The effect of multimedia interventions on the informed consent process for cataract surgery in rural South India
Context: The provision of ocular surgical interventions for poorer, less educated populations is increasing as a result of increased globalization and outreach. However, these populations still have trouble understanding surgical concepts and are not always fully informed decision makers. Aims: We a...
Ausführliche Beschreibung
Autor*in: |
Abraar Karan [verfasserIn] Prashanth Somasundaram [verfasserIn] Haben Michael [verfasserIn] Aryan Shayegani [verfasserIn] Hylton Mayer [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2014 |
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Schlagwörter: |
multiple disabilities and visual impairment human corneal endothelial precursor cells thermo-reversible gelation polymer |
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Übergeordnetes Werk: |
In: Indian Journal of Ophthalmology - Wolters Kluwer Medknow Publications, 2005, 62(2014), 2, Seite 171-175 |
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Übergeordnetes Werk: |
volume:62 ; year:2014 ; number:2 ; pages:171-175 |
Links: |
Link aufrufen |
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DOI / URN: |
10.4103/0301-4738.116488 |
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Katalog-ID: |
DOAJ04397967X |
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245 | 1 | 4 | |a The effect of multimedia interventions on the informed consent process for cataract surgery in rural South India |
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520 | |a Context: The provision of ocular surgical interventions for poorer, less educated populations is increasing as a result of increased globalization and outreach. However, these populations still have trouble understanding surgical concepts and are not always fully informed decision makers. Aims: We aimed to test the effect that a multimedia addition to a traditional verbal informed consent would have on patient comprehension of relatively difficult cataract surgical concepts. Settings and Design: We conducted a randomized controlled trial with relatively uneducated patients reporting to a private surgical hospital in Chennai, India. 47 patients were placed into the intervention group and 50 patients were placed into the control group. Materials and Methods: The intervention group was presented with a scripted verbal informed consent as well as a 3-fold pamphlet and a presentation with a 3-dimensional model of the eye. The control group was only presented with a scripted verbal informed consent. The two groups were tested using an 11 item "True/False/I don′t know" quiz directly before the informed consent, directly after the informed consent, and one-day postoperatively. Statistical Analysis Used: Scores on the quiz were compared across groups and time-points using paired t-tests. Results: Patients in the both groups showed a significant improvement in scores between pre- and post-informed consent quizzes (P value on the order of 10 -6 ) and the improvement in scores was significantly greater in the intervention group than the control group (P value on the order of 10 -16 ). There was no significant difference observed in either group with regards to the change in scores between post-informed consent and post-operative quizzes. Conclusion: Multimedia aids in addition to a standard informed consent process are effective in improving patient comprehension even for patients with low literacy and limited knowledge of surgical interventions. | ||
650 | 4 | |a Blindness | |
650 | 4 | |a cataract | |
650 | 4 | |a eye lens | |
650 | 4 | |a risk factors | |
650 | 4 | |a treatment of cataract | |
650 | 4 | |a Low vision care | |
650 | 4 | |a multiple disabilities and visual impairment | |
650 | 4 | |a reading performance | |
650 | 4 | |a Accommodation | |
650 | 4 | |a presbyopia | |
650 | 4 | |a supraciliary segment implants | |
650 | 4 | |a Amblyopia | |
650 | 4 | |a citicoline | |
650 | 4 | |a patching | |
650 | 4 | |a Corneal endothelium | |
650 | 4 | |a human corneal endothelial precursor cells | |
650 | 4 | |a in vitro expansion | |
650 | 4 | |a sphere forming assay | |
650 | 4 | |a thermo-reversible gelation polymer | |
650 | 4 | |a transportation | |
650 | 4 | |a Endophthalmitis | |
650 | 4 | |a explantation | |
650 | 4 | |a fungal | |
650 | 4 | |a intraocular lens | |
650 | 4 | |a postoperative | |
650 | 4 | |a recurrent | |
650 | 4 | |a Colour perception | |
650 | 4 | |a learning disabilities | |
650 | 4 | |a school children | |
650 | 4 | |a stereo acuity | |
650 | 4 | |a testability | |
650 | 4 | |a visual acuity | |
650 | 4 | |a Contracted socket | |
650 | 4 | |a dermis fat graft | |
