Research Article

Efficacy of informed consent process using educational videos for skin biopsy procedures

Dichitchai Mettarikanon 1 , Weeratian Tawanwongsri 2 * , Pitchaya Jaruvijitrattana 3 , Sasipaka Sindhusen 4 , Surinnart Charoenchitt 4 , Patsaraporn Manunyanon 5
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1 Division of Digital Content and Media, School of Informatics, Walailak University, Nakhon Si Thammarat, THAILAND2 Division of Dermatology, Department of Internal Medicine, School of Medicine, Walailak University, Nakhon Si Thammarat, THAILAND3 Chao Phraya Abhaibhubejhr Hospital, Prachin Buri, THAILAND4 Bhumibol Adulyadej Hospital, Bangkok, THAILAND5 School of Informatics, Walailak University, Nakhon Si Thammarat, THAILAND* Corresponding Author
Contemporary Educational Technology, 15(4), October 2023, ep477, https://doi.org/10.30935/cedtech/13755
Published: 02 October 2023
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ABSTRACT

The informed consent process is integral to medical procedures, including skin biopsies, which are the definitive method for diagnosing challenging skin lesions. Educational videos are recognized for effective delivery of information for informed consent. This study aimed to evaluate the efficacy of an informed consent process using educational videos to improve patient understanding and reduce preprocedural anxiety. This multicenter, randomized controlled study was conducted during December 2021-June 2023. Participants were randomly assigned to either the video or verbal group in a 1:1 ratio. They completed knowledge and anxiety questionnaires before and after biopsy. The final analysis included 54 participants (verbal group: n=28; video group: n=26) with a mean age of 51.9 years (standard deviation [SD] 18.1), and a balanced gender distribution. Post-intervention knowledge scores (median 10.0; IQR 8.0-10.0) significantly increased compared to pre-intervention scores (median 6.0; IQR 4.0-9.0), p<0.001. Post-intervention Spielberger state-trait anxiety inventory (STAI) scores (median 5.0; interquartile range, IQR 5.0-6.0) significantly decreased compared to pre-intervention scores (median 7.0; IQR 5.0-10.0), p<0.001. Knowledge scores increased more in the video group (median, 2.5; IQR 1.0-5.0) than in the verbal group (median, 1.5; IQR 0.0-4.0), p=0.217. There was no significant difference in STAI score changes between the video group (median 1.0, IQR 0.0-4.0) and the verbal group (median 1.0, IQR 0.0-3.0), p=0.824. Despite statistical insignificance, educational videos exhibited greater effectiveness in enhancing comprehension and demonstrated comparable efficacy in reducing anxiety compared to conventional intervention.
Keywords: educational videos, comprehension, anxiety, informed consent, skin biopsy

CITATION (APA)

Mettarikanon, D., Tawanwongsri, W., Jaruvijitrattana, P., Sindhusen, S., Charoenchitt, S., & Manunyanon, P. (2023). Efficacy of informed consent process using educational videos for skin biopsy procedures. Contemporary Educational Technology, 15(4), ep477. https://doi.org/10.30935/cedtech/13755

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