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Patient information via multimedia in radical prostatectomy

Not Applicable
Conditions
C61
Malignant neoplasm of prostate
Registration Number
DRKS00000096
Lead Sponsor
rologische Universitätsklinik Heidelberg
Brief Summary

Background Growing evidence supports the use of multimedia presentations for informing patients. Therefore, we supported preoperative education by adding a multimedia tool and examined the effects in a randomized controlled trial. Methods We randomized German-speaking patients scheduled for radical prostatectomy at our center to receive either a multimedia-supported (MME) or a standard education (SE). Outcomes were measured in a structured interview. Primary outcome was patient satisfaction. In addition, we applied validated instruments to determine anxiety and measures of decision-making. Results were given by mean and standard deviation. For comparison of groups we used t test and chi-square test. For an explorative analysis we applied multivariate logistic regression. Results We randomized 203 patients to receive MME (n = 102) or SE (n = 101). Complete satisfaction with preoperative education was more frequent in the MME group (69 vs 52 %, p = .016) and patients after MME reported more questions (5.7 vs 4.2, p = .018). There was no difference concerning the duration of talks and the number of recalled risks. However, perceived knowledge was higher after MME (1.3 vs 1.6, p = .037). Anxiety and measures of decision-making were comparable. Patients judged the multimedia tool very positive, and 74 % of the MME group thought that their preoperative education had been superior to SE. Conclusions Multimedia support should be considered worthwhile for improving the informed consent process before surgery (www.germanctr.de; DRKS00000096).

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
Male
Target Recruitment
203
Inclusion Criteria

Every patient planned to undergo radical prostatectomy at the Department of Urology, Univerity of Heidelberg, as far as he is of full age and able to give informed consent.

Exclusion Criteria

Beeing not able or not willing to give informed consent.

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
patient satisfaction<br>measured in the evening before surgery following the informed consent procedure by standardised interview and self-designed questionnaire (27 items)
Secondary Outcome Measures
NameTimeMethod
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