息保留情况。
从 2010 年 2 月到 2011 年 3 月，338 名新术前减重患者在诊所就诊时自愿完成了 338 次测试。患者提供了基本的人口统计学信息、合并的医疗状况，并确定了他们感兴趣的减重手术类型。该测试评估了信息会议中传递的信息保留情况，包括减重手术的风险和益处、我们中心提供的手术选择以及获得保险批准的常见步骤。患者和外科医生均不知道测试结果。
在患者中，有 54%参加了在线信息会议；参加在线信息会议的参与者中有 80%是女性，平均体重指数为 48.09kg/m2。其余 46%参加了现场信息会议，其中 83%是女性，平均体重指数为 49.08kg/m2。在线组的平均测试得分为 85.69%，现场组的平均测试得分为 80.32%。在线组和现场组的测试得分差异具有统计学意义（P =.003）。
基于互联网的培训正在迅速成为一种重要的教育工具。我们的研究结果表明，在线培训有可能与传统的面对面培训一样有效地教育患者有关减重手术的知识。减重手术中心可能会考虑将在线培训纳入其教育计划中，作为一种方便且有效的教育患者的方式。
