Non-video Group Research Articles

Video Versus Nonvideo in a Rabbit Training Model for Establishing an Emergency Front of Neck Airway in Children: A Prospective Trial.

Simulating a realistic "cannot intubate, cannot oxygenate" (CICO) situation to train an "emergency front of neck airway" is difficult. It further remains unclear if provision of regular technical refreshers improves performance in the setting of a real CICO situation. The purpose of this prospective study on an established surgical rabbit cadaver tracheostomy model was to evaluate the benefit of viewing training material shortly before performing "emergency front of neck airway." Previously trained participants were randomized into 2 groups. The control group (video) was allowed to watch an instructional video before performing a tracheotomy on the training model, while the study group (nonvideo) was not. Queried outcomes included success rate, performance time, and severe secondary airway injuries between the 2 groups. In 29 tracheotomies performed by 29 participants, the overall success rate was 86% (92% video; 81% nonvideo, P = 0.4). Performance time was not different between the 2 groups (video: 80 s [IQR25-75: 53-86], nonvideo 64 s [IQR25-75: 47-102]; P = 0.93). Only in the nonvideo group, the performance time and the time between the workshops correlated positively (P = 0.048). Severe secondary injuries were noted in 4 of 29 rabbit cadavers, 2 in each group. Watching a refresher video before performing an emergency surgical tracheostomy in an infant training model did not influence the success rate and the performance time in previously trained anesthetists. These results highlight the ease of learning, memorization, and recall of this emergency surgical tracheostomy technique and may demonstrate its applicability in a real infant CICO situation.

The effect of informative video before the procedure on anxiety levels in patients who will have ureteral stent removal under local anesthesia

ObjectiveOur objective was to assess the impact of video-animated information on the anxiety levels of patients undergoing ureteral stent removal under local anesthesia. MethodThe study was designed as a randomized prospective trial. The one group received only verbal and written information before the surgery, while the other group received video-animated information in addition to the written and verbal instructions. The patients’ anxiety levels were assessed using the STAI-S and STAI-T questionnaires, while their pain scores were evaluated using VAS scores. Tolerability and satisfaction scores were also evaluated on a 5-point Likert scale. ResultsThe video-group (Group 1) consisted of 74 patients, while the non-video group (Group 2) consisted of 82 patients. The mean pre-information STAI-T score was 34.4 ± 3.7 in Group 1 and 35.2 ± 3 in the Group 2 (p = 0.113). In the video group, pre-information STAI-S scores was 34.8 ± 3.3 and post-information STAI-S scores was 33.8 ± 3 (p < 0.001). In the non-video group, pre-information STAI-S score was 35.6 ± 2.6 and post-information STAI-S score was 35.5 ± 2.7 (p = 0.260). The mean VAS score of Group 1 is 5.7 ± 1.2 and Group 2 is 5.7 ± 1.4 (p = 0.608). The mean tolerability scores of Group 1 and Group 2 were 3.7 ± 0.9 and 2.7 ± 1, respectively. The mean satisfaction scores of Group 1 and Group 2 were 4.1 ± 0.9 and 2.6 ± 1, respectively. Both tolerability score and satisfaction score improved statistically significantly after video information (p < 0.001). ConclusionProviding video-animated information in addition to written and verbal information before removing the ureteral stent reduces patients’ preoperative anxiety. Furthermore, patient tolerance and satisfaction are higher when informative videos are included.

El efecto del vídeo informativo preoperatorio sobre los niveles de ansiedad en pacientes que serán intervenidos para extracción del stent ureteral bajo anestesia local

