Skip to main content
SpringerLink
Log in

Interacting Effects of Preoperative Information and Patient Choice in Adaptation to Colonoscopy

  • Original Contribution
  • Published:
Diseases of the Colon & Rectum

PURPOSE

The aim of this study was to match patient information requirements by determining whether giving patients a choice for additional preprocedural audiovisual information modifies the effectiveness of this information on anxiety, worry, knowledge, and patient satisfaction.

METHODS

Patients scheduled to undergo colonoscopy were approached one week before their procedure. All patients received an information leaflet during their standard preanesthetic clinic visit. Patients were randomly assigned to a choice or no-choice condition. Patients in the choice condition were free to watch or not watch the video, people in the no-choice condition were further randomized to watch or not watch the video. Measures of anxiety and worry were completed before watching the video. Anxiety, worry, knowledge, and satisfaction were measured one week later just before the colonoscopy.

RESULTS

One hundred sixty-six patients completed the study. Of those patients randomized to the choice condition, 69 percent wanted to watch the video. Those who chose not to watch the video were significantly more worried on the day of their procedure. Consistent with current evidence, watching the video was associated with improvements in short-term knowledge (F (1,161) = 4.8, P = 0.03). There was, however, no significant effect of the choice or video conditions on anxiety or patient satisfaction.

CONCLUSIONS

There appears to be no additional benefits in terms of patient outcomes by allowing patients to choose whether they want additional audiovisual information. We suggest that all patients undergoing colonoscopy would benefit from watching such an educational video in the week before their procedure.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Figure 1.
Figure 2.
Figure 3.

Similar content being viewed by others

REFERENCES

  1. M Johnston C Vogele (1993) ArticleTitleBenefits of psychological preparation for surgery: a meta-analysis Ann Behav Med 15 245–56

    Google Scholar 

  2. TM Marteau J Kidd L Cuddeford P Walker (1996) ArticleTitleReducing anxiety in women referred for colposcopy using an information booklet Br J Health Psychol 1 181–9

    Google Scholar 

  3. LM Wallace (1986) ArticleTitleCommunication variables in the design of pre-surgical preparatory information Br J Clin Psychol 25 111–8 Occurrence Handle2942207

    PubMed  Google Scholar 

  4. C Lavelle-Jones DJ Byrne P Rice A Cuschieri (1993) ArticleTitleFactors affecting quality of informed consent BMJ 306 885–90 Occurrence Handle8490411 Occurrence Handle1:STN:280:ByyB2MjpvFw%3D Occurrence Handle10.1136/bmj.306.6882.885

    Article  PubMed  CAS  Google Scholar 

  5. DJ Byrne A Napier A Cuschieri (1988) ArticleTitleHow informed is signed consent? BMJ 296 839–40 Occurrence Handle3130937 Occurrence Handle1:STN:280:DyaL1c3it1Oiuw%3D%3D

    PubMed  CAS  Google Scholar 

  6. ME Gagliano (1988) ArticleTitleA literature review on the efficacy of video in patient education J Med Educ 63 785–92 Occurrence Handle3050102 Occurrence Handle1:STN:280:BiaD3M7osVE%3D

    PubMed  CAS  Google Scholar 

  7. ML Done A Lee (1998) ArticleTitleThe use of video to convey preanesthetic information to patients undergoing ambulatory surgery Anesth Analg 87 531–6 Occurrence Handle9728822 Occurrence Handle1:STN:280:DyaK1czpslShsQ%3D%3D

    PubMed  CAS  Google Scholar 

  8. J Hewison H Cuckle C Baillie et al. (2001) ArticleTitleUse of videotapes for viewing at home to inform choice in Down syndrome screening: a randomised controlled trial Prenat Diagn 21 146–9 Occurrence Handle11241545 Occurrence Handle10.1002/1097-0223(200102)21:2<146::AID-PD3>3.0.CO;2-M Occurrence Handle1:STN:280:DC%2BD3MzlsVaitQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  9. A Luck S Pearson G Maddern P Hewett (1999) ArticleTitleEffects of video information on precolonoscopy anxiety and knowledge: a randomised trial Lancet 354 2032–5 Occurrence Handle10636368 Occurrence Handle10.1016/S0140-6736(98)10495-6 Occurrence Handle1:STN:280:DC%2BD3c7gtVehsQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  10. A Lee PT Chui T Gin (2003) ArticleTitleEducating patients about anesthesia: a systematic review of randomized controlled trials of media-based interventions Anesth Analg 96 1424–31 Occurrence Handle12707146

    PubMed  Google Scholar 

  11. KS Herrmann H Kreuzer (1989) ArticleTitleA randomized prospective study on anxiety reduction by preparatory disclosure with and without video film show about a planned heart catheterization Eur Heart J 10 753–7 Occurrence Handle2792117 Occurrence Handle1:STN:280:By%2BD3crltV0%3D

