Korean J Pain.  2012 Oct;25(4):254-257. 10.3344/kjp.2012.25.4.254.

Preconsent Video-Assisted Instruction Improves the Comprehension and Satisfaction in Elderly Patient Visiting Pain Clinic

• Kim SH
• Koh WU
• Rhim JH
• Karm MH
• Yu HS
• Lee BY
• Shin JW
• Leem JG

• KMID: 2278166
• DOI: http://doi.org/10.3344/kjp.2012.25.4.254

Abstract

BACKGROUND
Elderly patients visiting pain clinic may be at greater risk of misunderstanding the explanation because of age-related cognitive decline. Video instruction may provide a consistent from of teaching in a visual and realistic manner. We evaluated the effect of educational video on the patient understanding and satisfaction in a group of geriatric patients visiting pain clinic.
METHODS
Ninety two patients aged more than 60 years old who were scheduled for transforaminal epidural block were recruited. After exposure to either video or paper instruction process, each patient was asked 5-item comprehension questions, overall satisfaction and preference question. During follow-up period, number of outpatient referral-line call for further explanation was counted.
RESULTS
We observed significantly better comprehension in the video education compared with paper instruction (P < 0.001). Patient satisfaction was also higher in the video group (P = 0.015), and patients visiting pain clinic were more preferred video instruction (P < 0.001). Proportion of referral-line call for further explanation were similar (P = 0.302).
CONCLUSIONS
Video approach to instruction process before consent improves treatment comprehension in geriatric patient visiting pain clinic.

Keyword

aged; communication; comprehension; instructional videos; satisfaction

MeSH Terms

Aged
Comprehension
Follow-Up Studies
Humans
Outpatients
Pain Clinics
Patient Satisfaction

Figure

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  Fig. 1 A patient in the video group was asked to watch the video instruction for the treatment with voice-over explanation.

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  Fig. 2 Comprehension score (left) and proportion of patient preference (right) for video and paper instruction. *P < 0.001.

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