ObjectiveOur objective was to assess the impact of video-animated information on the anxiety levels of patients undergoing ureteral stent removal under local anesthesia. MethodThe study was designed as a randomized prospective trial. The one group received only verbal and written information before the surgery, while the other group received video-animated information in addition to the written and verbal instructions. The patients’ anxiety levels were assessed using the STAI-S and STAI-T questionnaires, while their pain scores were evaluated using VAS scores. Tolerability and satisfaction scores were also evaluated on a 5-point likert scale. ResultsThe video-group (Group 1) consisted of 74 patients, while the non-video group (Group 2) consisted of 82 patients. The mean pre-information STAI-T score was 34.4±3.7 in Group 1 and 35.2±3 in the Group 2 (p=0.113). In the video group, pre-information STAI-S scores was 34.8±3.3 and post-information STAI-S scores was 33.8±3 (p<0.001). In the non-video group, pre-information STAI-S score was 35.6±2.6 and post-information STAI-S score was 35.5±2.7 (p=0.260). The mean VAS score of Group 1 is 5.7±1.2 and Group 2 is 5.7±1.4 (p=0.608). The mean tolerability scores of Group 1 and Group 2 were 3.7±0.9 and 2.7±1, respectively. The mean satisfaction scores of Group 1 and Group 2 were 4.1±0.9 and 2.6±1, respectively. Both tolerability score and satisfaction score improved statistically significantly after video information (p<0.001). ConclusionProviding video-animated information in addition to written and verbal information before removing the ureteral stent reduces patients’ preoperative anxiety. Furthermore, patient tolerance and satisfaction are higher when informative videos are included.

Effects of an animated educational video on knowledge of cell-free DNA screening among Thai pregnant women: a randomized control trial

BackgroundIn developing countries, pregnant women have insufficient knowledge about cell-free DNA screening. Reports from developed countries have found that various tools in prenatal genetic counseling can improve the knowledge of pregnant women who undergo cell-free DNA screening. Data are limited from developing countries where women have different baseline socio-educational backgrounds. The objective of this study was to compare the effects of an animated educational video combined with traditional counseling versus traditional counseling alone in changing pregnant women’s knowledge of cell-free DNA screening.MethodsThis study was a randomized control trial at an antenatal clinic. Eligible subjects who were Thai pregnant women, were randomized to either view or not view the 4-minute animated educational video explaining cell-free DNA screening. Both groups received traditional counseling. The women were asked to complete a Thai questionnaire assessing knowledge of the screening before and after intervention. The questionnaire consisted of three sections: demographic data of the research participants and their existing awareness about cell-free DNA testing; performance and limitations of cell-free DNA screening; and participants’ attitudes toward the positive screening. Primary outcome was the change in knowledge scores. Secondary outcomes were attitudes toward positive screening test, levels of satisfaction with counseling, and screening acceptance rates.ResultsData from 83 women in the video group and 82 in the non-video group were analyzed. The knowledge score (range 0–18) change after counseling was significantly higher in the video group than the non-video group (+ 7.1 ± 3.3 vs + 4.2 ± 2.5; p = 0.03). There were no significant differences in attitudes toward positive screening test (p = 0.83), levels of satisfaction (p = 0.24), or screening acceptance rates (p = 0.15) between the groups.ConclusionsAdding the video to traditional counseling was better than traditional counseling alone in improving pregnant women’s knowledge about cell-free DNA screening.Trial registrationThe study was retrospectively registered with the Thai Clinical Trials Registry (TCTR20210917001, 17/09/2021).

Effect of Reinforced Video by WeChat on Adenoma Detection Rate for Colonoscopy.

To evaluate the influence of reinforced educational video through smartphone WeChat on adenoma detection rate (ADR). Randomised controlled study. Place and Duration of the Study: Department of Gastroenterology, Xiantao First People's Hospital affiliated to Yangtze University, Hubei, China, from May 2020 to December 2021. All participants received written instructions regarding bowel preparation and diet before colonoscopy. After randomisation, patients in video group received educational videos through WeChat, two days before the colonoscopy. The primary endpoint was ADR. The secondary outcomes were polyp detection rate (PDR), quality of bowel preparation, adverse events, and satisfaction with preparation. Five-hundred and sixty-four patients were included in the study (284 in video group and 280 in non-video group). ADR was similar in both groups without significant difference (26.4% vs. 23.2%, p=0.38). PDR was not different among the two groups (31.7% vs. 30.4%). The total cleansing score and percentage of adequate bowel preparation in the video group were higher compared with non-video group (p<0.05). Moreover, patient satisfaction was also higher in video group (p=0.048), and the incidence of adverse events in both groups was similar. The availability of a supplementary educational video before colonoscopy was insufficient to improve ADR and PDR, but offered benefits on bowel preparation quality and patient satisfaction. Video, Adenoma detection rate, Bowel preparation, Colonoscopy.

