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Video education can improve awareness of risks for patients undergoing endoscopic retrograde cholangiopancreatography: A randomized trial
Author(s) -
Xia Tian,
Zhu Yang Bei,
Zeng Yan Bo,
Chen Cui,
Wang Shu Ling,
Zhao Sheng Bing,
Su Xiao Ju,
Wang Dong,
Yao Jun,
Li Zhao Shen,
Bai Yu
Publication year - 2019
Publication title -
journal of digestive diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 51
eISSN - 1751-2980
pISSN - 1751-2972
DOI - 10.1111/1751-2980.12824
Subject(s) - informed consent , medicine , randomized controlled trial , endoscopic retrograde cholangiopancreatography , patient satisfaction , surgery , general surgery , family medicine , alternative medicine , pancreatitis , pathology
Objective We conducted a randomized trial aiming at improving patients' informed consent for undergoing endoscopic retrograde cholangiopancreatography (ERCP) in clinical care by comparing the efficacy of an additional educational video to written informed consent with that of written informed consent alone. Methods This was a single‐center, randomized controlled trial. Consecutive patients undergoing ERCP were randomized to a video education or a control group. An educational video detailing ERCP procedure plus standard written informed consent was administered to the video education group, while the control group reviewed standard written informed consent only. The primary outcome was the patients' perception of the risk or possibility of ERCP complications. Their perception of the benefits of ERCP, alternative treatments and overall satisfaction with the process of informed consent were also compared. Results In total 205 patients were included in the study (104 in the control group and 101 in the video education group). Patients’ comprehension of ERCP‐related complications in the video education group was significantly increased ( P < 0.001), and these patients were more likely to correctly identify the incidence of such complications. Significantly more patients in the video education group were very satisfied with informed consent process (87.1% vs 76.0%, P = 0.040) and fewer patients needed additional explanations (31.7% vs 47.1%, P = 0.024). Conclusions A supplementary educational video could greatly improve patient's understanding of ERCP procedure, in particular, its potential risks and complications, as well as their overall satisfaction with the process of informed consent ( ClinicalTrials.gov no. NCT02810379).