Athena Institute for Trans-Disciplinary Research, VU University Amsterdam, Amsterdam, The Netherlands.
Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Prenat Diagn. 2019 May;39(6):456-463. doi: 10.1002/pd.5463. Epub 2019 May 10.
To evaluate face-to-face information provision in patient counselling for prenatal screening compared with two forms of digital information provision, namely, noninteractive instructional video or interactive video.
We performed a prospective, noninferiority, cluster-randomized controlled trial comparing face-to-face (usual care) with two forms of digital information provision (intervention) in counselling for prenatal screening. This study was performed in the Amsterdam UMC, the Netherlands, in 2017, and included women in the first trimester of pregnancy. Main outcomes were knowledge gained by the patient and counselling duration. We performed a noninferiority analysis.
One hundred forty-one women were included, randomized, and analysed. The baseline characteristics were comparable. The intervention group was noninferior compared with the control group regarding the level of satisfaction. The knowledge grade difference was higher after using intervention, and the duration was significantly longer in the face-to-face group at 23 minutes versus 16 minutes. The addition of interaction with the video made no difference in any of the outcomes.
Adding an instructional video to patient counselling is of added value to improve patient's knowledge and shorten time consumption of the counsellor, therefore possibly saving costs. But this form of counselling maintains the same level of satisfaction.
评估与两种数字信息提供方式（即非交互式教学视频或交互式视频）相比，面对面的信息提供在产前筛查患者咨询中的效果。
我们进行了一项前瞻性、非劣效性、整群随机对照试验，比较了面对面（常规护理）与两种数字信息提供方式（干预）在产前筛查咨询中的效果。该研究于 2017 年在荷兰阿姆斯特丹大学医学中心进行，纳入了处于妊娠早期的女性。主要结局是患者获得的知识和咨询时间。我们进行了非劣效性分析。
共纳入 141 名女性进行随机分组和分析。基线特征具有可比性。与对照组相比，干预组在满意度方面无差异。使用干预措施后，患者的知识水平差异更高，面对面组的咨询时间明显更长，为 23 分钟，而 16 分钟。与视频进行互动并没有对任何结果产生影响。
在患者咨询中添加教学视频可以提高患者的知识水平，并缩短咨询师的时间消耗，从而可能节省成本。但这种咨询方式的满意度保持不变。