650 | 4 | |a porous orbital implant | |
650 | 4 | |a reconstruction | |
650 | 4 | |a Glucose | |
650 | 4 | |a in vitro anticataract | |
650 | 4 | |a lens | |
650 | 4 | |a Moringa oliefera | |
650 | 4 | |a ′BARC I-125 Ocu-Prosta seeds′ | |
650 | 4 | |a choroidal melanoma | |
650 | 4 | |a ciliary body melanoma | |
650 | 4 | |a Episcleral plaque brachytherapy | |
650 | 4 | |a retinal angioma | |
650 | 4 | |a retinoblastoma | |
650 | 4 | |a vasoproliferative tumor | |
650 | 4 | |a Congenital glaucoma | |
650 | 4 | |a gonioscopy | |
650 | 4 | |a Retcam | |
650 | 4 | |a Acoustic features | |
650 | 4 | |a A-scan | |
650 | 4 | |a B-scan | |
650 | 4 | |a choroidal mass | |
650 | 4 | |a ultrasound biomicroscopy | |
650 | 4 | |a Cataract surgery | |
650 | 4 | |a education | |
650 | 4 | |a informed consent | |
650 | 4 | |a multimedia | |
650 | 4 | |a rural health | |
653 | 0 | |a Ophthalmology | |
700 | 0 | |a Prashanth Somasundaram |e verfasserin |4 aut | |
700 | 0 | |a Haben Michael |e verfasserin |4 aut | |
700 | 0 | |a Aryan Shayegani |e verfasserin |4 aut | |
700 | 0 | |a Hylton Mayer |e verfasserin |4 aut | |
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10.4103/0301-4738.116488 doi (DE-627)DOAJ04397967X (DE-599)DOAJ9733f2fa2ecf4b4e9ae31221a4509f09 DE-627 ger DE-627 rakwb eng RE1-994 Abraar Karan verfasserin aut The effect of multimedia interventions on the informed consent process for cataract surgery in rural South India 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Context: The provision of ocular surgical interventions for poorer, less educated populations is increasing as a result of increased globalization and outreach. However, these populations still have trouble understanding surgical concepts and are not always fully informed decision makers. Aims: We aimed to test the effect that a multimedia addition to a traditional verbal informed consent would have on patient comprehension of relatively difficult cataract surgical concepts. Settings and Design: We conducted a randomized controlled trial with relatively uneducated patients reporting to a private surgical hospital in Chennai, India. 47 patients were placed into the intervention group and 50 patients were placed into the control group. Materials and Methods: The intervention group was presented with a scripted verbal informed consent as well as a 3-fold pamphlet and a presentation with a 3-dimensional model of the eye. The control group was only presented with a scripted verbal informed consent. The two groups were tested using an 11 item "True/False/I don′t know" quiz directly before the informed consent, directly after the informed consent, and one-day postoperatively. Statistical Analysis Used: Scores on the quiz were compared across groups and time-points using paired t-tests. Results: Patients in the both groups showed a significant improvement in scores between pre- and post-informed consent quizzes (P value on the order of 10 -6 ) and the improvement in scores was significantly greater in the intervention group than the control group (P value on the order of 10 -16 ). There was no significant difference observed in either group with regards to the change in scores between post-informed consent and post-operative quizzes. Conclusion: Multimedia aids in addition to a standard informed consent process are effective in improving patient comprehension even for patients with low literacy and limited knowledge of surgical interventions. Blindness cataract eye lens risk factors treatment of cataract Low vision care multiple disabilities and visual impairment reading performance Accommodation presbyopia supraciliary segment implants Amblyopia citicoline patching Corneal endothelium human corneal endothelial precursor cells in vitro expansion sphere forming assay thermo-reversible gelation polymer transportation Endophthalmitis explantation fungal intraocular lens postoperative recurrent Colour perception learning disabilities school children stereo acuity testability visual acuity Contracted socket dermis fat graft porous orbital implant reconstruction Glucose in vitro anticataract lens Moringa oliefera ′BARC I-125 Ocu-Prosta seeds′ choroidal melanoma ciliary body melanoma Episcleral plaque brachytherapy retinal angioma retinoblastoma vasoproliferative tumor Congenital glaucoma gonioscopy Retcam Acoustic features A-scan B-scan choroidal mass ultrasound biomicroscopy Cataract surgery education informed consent multimedia rural health Ophthalmology Prashanth Somasundaram verfasserin aut Haben Michael verfasserin aut Aryan Shayegani verfasserin aut Hylton Mayer verfasserin aut In Indian Journal of Ophthalmology Wolters Kluwer Medknow Publications, 2005 62(2014), 2, Seite 171-175 (DE-627)485243563 (DE-600)2185999-1 19983689 nnns volume:62 year:2014 number:2 pages:171-175 https://doi.org/10.4103/0301-4738.116488 kostenfrei https://doaj.org/article/9733f2fa2ecf4b4e9ae31221a4509f09 kostenfrei http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=2;spage=171;epage=175;aulast=Karan kostenfrei https://doaj.org/toc/0301-4738 Journal toc kostenfrei https://doaj.org/toc/1998-3689 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 62 2014 2 171-175 |