The Effect of Smartphone Video on Lead Time to Diagnosis of Infantile Spasms

To assess whether access to smartphone video capture of infantile spasms at initial presentation is associated with improved time to diagnosis and treatment. We conducted a collaborative retrospective cohort study of 80 consecutive infants with confirmed infantile epileptic spasms syndrome initially presenting from 2015 to 2021 at 2 US pediatric centers. Statistical methods used included Mann-Whitney U test to assess the difference in lead times to electroencephalogram (EEG), diagnosis, and treatment between groups with and without video capture. A χ2 analysis was used to assess differences in demographics, clinical characteristics, and treatment outcomes between groups. Multivariate regression analysis was used to account for etiology types and infantile spasms capture on EEG. Patients with smartphone video infantile spasms capture initially presented a median of 9days earlier (P=.02), had their first EEG 16days earlier (P=.007), and were diagnosed and started treatment 17days earlier (P=.006 and P=.008, respectively) compared with the nonvideo group. The video group had a 25% greater response to initial standard treatment (P=.02) and a 21% greater freedom from infantile spasms at long-term follow-up (P=.03), although this long-term outcome lost statistical significance after adjustment for etiology type (P=.07) and EEG capture of infantile spasms (P=.059). Our findings suggest a benefit of smartphone video capture of infantile spasms in reduced time to diagnosis and initial standard treatment, which are associated with improved treatment response rates. Substantial differences in lead times and treatment response highlight the clinical importance of pediatricians recommending caregivers to obtain smartphone video of events concerning for infantile spasms.

Getting Rid of Patient's Misconceptions About the Radiology Department Using Animated Video in the Waiting Room.

Objectives:Patients often confuse the role of the radiologist with that of the technician. The aim of this study is to explore patients’ current perceptions about the radiology department and to evaluate how it’s possible to get rid of misconceptions using informative animated video in the waiting room.Materials and Methods:In this multi-centric study (UZ Leuven, ZNA Middelheim), 278 patients of all ages and education levels were surveyed in the radiology waiting room. 107 patients filled out the survey after watching an informative animated video (www.makeradiologyvisible.com). The remaining patients did not watch the video.Results:Half of the patients (86/171) in the non-video group believe the radiologist “performs the scanning”, compared to 19% (20/107) in the video group (p < 0.001). Patients who think their own physician will interpret the images is 36% (61/171) in the non-video group and 10% (11/107) in the video group (p < 0.001). In the non-video group, 32% (55/171) believe the technician performs the exam compared to 59% (63/107) in the video group (p < 0.001). After the video, 67% (72/107) of patients have more respect for the work of the radiologist, 52% (56/107) experience less anxiety and 65% (70/107) think the video is of added value to their visit. All items showed a better impact in high-educational subgroups.Conclusion:Animated informative videos help to increase patient knowledge about the radiology department. It moderates expectations, reduces anxiety, and ameliorates the overall experience. Although, the learning curve is steeper in highly educated patients, all educational levels benefit.

Video-Assisted Simulation Training in Burn Management: A Comparative Cohort Study on the Assessment of Technical and Non-technical Competencies

