The Department of Spinal Surgery, Oxford University Hospitals NHS Foundation Trust.
Nuffield Department of Clinical Medicine, Division of Experimental Medicine, University of Oxford, Oxford, UK.
BMJ Open. 2019 Jul 24;9(7):e027712. doi: 10.1136/bmjopen-2018-027712.
The British Association of Spinal Surgeons recently called for updates in consenting practice. This study investigates the utility and acceptability of a personalised video consent tool to enhance patient satisfaction in the preoperative consent giving process.
A single-centre, prospective pilot study using questionnaires to assess acceptability of video consent and its impacts on preoperative patient satisfaction.
A single National Health Service centre with individuals undergoing surgery at a regional spinal centre in the UK.
As part of preoperative planning, study participants completed a self-administered questionnaire (CSQ-8), which measured their satisfaction with the use of a video consent tool as an adjunct to traditional consenting methods.
20 participants with a mean age of 56 years (SD=16.26) undergoing spinal surgery.
Mean patient satisfaction (CSQ-8) score was 30.2/32. Median number of video views were 2-3 times. Eighty-five per cent of patients watched the video with family and friends. Eighty per cent of participants reported that the video consent tool helped to their address preoperative concerns. All participants stated they would use the video consent service again. All would recommend the service to others requiring surgery. Implementing the video consent tool did not endure any significant time or costs.
Introduction of a video consent tool was found to be a positive adjunct to traditional consenting methods. Patient-clinician consent dialogue can now be documented. A randomised controlled study to further evaluate the effects of video consent on patients' retention of information, preoperative and postoperative anxiety, patient reported outcome measures as well as length of stay may be beneficial.
英国脊柱外科医师协会最近呼吁更新同意书的实践。本研究调查了个性化视频同意工具在增强术前同意过程中患者满意度方面的效用和可接受性。
一项单中心、前瞻性试点研究，使用问卷调查评估视频同意的可接受性及其对术前患者满意度的影响。
一家单一的国民保健制度中心，参与者在英国的区域脊柱中心接受手术。
作为术前计划的一部分，研究参与者完成了一份自我管理的问卷（CSQ-8），该问卷衡量了他们对视频同意工具作为传统同意方法的辅助工具的满意度。
20 名平均年龄为 56 岁（SD=16.26）的脊柱手术患者。
平均患者满意度（CSQ-8）评分为 30.2/32。中位数视频观看次数为 2-3 次。85%的患者与家人和朋友一起观看了视频。80%的参与者报告说，视频同意工具有助于解决他们术前的担忧。所有参与者表示他们将再次使用视频同意服务。所有参与者都表示将向需要手术的其他人推荐该服务。引入视频同意工具并没有带来显著的时间或成本增加。
引入视频同意工具被发现是传统同意方法的一个积极补充。现在可以记录医患同意对话。一项随机对照研究可能有助于进一步评估视频同意对患者信息保留、术前和术后焦虑、患者报告的结果测量以及住院时间的影响。