spelling |
10.4103/0301-4738.116488 doi (DE-627)DOAJ04397967X (DE-599)DOAJ9733f2fa2ecf4b4e9ae31221a4509f09 DE-627 ger DE-627 rakwb eng RE1-994 Abraar Karan verfasserin aut The effect of multimedia interventions on the informed consent process for cataract surgery in rural South India 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Context: The provision of ocular surgical interventions for poorer, less educated populations is increasing as a result of increased globalization and outreach. However, these populations still have trouble understanding surgical concepts and are not always fully informed decision makers. Aims: We aimed to test the effect that a multimedia addition to a traditional verbal informed consent would have on patient comprehension of relatively difficult cataract surgical concepts. Settings and Design: We conducted a randomized controlled trial with relatively uneducated patients reporting to a private surgical hospital in Chennai, India. 47 patients were placed into the intervention group and 50 patients were placed into the control group. Materials and Methods: The intervention group was presented with a scripted verbal informed consent as well as a 3-fold pamphlet and a presentation with a 3-dimensional model of the eye. The control group was only presented with a scripted verbal informed consent. The two groups were tested using an 11 item "True/False/I don′t know" quiz directly before the informed consent, directly after the informed consent, and one-day postoperatively. Statistical Analysis Used: Scores on the quiz were compared across groups and time-points using paired t-tests. Results: Patients in the both groups showed a significant improvement in scores between pre- and post-informed consent quizzes (P value on the order of 10 -6 ) and the improvement in scores was significantly greater in the intervention group than the control group (P value on the order of 10 -16 ). There was no significant difference observed in either group with regards to the change in scores between post-informed consent and post-operative quizzes. Conclusion: Multimedia aids in addition to a standard informed consent process are effective in improving patient comprehension even for patients with low literacy and limited knowledge of surgical interventions. Blindness cataract eye lens risk factors treatment of cataract Low vision care multiple disabilities and visual impairment reading performance Accommodation presbyopia supraciliary segment implants Amblyopia citicoline patching Corneal endothelium human corneal endothelial precursor cells in vitro expansion sphere forming assay thermo-reversible gelation polymer transportation Endophthalmitis explantation fungal intraocular lens postoperative recurrent Colour perception learning disabilities school children stereo acuity testability visual acuity Contracted socket dermis fat graft porous orbital implant reconstruction Glucose in vitro anticataract lens Moringa oliefera ′BARC I-125 Ocu-Prosta seeds′ choroidal melanoma ciliary body melanoma Episcleral plaque brachytherapy retinal angioma retinoblastoma vasoproliferative tumor Congenital glaucoma gonioscopy Retcam Acoustic features A-scan B-scan choroidal mass ultrasound biomicroscopy Cataract surgery education informed consent multimedia rural health Ophthalmology Prashanth Somasundaram verfasserin aut Haben Michael verfasserin aut Aryan Shayegani verfasserin aut Hylton Mayer verfasserin aut In Indian Journal of Ophthalmology Wolters Kluwer Medknow Publications, 2005 62(2014), 2, Seite 171-175 (DE-627)485243563 (DE-600)2185999-1 19983689 nnns volume:62 year:2014 number:2 pages:171-175 https://doi.org/10.4103/0301-4738.116488 kostenfrei https://doaj.org/article/9733f2fa2ecf4b4e9ae31221a4509f09 kostenfrei http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=2;spage=171;epage=175;aulast=Karan kostenfrei https://doaj.org/toc/0301-4738 Journal toc kostenfrei https://doaj.org/toc/1998-3689 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 62 2014 2 171-175 |
allfields_unstemmed |
