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Does the use of video improve patient satisfaction in the consent process for local-anaesthetic urological procedures?

  • Urology - Original Paper
  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

Purpose

To assess patient satisfaction with the use of portable video media (PVM) for the purpose of taking informed consent for common urological outpatient procedures performed under local anaesthesia.

Methods

Patients undergoing the following procedures were approached for recruitment: flexible cystoscopy with or without biopsy, transrectal ultrasound-guided prostate biopsy or flexible cystoscopy with insertion or removal of a ureteric stent. Audio-visual media were developed for each procedure, with each script translated from English into isiXhosa and Afrikaans. The study involved a cross-over for each patient between standard verbal consent (SVC) and PVM consent, with each patient randomised to start with SVC or PVM consent. Each of these consent arms was assessed via a questionnaire.

Results

Sixty patients completed participation, with PVM as the first exposure for 28 patients and 32 patients receiving SVC as their first arm of the study.

When comparing the overall satisfaction between SVC and PVM consent (the total scores out of 18 for the questionnaire), patients scored significantly higher for PVM consent (M = 16.3 ± 2.4) compared to SVC (M = 15.4 ± 2.9) (p = 0.002). 92% of the total patient sample preferred PVM consent.

Conclusion

Portable video media proved superior to SVC in improving satisfaction in the consent process for common outpatient urological procedures performed under local anaesthesia.

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Data availability

Data are stored by the corresponding author and are available for review by any requesting parties.

Abbreviations

PVM:

Portable video media

SVC:

Standard verbal consent

RCT:

Randomised controlled trial

DVD:

Digital video disc

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Funding

Statistician services funded by the Department of Urology, Groote Schuur Hospital.

Author information

Authors and Affiliations

  1. Department of Urology, Groote Schuur Hospital, University of Cape Town, Cape Town, Republic of South Africa

    Allison L. Moore & Justin B. Howlett

  2. Department of Urology, Watford General Hospital, West Hertfordshire Hospitals NHS Trust, Watford, Hertfordshire, UK

    Manraj K. Phull

  3. Faculty of Health Sciences, University of Cape Town, Cape Town, Republic of South Africa

    Lukhona L. Mpungose & Sebastian R. Samson

Authors
  1. Allison L. Moore
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  2. Justin B. Howlett
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  3. Manraj K. Phull
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  4. Lukhona L. Mpungose
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  5. Sebastian R. Samson
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Contributions

AL Moore: Protocol development, Data collection, Data analysis, Manuscript writing. JB Howlett: Protocol development, Manuscript editing. M Phull: Protocol development, Study material development. LL Mpungose: Study material development, Data collection. SR Samson: Study material development, Data collection.

Corresponding author

Correspondence to Allison L. Moore.

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The authors declare that they have no conflict of interest.

Informed consent

Written informed consent was obtained from all study participants included in this study.

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Moore, A.L., Howlett, J.B., Phull, M.K. et al. Does the use of video improve patient satisfaction in the consent process for local-anaesthetic urological procedures?. Int Urol Nephrol 53, 1051–1057 (2021). https://doi.org/10.1007/s11255-020-02770-x

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  • DOI: https://doi.org/10.1007/s11255-020-02770-x

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