    PubMed  CAS  Google Scholar 

  12. S Doering F Katzlberger G Rumpold et al. (2000) ArticleTitleVideotape preparation of patients before hip replacement surgery reduces stress Psychosom Med 62 365–73 Occurrence Handle10845350 Occurrence Handle1:STN:280:DC%2BD3cvnsVGksg%3D%3D

    PubMed  CAS  Google Scholar 

  13. X Ayral C Gicquere A Duhalde D Boucheny M Dougados (2002) ArticleTitleEffects of video information on preoperative anxiety level and tolerability of joint lavage in knee osteoarthritis Arthritis Rheum 47 380–2 Occurrence Handle12209483 Occurrence Handle10.1002/art.10559

    Article  PubMed  Google Scholar 

  14. LR Bondy N Sims DR Schroeder KP Offord BJ Narr (1999) ArticleTitleThe effect of anesthetic patient education on preoperative patient anxiety Reg Anesth Pain Med 24 158–64 Occurrence Handle10204903 Occurrence Handle10.1016/S1098-7339(99)90078-0 Occurrence Handle1:STN:280:DyaK1M3hvFGqtQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  15. Miller SM. Individual differences in the coping process: what to know and when to know it. In: Carpenter BN, ed. Personal coping theory, research and application. Westport, CT: Praeger, 1992:77–91

  16. R Ludwick-Rosenthal WJ Neufeld (1993) ArticleTitlePreparation for undergoing an invasive medical procedure: interacting effects of information and coping style J Consult Clin Psychol 61 156–64 Occurrence Handle8450101 Occurrence Handle1:STN:280:ByyC1Mrht1Q%3D

    PubMed  CAS  Google Scholar 

  17. M Mitchell (2000) ArticleTitlePsychological preparation for patients undergoing day surgery Ambul Surg 8 19–29

    Google Scholar 

  18. Australian Gastroenterology Institute. Patient education video series: colonoscopy [video]. Produced in conjunction with Lederle Laboratories, 1997

  19. Sabiston DC. Textbook of surgery: the biological basis of modern surgical practice, 13th ed. Philadelphia: WB Saunders, 1986

  20. ME Charlson P Pompei KL Ales RC McKenzie (1987) ArticleTitleA new method of classifying prognostic comorbidity in longitudinal studies: development and validation J Chron Dis 40 373–83 Occurrence Handle3558716 Occurrence Handle1:STN:280:BiiC28nlsVc%3D

    PubMed  CAS  Google Scholar 

  21. Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA. State-trait anxiety inventory for adults. Redwood City, CA: Mind Garden, 1983

  22. TD Borkovec J Inz (1990) ArticleTitleThe nature of worry in generalized anxiety disorder: a predominance of thought activity Behav Res Ther 28 153–8 Occurrence Handle2183759 Occurrence Handle1:STN:280:DyaK3c3is1Wrtw%3D%3D

    PubMed  CAS  Google Scholar 

  23. TD Borkovec JD Lyonfields SL Wiser L Deihl (1993) ArticleTitleThe role of worrisome thinking in the suppression of cardiovascular response to phobic imagery Behav Res Ther 31 321–4 Occurrence Handle8476407 Occurrence Handle1:STN:280:ByyB3snlsFE%3D

    PubMed  CAS  Google Scholar 

  24. EB Foa MJ Kozak (1986) ArticleTitleEmotional processing of fear: exposure to corrective information Psychol Bull 99 20–35 Occurrence Handle2871574 Occurrence Handle10.1037/0033-2909.99.1.20 Occurrence Handle1:STN:280:DyaL283gs1Ggug%3D%3D

    Article  PubMed  CAS  Google Scholar 

  25. JA Kulik HIM Mahler PJ Moore (1996) ArticleTitleSocial comparison and affiliation under threat: effects on recovery from major surgery J Pers Soc Psychol 71 967–79 Occurrence Handle8939044 Occurrence Handle1:STN:280:ByiD1MzkvVY%3D

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Health Sciences, University of South Australia, Adelaide, South Australia, Australia

    Sue Pearson Ph.D.

  2. Department of Surgery, The Queen Elizabeth Hospital, University of Adelaide, Adelaide, South Australia, Australia

    Guy J Maddern M.B.B.S., Ph.D., F.R.A.C.S., M.S. & Peter Hewett M.B.B.S., F.R.C.S., F.R.A.C.S.

Authors
  1. Sue Pearson Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Guy J Maddern M.B.B.S., Ph.D., F.R.A.C.S., M.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Peter Hewett M.B.B.S., F.R.C.S., F.R.A.C.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Sue Pearson Ph.D..

Additional information

Sue Pearson is a recipient of a Royal Australasian College of Surgeons Scholarship in Surgical Ethics.

Reprints are not available.

About this article

Cite this article

Pearson, S., Maddern, G. & Hewett, P. Interacting Effects of Preoperative Information and Patient Choice in Adaptation to Colonoscopy. Dis Colon Rectum 48, 2047–2054 (2005). https://doi.org/10.1007/s10350-005-0172-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10350-005-0172-z

Key words

Search

Navigation