10.4103/0301-4738.116488 doi (DE-627)DOAJ04397967X (DE-599)DOAJ9733f2fa2ecf4b4e9ae31221a4509f09 DE-627 ger DE-627 rakwb eng RE1-994 Abraar Karan verfasserin aut The effect of multimedia interventions on the informed consent process for cataract surgery in rural South India 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Context: The provision of ocular surgical interventions for poorer, less educated populations is increasing as a result of increased globalization and outreach. However, these populations still have trouble understanding surgical concepts and are not always fully informed decision makers. Aims: We aimed to test the effect that a multimedia addition to a traditional verbal informed consent would have on patient comprehension of relatively difficult cataract surgical concepts. Settings and Design: We conducted a randomized controlled trial with relatively uneducated patients reporting to a private surgical hospital in Chennai, India. 47 patients were placed into the intervention group and 50 patients were placed into the control group. Materials and Methods: The intervention group was presented with a scripted verbal informed consent as well as a 3-fold pamphlet and a presentation with a 3-dimensional model of the eye. The control group was only presented with a scripted verbal informed consent. The two groups were tested using an 11 item "True/False/I don′t know" quiz directly before the informed consent, directly after the informed consent, and one-day postoperatively. Statistical Analysis Used: Scores on the quiz were compared across groups and time-points using paired t-tests. Results: Patients in the both groups showed a significant improvement in scores between pre- and post-informed consent quizzes (P value on the order of 10 -6 ) and the improvement in scores was significantly greater in the intervention group than the control group (P value on the order of 10 -16 ). There was no significant difference observed in either group with regards to the change in scores between post-informed consent and post-operative quizzes. Conclusion: Multimedia aids in addition to a standard informed consent process are effective in improving patient comprehension even for patients with low literacy and limited knowledge of surgical interventions. Blindness cataract eye lens risk factors treatment of cataract Low vision care multiple disabilities and visual impairment reading performance Accommodation presbyopia supraciliary segment implants Amblyopia citicoline patching Corneal endothelium human corneal endothelial precursor cells in vitro expansion sphere forming assay thermo-reversible gelation polymer transportation Endophthalmitis explantation fungal intraocular lens postoperative recurrent Colour perception learning disabilities school children stereo acuity testability visual acuity Contracted socket dermis fat graft porous orbital implant reconstruction Glucose in vitro anticataract lens Moringa oliefera ′BARC I-125 Ocu-Prosta seeds′ choroidal melanoma ciliary body melanoma Episcleral plaque brachytherapy retinal angioma retinoblastoma vasoproliferative tumor Congenital glaucoma gonioscopy Retcam Acoustic features A-scan B-scan choroidal mass ultrasound biomicroscopy Cataract surgery education informed consent multimedia rural health Ophthalmology Prashanth Somasundaram verfasserin aut Haben Michael verfasserin aut Aryan Shayegani verfasserin aut Hylton Mayer verfasserin aut In Indian Journal of Ophthalmology Wolters Kluwer Medknow Publications, 2005 62(2014), 2, Seite 171-175 (DE-627)485243563 (DE-600)2185999-1 19983689 nnns volume:62 year:2014 number:2 pages:171-175 https://doi.org/10.4103/0301-4738.116488 kostenfrei https://doaj.org/article/9733f2fa2ecf4b4e9ae31221a4509f09 kostenfrei http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=2;spage=171;epage=175;aulast=Karan kostenfrei https://doaj.org/toc/0301-4738 Journal toc kostenfrei https://doaj.org/toc/1998-3689 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 62 2014 2 171-175 |
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10.4103/0301-4738.116488 doi (DE-627)DOAJ04397967X (DE-599)DOAJ9733f2fa2ecf4b4e9ae31221a4509f09 DE-627 ger DE-627 rakwb eng RE1-994 Abraar Karan verfasserin aut The effect of multimedia interventions on the informed consent process for cataract surgery in rural South India 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Context: The provision of ocular surgical interventions for poorer, less educated populations is increasing as a result of increased globalization and outreach. However, these populations still have trouble understanding surgical concepts and are not always fully informed decision makers. Aims: We aimed to test the effect that a multimedia addition to a traditional verbal informed consent would have on patient comprehension of relatively difficult cataract surgical concepts. Settings and Design: We conducted a randomized controlled trial with relatively uneducated patients reporting to a private surgical hospital in Chennai, India. 