Abstract:
INTRODUCTION:Standard print and verbal information provided to patients undergoing treatments are often difficult to understand and may impair their ability to be truly informed. This study examined the effect of an interactive multimedia informational program with in-line exercises and corrected feedback on patients' real-time understanding of their cardiac catheterization procedure. METHODS:151 adult patients scheduled for diagnostic cardiac catheterization were randomized to receive information about their procedure using either the standard institutional verbal and written information (SI) or an interactive iPad-based informational program (IPI). Subject understanding was evaluated using semi-structured interviews at baseline, immediately following catheterization, and 2 weeks after the procedure. In addition, for those randomized to the IPI, the ability to respond correctly to several in-line exercises was recorded. Subjects' perceptions of, and preferences for the information delivery were also elicited. RESULTS:Subjects randomized to the IPI program had significantly better understanding following the intervention compared with those randomized to the SI group (8.3±2.4 vs 7.4±2.5, respectively, 0-12 scale where 12=complete understanding, P<0.05). First-time correct responses to the in-line exercises ranged from 24.3% to 100%. Subjects reported that the in-line exercises were very helpful (9.1±1.7, 0-10 scale, where 10=extremely helpful) and the iPad program very easy to use (9.0±1.6, 0-10 scale, where 10=extremely easy) suggesting good clinical utility. DISCUSSION:Results demonstrated the ability of an interactive multimedia program to enhance patients' understanding of their medical procedure. Importantly, the incorporation of in-line exercises permitted identification of knowledge deficits, provided corrected feedback, and confirmed the patients' understanding of treatment information in real-time when consent was sought.
journal_name
Int J Med Informjournal_title
International journal of medical informaticsauthors
Tait AR,Voepel-Lewis T,Chetcuti SJ,Brennan-Martinez C,Levine Rdoi
10.1016/j.ijmedinf.2014.01.011subject
Has Abstractpub_date
2014-05-01 00:00:00pages
376-84issue
5eissn
1386-5056issn
1872-8243pii
S1386-5056(14)00024-0journal_volume
83pub_type
杂志文章,随机对照试验abstract:PURPOSE:The speed and high potential impact of avian influenza's (AI) on local bird populations, poultry economies and human health make timely and coordinated characterization, assessment and response to possible threats essential. To collaborate effectively, stakeholders (public health, medical, veterinary, and agric...
journal_title:International journal of medical informatics
pub_type: 杂志文章
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abstract::The Medical Dictionary for Regulatory Activities Terminology (MedDRA) version 2.1 (V2.1) was released in March 1999 accompanied by the MedDRA/J V2.1J specifically for Japanese users. In prescription-event monitoring in Japan (J-PEM), we have employed the MedDRA/J for data entry, signal generation and event listing. In...
journal_title:International journal of medical informatics
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journal_title:International journal of medical informatics
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journal_title:International journal of medical informatics
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abstract:OBJECTIVES:To compare the usability of different Picture Archiving and Communication System (PACS) workstations, determine whether a usability test has added value with respect to the traditional way of comparing PACSs based on functional requirements, and to evaluate the appropriateness of a task-based methodology for...
journal_title:International journal of medical informatics
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journal_title:International journal of medical informatics
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journal_title:International journal of medical informatics
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2006.05.017
更新日期:2007-06-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2011.10.003
更新日期:2011-12-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章,多中心研究
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更新日期:2015-10-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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更新日期:2002-12-18 00:00:00
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journal_title:International journal of medical informatics
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doi:10.1016/j.ijmedinf.2005.10.007
更新日期:2006-10-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2008.05.007
更新日期:2009-02-01 00:00:00
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pub_type: 杂志文章
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更新日期:2013-05-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2007-06-01 00:00:00
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journal_title:International journal of medical informatics
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更新日期:2005-08-01 00:00:00
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更新日期:2019-10-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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更新日期:2019-09-01 00:00:00
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journal_title:International journal of medical informatics
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更新日期:2010-04-01 00:00:00