University of South Carolina, Columbia, SC, United States.
JMIR Mhealth Uhealth. 2015 Jan 12;3(1):e2. doi: 10.2196/mhealth.3732.
Many studies have provided evidence of the importance of quality provider-patient communications and have suggested improvements to patient understanding by using video-based instruction.
The objective of this study was to understand how mobile information technology assisted video and three-dimensional (3D) image instruction, provided by a health care worker, influences two categories of outcome: (1) patient understanding of information about their condition and detailed medical discharge instructions; and (2) patient perceptions and attitudes toward their health care providers, which included physicians, nurses, and staff. We hypothesize that video and 3D image instruction, provided on a mobile, tablet hardware platform, will improve patient understanding about the diagnostic testing, diagnoses, procedures, medications, and health topics provided to them. We also propose that use of the tablet/video combination will result in improved attitudinal evaluation by patients of their providers and the treatment plan.
This study evaluated a hospital clinic-based trial (patient N=284) of video and 3D image instruction, provided on a mobile, tablet hardware platform, and its potential to improve patient understanding about the diagnostic testing, diagnoses, procedures, medications, and health topics provided to them.
Results showed strong evidence that the system was perceived as helpful for improving patient understanding, and that it improved communication between physicians and patients (P<.001). The advanced age of some patients had no effect on their perceptions of the tablet-based mediation. Physician comments provided useful insights on effective use of such systems in the future. Implications for further development and future research are discussed.
This study added to the body of evidence that computer-assisted video instructional systems for patients can improve patient understanding of medical instructions from their health care providers and assist with patient compliance. In addition, such systems can be appealing to both patient and provider.
许多研究都证实了医患间高质量沟通的重要性，并提出通过视频教学来提高患者的理解能力。
本研究旨在了解医疗保健工作者提供的移动信息技术辅助视频和三维（3D）图像教学如何影响两个方面的结果：（1）患者对其病情和详细医疗出院说明信息的理解；（2）患者对其医疗服务提供者（包括医生、护士和工作人员）的看法和态度。我们假设，在移动平板电脑硬件平台上提供的视频和 3D 图像教学将提高患者对诊断测试、诊断、程序、药物和向他们提供的健康主题的理解。我们还提出，使用平板电脑/视频组合将导致患者对其提供者和治疗计划的态度评估得到改善。
本研究评估了一项基于医院诊所的试验（患者 N=284），该试验使用移动平板电脑硬件平台提供视频和 3D 图像教学，以评估其提高患者对诊断测试、诊断、程序、药物和健康主题的理解的潜力。
结果表明，该系统有助于提高患者的理解能力，改善医患沟通，这一结论有充分的证据支持（P<.001）。一些患者年龄较大，但这并不影响他们对基于平板电脑的治疗的看法。医生的评论为今后有效使用此类系统提供了有用的见解。讨论了进一步开发和未来研究的意义。
本研究为计算机辅助患者视频教学系统可以提高患者对医疗服务提供者的医疗指导的理解能力并有助于提高患者的依从性这一观点提供了更多的证据。此外，此类系统可能同时受到患者和提供者的欢迎。