47 patients were placed into the intervention group and 50 patients were placed into the control group. Materials and Methods: The intervention group was presented with a scripted verbal informed consent as well as a 3-fold pamphlet and a presentation with a 3-dimensional model of the eye. The control group was only presented with a scripted verbal informed consent. The two groups were tested using an 11 item "True/False/I don′t know" quiz directly before the informed consent, directly after the informed consent, and one-day postoperatively. Statistical Analysis Used: Scores on the quiz were compared across groups and time-points using paired t-tests. Results: Patients in the both groups showed a significant improvement in scores between pre- and post-informed consent quizzes (P value on the order of 10 -6 ) and the improvement in scores was significantly greater in the intervention group than the control group (P value on the order of 10 -16 ). There was no significant difference observed in either group with regards to the change in scores between post-informed consent and post-operative quizzes. Conclusion: Multimedia aids in addition to a standard informed consent process are effective in improving patient comprehension even for patients with low literacy and limited knowledge of surgical interventions. Blindness cataract eye lens risk factors treatment of cataract Low vision care multiple disabilities and visual impairment reading performance Accommodation presbyopia supraciliary segment implants Amblyopia citicoline patching Corneal endothelium human corneal endothelial precursor cells in vitro expansion sphere forming assay thermo-reversible gelation polymer transportation Endophthalmitis explantation fungal intraocular lens postoperative recurrent Colour perception learning disabilities school children stereo acuity testability visual acuity Contracted socket dermis fat graft porous orbital implant reconstruction Glucose in vitro anticataract lens Moringa oliefera ′BARC I-125 Ocu-Prosta seeds′ choroidal melanoma ciliary body melanoma Episcleral plaque brachytherapy retinal angioma retinoblastoma vasoproliferative tumor Congenital glaucoma gonioscopy Retcam Acoustic features A-scan B-scan choroidal mass ultrasound biomicroscopy Cataract surgery education informed consent multimedia rural health Ophthalmology Prashanth Somasundaram verfasserin aut Haben Michael verfasserin aut Aryan Shayegani verfasserin aut Hylton Mayer verfasserin aut In Indian Journal of Ophthalmology Wolters Kluwer Medknow Publications, 2005 62(2014), 2, Seite 171-175 (DE-627)485243563 (DE-600)2185999-1 19983689 nnns volume:62 year:2014 number:2 pages:171-175 https://doi.org/10.4103/0301-4738.116488 kostenfrei https://doaj.org/article/9733f2fa2ecf4b4e9ae31221a4509f09 kostenfrei http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=2;spage=171;epage=175;aulast=Karan kostenfrei https://doaj.org/toc/0301-4738 Journal toc kostenfrei https://doaj.org/toc/1998-3689 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 62 2014 2 171-175 |
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10.4103/0301-4738.116488 doi (DE-627)DOAJ04397967X (DE-599)DOAJ9733f2fa2ecf4b4e9ae31221a4509f09 DE-627 ger DE-627 rakwb eng RE1-994 Abraar Karan verfasserin aut The effect of multimedia interventions on the informed consent process for cataract surgery in rural South India 2014 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Context: The provision of ocular surgical interventions for poorer, less educated populations is increasing as a result of increased globalization and outreach. However, these populations still have trouble understanding surgical concepts and are not always fully informed decision makers. Aims: We aimed to test the effect that a multimedia addition to a traditional verbal informed consent would have on patient comprehension of relatively difficult cataract surgical concepts. Settings and Design: We conducted a randomized controlled trial with relatively uneducated patients reporting to a private surgical hospital in Chennai, India. 