BackgroundWritten material remains one of the most common methods of education, however the current generation of learners may benefit from additional different media. In our study, we aim to quantify the effects of an innovative video instruction on subsequent resident performance in a burn patient simulation. MethodsFollowing IRB approval, 60 Plastic Surgery residents were randomly assigned to two groups. The control group (“non-video” group) (n = 30) was given only written material as preparation. The experimental group (“video” group) (n = 30) was provided access to video training materials in addition to the written material on technical and non-technical skills. Their videotaped performances on simulation were evaluated by a blinded surgical faculty member. The comparison of variables between the two groups was performed using a Mann-Whitney test for non-normal distributions of quantitative variables, and Fisher's Exact Probability test for qualitative data. Statistical significance was set at p < 0.05. ResultsCompared to the non-video group, the video group achieved significantly higher scores in the technical skills of assessment of breathing (p = 0.015), disability (p = 0.023), and exposure (p = 0.005) and in the non-technical skills of decision-making (p = 0.035). ConclusionsIn residents participating in burn patient simulations, video training in advance of the simulation significantly improved their assessments of breathing, disability, and exposure as well as decision-making. Our video is a valuable tool to enhance trainees’ technical and non-technical competencies in managing burn patient simulations.

Evaluating the Success of Perioperative Self-Guided Meditation in Reducing Sleep Disturbance After Total Knee Arthroplasty

BackgroundDisruptions in sleep and pain are frequent complaints following total knee arthroplasty (TKA). Perioperative sleep disturbances may lead to decreased pain tolerance as well as other consequences. The purpose of this study is to evaluate the effectiveness of self-guided meditation for improving sleep quality following TKA. MethodsTKA patients, at a single institution, between August 2019 and March 2020 were exposed to a self-guided meditation video during the perioperative period via an online, digital platform. Patients were given an institutionally designed questionnaire to assess sleep quality in the perioperative period. Knee injury and Osteoarthritis Outcome Score-Joint Replacement form, Veterans RAND 12-item Health Survey, and satisfaction scores were also collected. Results were compared between those who reported utilizing the video and those who did not. ResultsA total of 380 patients were evaluated. One hundred eighty-nine patients reported utilizing the video, while 191 did not. No significant differences were found among baseline age, gender, or preoperative outcome variables between groups. Postoperatively, the video group’s reported time spent actually sleeping improved an average of 52 minutes more than the nonvideo group (95% confidence interval 49.8-52.8 minutes, P < .001). The video group also showed significantly larger decreases in overall sleep awakenings (P < .001), however not pain-related disturbances (P = .726). No significant differences in patient-reported outcome measures were noted between groups. ConclusionsSleep quality is an important component of TKA recovery. These findings provide evidence that nonpharmacologic interventions, such as self-guided meditation, may help improve sleep quality in the perioperative period. Future studies are warranted to further investigate their potential benefits.

The effect of an educational video on long-acting reversible contraception (LARC) utilization at 6-8weeks postpartum period: a randomized controlled trial.

Long-acting reversible contraception is highly effective in preventing unintended pregnancy and unsafe abortion. An educational video administered during early postpartum period might be an effective tool to improve postpartum LARC use. The objectives were to evaluate whether a postpartum educational video about LARC could increase postpartum LARC utilization at 6-8weeks postpartum and to assess why postpartum women did not receive LARC. This randomized-controlled trial was conducted at the postpartum unit of a university Hospital between August 2016 and February 2017. Postpartum women who were aged > 20years and willing to participate were recruited. Participants allocated to the study group watched the 7-min educational video on LARC methods while the control group did not. To assess LARC utilization, data were collected at 6-8weeks postpartum using telephone calls and/or medical record review to determine postpartum contraception use and reasons for not using LARC. Two-hundred and seventy participants were enrolled, and the video (135) and non-video (135) groups had similar baseline characteristics. In the video group, 57.8% (95% CI 49.0-66.2) reported using a LARC method, compared to 25.9% (95% CI 18.8-34.2) in the non-video group (p < 0.05). The reasons for not using LARC in both groups were inconvenience of access (42.0-43.8%) and uncertainty about methods (17.0-24.6%). The educational video introduced at immediate postpartum period was efficacious in increasing the utilization of LARC at 6-8weeks postpartum. Inconvenience of access was the most common reason cited for not using LARC. Clinicaltrials.in.th TCTR20171225001 "retrospectively registered".

