Moshtaghi Omid, Haidar Yarah M, Sahyouni Ronald, Rajaii Ramin, Moshtaghi Afsheen, Mahmoodi Amin, Ghavami Yaser, Lin Harrison W, Djalilian Hamid R
Department of Otolaryngology-Head & Neck Surgery, University of California, Irvine, Irvine, CA, USA.
Department of Biomedical Engineering, University of California, Irvine, Irvine, CA, USA.
Am J Otolaryngol. 2017 Mar-Apr;38(2):174-178. doi: 10.1016/j.amjoto.2016.12.004. Epub 2016 Dec 29.
Physicians in the ambulatory setting face challenges in adequately educating patients in a brief office encounter.
To evaluate the efficacy of an iPad-based interactive educational module (iBook) in various otologic pathologies.
Patients presenting with symptoms of tinnitus, dizziness, hearing loss, or cochlear implant evaluation were included. In total, 44 patients received the iBook and 22 patients served as controls. Prior to viewing the iBook, patients completed a pre-survey to assess baseline knowledge. After viewing the iBook, patients completed a post-survey to assess changes in perception and knowledge of their disease. Results were compared to that of the control group who did not receive iBook supplementation prior to being seen by the physician.
Paired t-test analysis showed significant improvements (p<0.01) in both self-reported perception and concrete understanding in various concepts when compared to pre-iBook results. This was further compared to the control group, which showed a significant gain in factual knowledge (p=0.02).
Patients who viewed the iBook, personalized to their diagnosis, displayed significantly improved understanding of their condition. Increased use of interactive educational modalities, such as the iBook, can be of benefit to an otologic practice in improving patient education and satisfaction.
门诊环境中的医生在短暂的门诊会诊中充分教育患者面临挑战。
评估基于iPad的交互式教育模块（iBook）在各种耳科疾病中的疗效。
纳入出现耳鸣、头晕、听力损失或人工耳蜗评估症状的患者。总共44名患者接受了iBook，22名患者作为对照。在查看iBook之前，患者完成了一项预调查以评估基线知识。查看iBook后，患者完成了一项后调查以评估对其疾病的认知和知识变化。将结果与在医生就诊前未接受iBook补充的对照组进行比较。
配对t检验分析显示，与查看iBook之前的结果相比，在各种概念的自我报告认知和具体理解方面均有显著改善（p<0.01）；进一步与对照组比较显示事实性知识有显著增加（p=0.02）；
查看了根据其诊断进行个性化设置的iBook的患者对自身病情的理解有显著改善。增加使用交互式教育模式，如iBook，有助于耳科实践提高患者教育水平和满意度。