47 patients were placed into the intervention group and 50 patients were placed into the control group. Materials and Methods: The intervention group was presented with a scripted verbal informed consent as well as a 3-fold pamphlet and a presentation with a 3-dimensional model of the eye. The control group was only presented with a scripted verbal informed consent. The two groups were tested using an 11 item "True/False/I don′t know" quiz directly before the informed consent, directly after the informed consent, and one-day postoperatively. Statistical Analysis Used: Scores on the quiz were compared across groups and time-points using paired t-tests. Results: Patients in the both groups showed a significant improvement in scores between pre- and post-informed consent quizzes (P value on the order of 10 -6 ) and the improvement in scores was significantly greater in the intervention group than the control group (P value on the order of 10 -16 ). There was no significant difference observed in either group with regards to the change in scores between post-informed consent and post-operative quizzes. Conclusion: Multimedia aids in addition to a standard informed consent process are effective in improving patient comprehension even for patients with low literacy and limited knowledge of surgical interventions. Blindness cataract eye lens risk factors treatment of cataract Low vision care multiple disabilities and visual impairment reading performance Accommodation presbyopia supraciliary segment implants Amblyopia citicoline patching Corneal endothelium human corneal endothelial precursor cells in vitro expansion sphere forming assay thermo-reversible gelation polymer transportation Endophthalmitis explantation fungal intraocular lens postoperative recurrent Colour perception learning disabilities school children stereo acuity testability visual acuity Contracted socket dermis fat graft porous orbital implant reconstruction Glucose in vitro anticataract lens Moringa oliefera ′BARC I-125 Ocu-Prosta seeds′ choroidal melanoma ciliary body melanoma Episcleral plaque brachytherapy retinal angioma retinoblastoma vasoproliferative tumor Congenital glaucoma gonioscopy Retcam Acoustic features A-scan B-scan choroidal mass ultrasound biomicroscopy Cataract surgery education informed consent multimedia rural health Ophthalmology Prashanth Somasundaram verfasserin aut Haben Michael verfasserin aut Aryan Shayegani verfasserin aut Hylton Mayer verfasserin aut In Indian Journal of Ophthalmology Wolters Kluwer Medknow Publications, 2005 62(2014), 2, Seite 171-175 (DE-627)485243563 (DE-600)2185999-1 19983689 nnns volume:62 year:2014 number:2 pages:171-175 https://doi.org/10.4103/0301-4738.116488 kostenfrei https://doaj.org/article/9733f2fa2ecf4b4e9ae31221a4509f09 kostenfrei http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=2;spage=171;epage=175;aulast=Karan kostenfrei https://doaj.org/toc/0301-4738 Journal toc kostenfrei https://doaj.org/toc/1998-3689 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 62 2014 2 171-175 |
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Abraar Karan |
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Abraar Karan misc RE1-994 misc Blindness misc cataract misc eye lens misc risk factors misc treatment of cataract misc Low vision care misc multiple disabilities and visual impairment misc reading performance misc Accommodation misc presbyopia misc supraciliary segment implants misc Amblyopia misc citicoline misc patching misc Corneal endothelium misc human corneal endothelial precursor cells misc in vitro expansion misc sphere forming assay misc thermo-reversible gelation polymer misc transportation misc Endophthalmitis misc explantation misc fungal misc intraocular lens misc postoperative misc recurrent misc Colour perception misc learning disabilities misc school children misc stereo acuity misc testability misc visual acuity misc Contracted socket misc dermis fat graft misc porous orbital implant misc reconstruction misc Glucose misc in vitro anticataract misc lens misc Moringa oliefera misc ′BARC I-125 Ocu-Prosta seeds′ misc choroidal melanoma misc ciliary body melanoma misc Episcleral plaque brachytherapy misc retinal angioma misc retinoblastoma misc vasoproliferative tumor misc Congenital glaucoma misc gonioscopy misc Retcam misc Acoustic features misc A-scan misc B-scan misc choroidal mass misc ultrasound biomicroscopy misc Cataract surgery misc education misc informed consent misc multimedia misc rural health misc Ophthalmology The effect of multimedia interventions on the informed consent process for cataract surgery in rural South India |
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RE1-994 The effect of multimedia interventions on the informed consent process for cataract surgery in rural South India Blindness cataract eye lens risk factors treatment of cataract Low vision care multiple disabilities and visual impairment reading performance Accommodation presbyopia supraciliary segment implants Amblyopia citicoline patching Corneal endothelium human corneal endothelial precursor cells in vitro expansion sphere forming assay thermo-reversible gelation polymer transportation Endophthalmitis explantation fungal intraocular lens postoperative recurrent Colour perception learning disabilities school children stereo acuity testability visual acuity Contracted socket dermis fat graft porous orbital implant reconstruction Glucose in vitro anticataract lens Moringa oliefera ′BARC I-125 Ocu-Prosta seeds′ choroidal melanoma ciliary body melanoma Episcleral plaque brachytherapy retinal angioma retinoblastoma vasoproliferative tumor Congenital glaucoma gonioscopy Retcam Acoustic features A-scan B-scan choroidal mass ultrasound biomicroscopy Cataract surgery education informed consent multimedia rural health |