The effects of a video-based education in women with newly diagnosed breast cancer in Singapore

The purpose of this study was to evaluate the impact of an educational video among women who were newly diagnosed with breast cancer on knowledge, anxiety, and satisfaction with their surgical decision. A pre-post-test design was used to evaluate knowledge, anxiety, and satisfaction levels with decision-making regarding surgery among women with breast cancer. A purposive sampling strategy was implemented to compare outcomes of newly diagnosed breast cancer women who received standard of care that included breast care nurse counseling sessions and written materials to women who received standard of care plus a supplement educational video. Knowledge and anxiety scores were collected at baseline and 2weeks post-operatively. Satisfaction with decision (SWD) on the nature of surgery was gathered 2weeks after surgery. Sixty-two subjects were recruited in a Singapore tertiary cancer center with a cohort of 32 women in the non-video group and 30 women in the video group. There was a statistically significant interaction effect of group and time (p = .008), wherein knowledge increased for both groups, although the increase was steeper for the video group. Both groups had significantly lower anxiety at post-implementation compared to pre-implementation (p < .001). There were no differences in SWD scores in both groups. Use of an additional video-based education significantly increased breast cancer knowledge levels among women in the educational video group. Nurses and healthcare professionals should focus on identifying individual informational needs based on surgical options to provide personalize care and transfer the necessary knowledge in empowering woman's decision-making process on her nature of breast surgery.

Video Diversion Improves Success Rate of Fundoscopic Examination in Children: A Prospective Randomized Controlled Trial

BackgroundFundoscopy is an important component of the neurological examination as it can detect pathologies such as high intracranial pressure. However, the examination can be challenging in young children. This study evaluated whether playing a video during eye examination improves the success, duration, and ease of pediatric fundoscopy. Materials and MethodsThis was a prospective, multipractitioner, multiclinic, randomized controlled trial. Patients aged one to four years were recruited in the emergency department, neurology clinic, spinal cord clinic, and general pediatric clinic. Eye examination was randomized to video or non–video-assisted fundoscopy. Successful examinations were defined as visualizing the fundus within 60 seconds. Time to visualize optic disc was recorded and difficulty of examination was assessed using a 10-point Likert scale. ResultsWe recruited 101 subjects with a mean age of 2.8 years. Overall, there was a 20% absolute improvement in the success rate of visualizing the optic disc in the video versus non-video group (P < 0.001, 95%CI: 7.8% to 31%). Time to visualize optic disc was also improved (Δ5.3 seconds, P < 0.01, 95%CI: 1.4 to 9.1 seconds). Practitioners and caregivers noticed a 33% (P < 0.01, 95%CI: 21% to 44%) and 42% (P < 0.01, 95%CI: 30% to 56%) relative improvement in the ease of examination with video, respectively. ConclusionsThe use of videos improved the ease, duration, and, most importantly, the success of fundoscopy in younger children. This simple, inexpensive adjunct has great potential to improve the ease and efficacy of this aspect of the neurological examination and allow fundoscopic examination to be effectively performed earlier in the age-appropriate vision screening protocols.

Knowing Operative Tying: The KnOT Study

BACKGROUND: The purpose of this study was to determine if viewing an expert knot tying training video, in addition to the standard medical student curriculum, will result in more proficient surgical knot tying. METHODS: At the start of the clerkship, 20 students were videotaped tying surgical knots for 2 minutes using a board model. Two blinded gynecologic surgeons evaluated proficiency with a standard checklist (score range 0–16) and anchored scoring scale (range 0–20); higher numbers represent better skill. Students were randomized to either (1) expert video or (2) no video. The “video” group was given unlimited access to a knot tying instructional video. At the completion of the clerkship, students were again videotaped and evaluated. RESULTS: At initial evaluation, overall the group mean checklist score was 8.7±4.9, and the anchored scale score was 9.9±4.6 (range 0–18). These pre-clerkship scores did not differ between groups (P=.11 and 0.12, respectively). Post-clerkship checklist scores significantly improved in both the non-video group (14.2±1.6, P=.02) and video group (13.5±2.9, P=.003); similarly, anchor scores also improved in both groups (17.1±3.0, P=.004 and 16.5±3.4, P=.003, respectively). Knot board practice frequency was not different between groups (P=.23). In the expert video group, increased practice significantly correlated with higher post-rotation scores on both the checklist (r=0.69, P&lt;.05) and anchored scales (r=0.68, P&lt;.05). DISCUSSION: The addition of an instructional video appears to have a positive impact on medical student knot tying proficiency.

