Khalil Rana, Kellett Salomey, Petrushkin Harry, Twomey Christine, Rahi Jugnoo, Solebo Ameenat Lola
Royal College of Surgeons, Dublin, Ireland.
Moorfields Eye Hospital NHS Trust, London, UK.
Eye (Lond). 2024 Feb;38(2):246-252. doi: 10.1038/s41433-023-02659-w. Epub 2023 Jul 17.
BACKGROUND/OBJECTIVES: There is a paucity of online educational content targeting children and young people with uveitis. We evaluated the impact of a co-designed patient education video on subjective and objective understanding of childhood uveitis.
SUBJECTS/METHODS: Co-designed patient education media were produced in collaboration with the Childhood Uveitis Studies steering group and the Great Ormond Street Hospital Generation R Young People's Advisory Group and narrated by children. Patients managed within the Uveitis service at GOSH were invited to take part in a pre-post survey, undertaken immediately prior to and following viewing of a patient education video.
Forty-three patients participated. These were stratified according to age, duration of disease, and treatment type for analysis. Self-rated knowledge improved across all groups (p = 0.001), particularly in those with a new diagnosis of uveitis (Z = -8.124, p < 0.001). Objective knowledge scores improved across all questions, especially in younger children, those with new disease, and those on steroid only treatment (Z = -3.847, p < 0.001, Z = -3.975, p < 0.001, Z = -3.448, p < 0.001; respectively). Most participants reported the videos to be easy to understand and with the right amount of information. All stated that they learned something new.
Patient understanding of disease and treatment is crucial to achieving the best possible outcomes for this chronic, relapsing remitting and potentially blinding disorder. Our findings data shows the potential value of co-designed patient information videos, specifically in our study benefitting younger patients and those recently diagnosed. We suggest that other clinical teams could collaborate fruitfully with patient groups to develop similar videos to target possible misinformation and potentially improve patient outcomes.
背景/目的:针对患有葡萄膜炎的儿童和青少年的在线教育内容匮乏。我们评估了一个共同设计的患者教育视频对儿童葡萄膜炎主观和客观理解的影响。
受试者/方法:与儿童葡萄膜炎研究指导小组和大奥蒙德街医院R代年轻人咨询小组合作制作了共同设计的患者教育媒体,并由儿童进行旁白。邀请在大奥蒙德街医院葡萄膜炎服务部门接受治疗的患者参加一项前后调查,该调查在观看患者教育视频之前和之后立即进行。
43名患者参与。根据年龄、病程和治疗类型进行分层分析。所有组的自评知识均有所提高(p = 0.001),尤其是那些新诊断为葡萄膜炎的患者(Z = -8.124,p < 0.001)。所有问题的客观知识得分均有所提高,尤其是年幼儿童、新发病患者和仅接受类固醇治疗的患者(分别为Z = -3.847,p < 0.001;Z = -3.975,p < 0.001;Z = -3.448,p < 0.001)。大多数参与者报告说这些视频易于理解且信息量适中。所有人都表示他们学到了新东西。
患者对疾病和治疗的理解对于实现这种慢性、复发缓解且可能致盲疾病的最佳治疗效果至关重要。我们的研究结果表明了共同设计的患者信息视频的潜在价值,特别是在我们的研究中,对年轻患者和新诊断患者有益。我们建议其他临床团队可以与患者群体富有成效地合作,开发类似的视频,以针对可能存在的错误信息,并可能改善患者的治疗效果。