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misc RE1-994 misc Blindness misc cataract misc eye lens misc risk factors misc treatment of cataract misc Low vision care misc multiple disabilities and visual impairment misc reading performance misc Accommodation misc presbyopia misc supraciliary segment implants misc Amblyopia misc citicoline misc patching misc Corneal endothelium misc human corneal endothelial precursor cells misc in vitro expansion misc sphere forming assay misc thermo-reversible gelation polymer misc transportation misc Endophthalmitis misc explantation misc fungal misc intraocular lens misc postoperative misc recurrent misc Colour perception misc learning disabilities misc school children misc stereo acuity misc testability misc visual acuity misc Contracted socket misc dermis fat graft misc porous orbital implant misc reconstruction misc Glucose misc in vitro anticataract misc lens misc Moringa oliefera misc ′BARC I-125 Ocu-Prosta seeds′ misc choroidal melanoma misc ciliary body melanoma misc Episcleral plaque brachytherapy misc retinal angioma misc retinoblastoma misc vasoproliferative tumor misc Congenital glaucoma misc gonioscopy misc Retcam misc Acoustic features misc A-scan misc B-scan misc choroidal mass misc ultrasound biomicroscopy misc Cataract surgery misc education misc informed consent misc multimedia misc rural health misc Ophthalmology |
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misc RE1-994 misc Blindness misc cataract misc eye lens misc risk factors misc treatment of cataract misc Low vision care misc multiple disabilities and visual impairment misc reading performance misc Accommodation misc presbyopia misc supraciliary segment implants misc Amblyopia misc citicoline misc patching misc Corneal endothelium misc human corneal endothelial precursor cells misc in vitro expansion misc sphere forming assay misc thermo-reversible gelation polymer misc transportation misc Endophthalmitis misc explantation misc fungal misc intraocular lens misc postoperative misc recurrent misc Colour perception misc learning disabilities misc school children misc stereo acuity misc testability misc visual acuity misc Contracted socket misc dermis fat graft misc porous orbital implant misc reconstruction misc Glucose misc in vitro anticataract misc lens misc Moringa oliefera misc ′BARC I-125 Ocu-Prosta seeds′ misc choroidal melanoma misc ciliary body melanoma misc Episcleral plaque brachytherapy misc retinal angioma misc retinoblastoma misc vasoproliferative tumor misc Congenital glaucoma misc gonioscopy misc Retcam misc Acoustic features misc A-scan misc B-scan misc choroidal mass misc ultrasound biomicroscopy misc Cataract surgery misc education misc informed consent misc multimedia misc rural health misc Ophthalmology |
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misc RE1-994 misc Blindness misc cataract misc eye lens misc risk factors misc treatment of cataract misc Low vision care misc multiple disabilities and visual impairment misc reading performance misc Accommodation misc presbyopia misc supraciliary segment implants misc Amblyopia misc citicoline misc patching misc Corneal endothelium misc human corneal endothelial precursor cells misc in vitro expansion misc sphere forming assay misc thermo-reversible gelation polymer misc transportation misc Endophthalmitis misc explantation misc fungal misc intraocular lens misc postoperative misc recurrent misc Colour perception misc learning disabilities misc school children misc stereo acuity misc testability misc visual acuity misc Contracted socket misc dermis fat graft misc porous orbital implant misc reconstruction misc Glucose misc in vitro anticataract misc lens misc Moringa oliefera misc ′BARC I-125 Ocu-Prosta seeds′ misc choroidal melanoma misc ciliary body melanoma misc Episcleral plaque brachytherapy misc retinal angioma misc retinoblastoma misc vasoproliferative tumor misc Congenital glaucoma misc gonioscopy misc Retcam misc Acoustic features misc A-scan misc B-scan misc choroidal mass misc ultrasound biomicroscopy misc Cataract surgery misc education misc informed consent misc multimedia misc rural health misc Ophthalmology |