A randomized controlled trial of an educational video to improve quality of bowel preparation for colonoscopy.

BackgroundHigh-quality bowel preparation is necessary for colonoscopy. A few studies have been conducted to investigate improvement in bowel preparation quality through patient education. However, the effect of patient education on bowel preparation has not been well studied.MethodsA randomized and prospective study was conducted. All patients received regular instruction for bowel preparation during a pre-colonoscopy visit. Those scheduled for colonoscopy were randomly assigned to view an educational video instruction (video group) on the day before the colonoscopy, or to a non-video (control) group. Qualities of bowel preparation using the Ottawa Bowel Preparation Quality scale (Ottawa score) were compared between the video and non-video groups. In addition, factors associated with poor bowel preparation were investigated.ResultA total of 502 patients were randomized, 250 to the video group and 252 to the non-video group. The video group exhibited better bowel preparation (mean Ottawa total score: 3.03 ± 1.9) than the non-video group (4.21 ± 1.9; P < 0.001) and had good bowel preparation for colonoscopy (total Ottawa score <6: 91.6 % vs. 78.5 %; P < 0.001). Multivariate analysis revealed that males (odds ratio [OR] = 1.95, P = 0.029), diabetes mellitus patients (OR = 2.79, P = 0.021), and non-use of visual aids (OR = 3.09, P < 0.001) were associated with poor bowel preparation. In the comparison of the colonoscopic outcomes between groups, the polyp detection rate was not significantly different between video group and non-video group (48/250, 19.2 % vs. 48/252, 19.0 %; P = 0.963), but insertion time was significantly short in video group (5.5 ± 3.2 min) than non-video group (6.1 ± 3.7 min; P = 0.043).ConclusionThe addition of an educational video could improve the quality of bowel preparation in comparison with standard preparation method.Trial registrationClinical Research Information Service KCT0001836. The date of registration: March, 08th, 2016, Retrospectively registered.Electronic supplementary materialThe online version of this article (doi:10.1186/s12876-016-0476-6) contains supplementary material, which is available to authorized users.

Role of pre-operative multimedia video information in allaying anxiety related to spinal anaesthesia: A randomised controlled trial.

Background and Aims:A high incidence of anxiety has been reported in patients in the operation theatre set up. We developed a short visual clip of 206 s duration depicting the procedure of spinal anaesthesia (SAB) and aimed to compare the effect of this video on perioperative anxiety in patients undergoing procedures under SAB.Methods:A prospective randomised study of 200 patients undergoing surgery under SAB was conducted. Patients were allotted to either the nonvideo group (Group NV - those who were not shown the video) or the video group (Group V - those who were shown the video). Anxiety was assessed using the Spielberger State-Trait Anxiety Inventory during the pre-anaesthetic check-up and before surgery. Haemodynamic parameters such as heart rate (HR) and mean arterial pressure (MAP) were also noted. Student's t-test was used for normally distributed and Mann–Whitney U-test for nonnormally distributed quantitative data. Chi-square test was used for categorical data.Results:Both groups were comparable with respect to baseline anxiety scores and haemodynamic parameters. The nonvideo group showed a significant increase in state anxiety scores before administration of SAB (P < 0.001). Patients in the video group had significantly lower HR and MAP preoperatively (P < 0.001). The prevalence of ‘high anxiety’ for SAB was 81% in our study which decreased to 66% in the video group before surgery.Conclusion:Multimedia information in the form of a short audiovisual clip is an effective and feasible method to reduce perioperative anxiety related to SAB.

