Hansen Steffen, Jensen Tue Secher, Schmidt Anne Mette, Strøm Janni, Vistisen Peter, Høybye Mette Terp
University Clinic for Interdisciplinary Orthopedic Pathways (UCOP), Elective Surgery Center, Silkeborg Regional Hospital, Silkeborg, Denmark.
Diagnostic Imaging, Silkeborg Regional Hospital, Silkeborg, Denmark.
J Med Internet Res. 2024 Dec 30;26:e58306. doi: 10.2196/58306.
Access to clear and comprehensible health information is crucial for patient empowerment, leading to improved self-care, adherence to treatment plans, and overall health outcomes. Traditional methods of information delivery, such as written documents and oral communication, often result in poor memorization and comprehension. Recent innovations, such as animation videos, have shown promise in enhancing patient understanding, but comprehensive investigations into their effectiveness across various health care settings are lacking.
This systematic review aims to investigate the effectiveness of animation videos on health information recall in adult patients across diverse health care sectors, comparing their impact to usual information delivery methods on short-term and long-term recall of health information.
We conducted systematic searches in PubMed, CINAHL, and Embase databases, supplemented by manual searches of reference lists. Included studies were randomized controlled trials involving adult participants (≥18 years) that focused on the use of animation videos to provide health information measured against usual information delivery practice. There were no language restrictions. Out of 2 independent reviewers screened studies, extracted data, and assessed the risk of bias using the Revised Cochrane risk-of-bias tool for randomized trials (RoB2), Covidence was used to handle screening and risk of bias process. A narrative synthesis approach was applied to present results.
A total of 15 randomized controlled trials-3 in the United States, 2 in France, 2 in Australia, 2 in Canada, and 1 in the United Kingdom, Japan, Singapore, Brazil, Austria, and Türkiye, respectively-met the inclusion criteria, encompassing 2,454 patients across various health care settings. The majority of studies (11/15, 73%) reported statistically significant improvements in health information recall when animation videos were used, compared with usual care. Animation videos ranged from 1 to 15 minutes in duration with the most common length ranging from 1 to 8 minutes (10/15) and used various styles including 2D cartoons, 3D computers, and whiteboard animations. Most studies (12/15) assessed information recall immediately after intervention, with only 3 studies including longer follow-up periods. Most studies exhibited some concerns related to the risk of bias, particularly in domains related to deviations from intended interventions and selection of reported results.
Animation videos appear to significantly improve short-term recall of health information among adult patients across various health care settings compared with usual care. This suggests that animation videos could be a valuable tool for informing patients in different health care settings. However, further research is needed to explore the long-term efficacy of these interventions, their impact on diverse populations, and how different animation styles might affect information recall. Future studies should also address methodological limitations identified in current research, including the use of validated outcome measures and longer follow-up periods.
PROSPERO CRD42022380016; http://crd.york.ac.uk/prospero/display_record.php?RecordID=380016.
获取清晰易懂的健康信息对于增强患者权能至关重要，有助于改善自我护理、坚持治疗计划并提升整体健康状况。传统的信息传递方式，如书面文件和口头交流，往往导致记忆和理解效果不佳。近期的创新方式，如动画视频，在增强患者理解方面显示出前景，但缺乏对其在不同医疗环境中有效性的全面调查。
本系统评价旨在调查动画视频对不同医疗领域成年患者健康信息记忆的有效性，并将其对健康信息短期和长期记忆的影响与常规信息传递方法进行比较。
我们在PubMed、CINAHL和Embase数据库中进行了系统检索，并辅以对参考文献列表的手动检索。纳入的研究为随机对照试验，涉及成年参与者（≥18岁），重点是使用动画视频提供健康信息，并与常规信息传递实践进行对比。无语言限制。由2名独立评审员筛选研究、提取数据，并使用随机试验的修订版Cochrane偏倚风险工具（RoB2）评估偏倚风险，Covidence用于处理筛选和偏倚风险过程。采用叙述性综合方法呈现结果。
共有15项随机对照试验符合纳入标准，其中美国3项、法国2项、澳大利亚2项、加拿大2项，英国、日本、新加坡、巴西、奥地利和土耳其各1项，涵盖了不同医疗环境中的2454名患者。大多数研究（11/15，73%）报告称，与常规护理相比，使用动画视频时健康信息记忆有统计学上的显著改善。动画视频时长从1分钟到15分钟不等，最常见的时长为1至8分钟（10/15），采用了多种风格，包括二维卡通、三维电脑动画和白板动画。大多数研究（12/15）在干预后立即评估信息记忆，只有3项研究包括更长的随访期。大多数研究在偏倚风险方面存在一些问题，特别是在与偏离预期干预和报告结果选择相关的领域。
与常规护理相比，动画视频似乎能显著提高不同医疗环境中成年患者对健康信息的短期记忆。这表明动画视频可能是在不同医疗环境中告知患者信息的有价值工具。然而，需要进一步研究来探索这些干预措施的长期疗效、对不同人群的影响以及不同动画风格如何影响信息记忆。未来的研究还应解决当前研究中发现的方法学局限性，包括使用经过验证的结局指标和更长的随访期。
PROSPERO CRD42022380016；http://crd.york.ac.uk/prospero/display_record.php?RecordID=380016