CACN Platform Presentations

Background: Fundoscopy is an important component of the neurological examination, but can be challenging in uncooperative children. This study explores whether playing a video during eye examination, improves the success, duration and ease of pediatric fundoscopy. Methods: We completed a prospective, multi-clinic, block-randomized trial. Patients 1-4 years were recruited in the emergency department, neurology, spinal cord and general pediatric clinic. Patients were randomized (by eye examined) to video/non-video assisted fundoscopy. Successful exams were defined as visualizing the fundus within 60 seconds. Time to visualize optic disc was recorded and difficulty of exam was examined using a 10-point Likert scale. Results: 101 subjects were recruited, with a mean age of 2.8 years. Overall, there was a 20% absolute improvement in the success rate of visualizing the optic disc in the video versus non-video group (p&lt;0.01). Time to visualize optic disc was also improved (Δ5.3s, p&lt;0.01). Improvement in ease of examination with video were noted by caregivers and practitioners (p&lt;0.01). Conclusion: Playing a video improved the ease, duration and most importantly the success of fundoscopy in younger children. This simple, inexpensive adjunct has great potential to improve the ease and efficacy of this aspect of the neurological examination.

Patient education videos for elective colorectal surgery: results of a randomized controlled trial

Recent advances in surgery have focused on peri-operative care and interventions to improve outcome following surgery. Psychological preparation has a positive impact on recovery and incorporates a range of strategies with dissemination of information as one of the key elements. Information can be given verbally, through printed information or through use of a video. Traditionally, reliance has been on the use of written material as an adjunct to patient education in clinic. The current study is a randomized trial on the use of video education in patients undergoing elective colorectal resection within an enhanced recovery programme. Sixty-five eligible patients undergoing elective colorectal surgery were identified and 61 were randomized between August 2010 and August 2011 to either video and information leaflets or information leaflets alone. A fast track protocol was established for all the patients. Clinicians in charge of postoperative recovery were blinded. Standard discharge criteria were employed for all patients. Of 61 patients randomized, one dropped out and outcomes on 60 were analysed. There was no difference in baseline characteristics between the groups (age, P = 0.964; body mass index, P = 0.829). Twenty-eight (91%) patients in the video group had left sided resections while two (6%) had right sided resections. Nineteen (66%) in the non-video group had left sided resections while nine (31%) had right sided resections. One (3%) patient in the non-video group and one (3%) in the video group had a total colectomy. Fourteen (45%) patients in the video group and 12 (41%) in the non-video group had surgery completed laparoscopically. There was no difference in the primary (median hospital stay 5 vs 5 days; P = 0.239) or the secondary outcome measures (pain score on movement, P = 0.338; pain score at rest, P = 0.989; nausea score, P = 0.74; epidural use, P = 0.984; paracetamol use, P = 0.44; voltarol use, P = 0.506) between the groups. Use of video education in the psychological preparation of patients undergoing elective colorectal surgery does not improve short-term outcomes.

Effect of preoperative two‐dimensional animation information on perioperative anxiety and knowledge retention in patients undergoing bowel surgery: a randomized pilot study

The use of multimedia information provided preoperatively can potentially reduce anxiety in patients and improve the hospital experience. However, the use of two-dimensional (2D) animation (cartoon) to provide information to patients undergoing colorectal surgery has not been investigated. This study investigated the effect of preoperative 2D information on anxiety and knowledge retention in patients undergoing bowel surgery. Patients were randomized to one of two groups; the video group watched a 13-min cartoon animation whereas the nonvideo group did not. Anxiety levels were measured at the preadmission clinic, postvideo, on the day of admission for surgery, within 24-h after surgery and before discharge using the Spielberger state-trait anxiety inventory and visual analogue scale. Both groups completed a knowledge retention questionnaire and the video group completed a feedback questionnaire about the animation. Thirty-one patients (16 video, 15 nonvideo) participated in the study. There was no significant difference in baseline anxiety score between two groups. An immediate reduction (P = 0.03) in anxiety score was observed in the video group after watching the video compared with baseline. There was a significant reduction in anxiety score in the video group at discharge compared with the nonvideo group (P = 0.03). There was no significant difference in knowledge retention between two groups. Eighty-eight per cent of patients who watched the video found it beneficial. 2D animation is an effective medium for delivering information to patients undergoing bowel surgery and can potentially reduce anxiety related to surgery and improve the hospital experience.

Improving the Quality of Colonoscopy Bowel Preparation Using an Educational Video

Colonoscopy is the preferred modality for colon cancer screening. A successful colonoscopy requires proper bowel preparation. Adequate bowel preparation continues to remain a limiting factor. One hundred thirty-three patients scheduled for an outpatient colonoscopy were prospectively randomized in a single-blinded manner to video or nonvideo group. In addition to written bowel preparation instructions, patients in the video group viewed a brief instructional video. Quality of colon preparation was measured using the Ottawa Bowel Preparation Quality scale, while patient satisfaction with preparation was evaluated using a questionnaire. Statistical analyses were used to evaluate the impact of the instructional colonoscopy video. There were significant differences in the quality of colonoscopy preparation between the video and the nonvideo groups. Participants who watched the video had better preparation scores in the right colon (P=0.0029), mid-colon (P=0.0027), rectosigmoid (P=0.0008), fluid content (P=0.03) and aggregate score (median score 4 versus 5; P=0.0002). There was no difference between the two groups with regard to patient satisfaction. Income, education level, sex, age and family history of colon cancer had no impact on quality of colonoscopy preparation or patient satisfaction. The addition of an instructional bowel preparation video significantly improved the quality of colon preparation.

Improving Quality of Colonoscopy Bowel Preparation with an Educational Video: Presidential Poster

Purpose: To evaluate the impact of a supplementary bowel preparation instructional video on the quality of colonoscopy preparation and patient satisfaction Methods: 127 patients scheduled for an outpatient colonoscopy were prospectively randomized in a single blinded manner to video or non-video group. In addition to written bowel preparation instructions, patients in the video group viewed a brief instructional video prior to starting their preparation. All patients prepped with SUPREP Bowel Prep Kit and had a morning colonoscopy. Quality of colon preparation was measured by the endoscopist using the Ottawa Bowel Preparation Quality Scale, a validated instrument requiring the endoscopist to rate cleansing in three segments (right colon, mid colon, and recto-sigmoid colon) on a scale of 0 - 4, with 0 indicating perfect cleansing, and overall fluid quantity on a scale of 0 - 2, with 0 indicating no fluid in the colon. The individual scores are summed to create a total score, with lower scores indicating better preparation. Patient satisfaction with preparation was evaluated using a questionnaire. Statistical analysis was employed to evaluate the impact of the colonoscopy video. Results: There were significant differences in the quality of colonoscopy preparation between the video and the non-video group. Participants that watched the video had superior preparation scores in the right colon (0.71 vs 1.47, p<0.001), transverse colon (0.73 vs 1.44, p<0.001), left colon (0.77 vs 1.45, p<0.001), fluid content (0.87 vs 1.22, p=0.004), and aggregate score (3.08 vs 5.58, p<0.001). Video had no impact on patient satisfaction, with about 85% of patients in both groups rating their satisfaction as a 4 or 5 (5 point scale with 5 = satisfied). The higher the patient's level of education, the lower the Ottawa score of the left colon with a correlation of -.20 (p<.05). Age was significantly related to left colon preparation with a correlation of .19 (p<.05) such that older individuals had less effective cleaning in this segment. Although older patients were more likely to find their previous colonoscopy experiences to be more satisfying (significant correlation of .44 (p<.05)), only 21% of all patients who had a prior colonoscopy found the previous experience more satisfying. Socioeconomic status, ethnicity, gender, or family history of colon cancer did not reveal any significant correlation to quality of colonoscopy preparation or patient satisfaction. Conclusion: Adequate bowel cleansing remains an important factor for providing a quality study of the colon. The addition of an instructional bowel preparation video significantly improves the quality of colon preparation. Disclosure: Sateesh R. Prakash, M.D.- research grant from Braintree Laboratories, Inc for the submitted research abstract and study. This research was supported by an industry grant from Braintree Laboratories, Inc.