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The effect of multimedia interventions on the informed consent process for cataract surgery in rural South India |
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The effect of multimedia interventions on the informed consent process for cataract surgery in rural South India |
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Abraar Karan Prashanth Somasundaram Haben Michael Aryan Shayegani Hylton Mayer |
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effect of multimedia interventions on the informed consent process for cataract surgery in rural south india |
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The effect of multimedia interventions on the informed consent process for cataract surgery in rural South India |
abstract |
Context: The provision of ocular surgical interventions for poorer, less educated populations is increasing as a result of increased globalization and outreach. However, these populations still have trouble understanding surgical concepts and are not always fully informed decision makers. Aims: We aimed to test the effect that a multimedia addition to a traditional verbal informed consent would have on patient comprehension of relatively difficult cataract surgical concepts. Settings and Design: We conducted a randomized controlled trial with relatively uneducated patients reporting to a private surgical hospital in Chennai, India. 47 patients were placed into the intervention group and 50 patients were placed into the control group. Materials and Methods: The intervention group was presented with a scripted verbal informed consent as well as a 3-fold pamphlet and a presentation with a 3-dimensional model of the eye. The control group was only presented with a scripted verbal informed consent. The two groups were tested using an 11 item "True/False/I don′t know" quiz directly before the informed consent, directly after the informed consent, and one-day postoperatively. Statistical Analysis Used: Scores on the quiz were compared across groups and time-points using paired t-tests. Results: Patients in the both groups showed a significant improvement in scores between pre- and post-informed consent quizzes (P value on the order of 10 -6 ) and the improvement in scores was significantly greater in the intervention group than the control group (P value on the order of 10 -16 ). There was no significant difference observed in either group with regards to the change in scores between post-informed consent and post-operative quizzes. Conclusion: Multimedia aids in addition to a standard informed consent process are effective in improving patient comprehension even for patients with low literacy and limited knowledge of surgical interventions. |
abstractGer |
Context: The provision of ocular surgical interventions for poorer, less educated populations is increasing as a result of increased globalization and outreach. However, these populations still have trouble understanding surgical concepts and are not always fully informed decision makers. Aims: We aimed to test the effect that a multimedia addition to a traditional verbal informed consent would have on patient comprehension of relatively difficult cataract surgical concepts. Settings and Design: We conducted a randomized controlled trial with relatively uneducated patients reporting to a private surgical hospital in Chennai, India. 47 patients were placed into the intervention group and 50 patients were placed into the control group. Materials and Methods: The intervention group was presented with a scripted verbal informed consent as well as a 3-fold pamphlet and a presentation with a 3-dimensional model of the eye. The control group was only presented with a scripted verbal informed consent. The two groups were tested using an 11 item "True/False/I don′t know" quiz directly before the informed consent, directly after the informed consent, and one-day postoperatively. Statistical Analysis Used: Scores on the quiz were compared across groups and time-points using paired t-tests. Results: Patients in the both groups showed a significant improvement in scores between pre- and post-informed consent quizzes (P value on the order of 10 -6 ) and the improvement in scores was significantly greater in the intervention group than the control group (P value on the order of 10 -16 ). There was no significant difference observed in either group with regards to the change in scores between post-informed consent and post-operative quizzes. Conclusion: Multimedia aids in addition to a standard informed consent process are effective in improving patient comprehension even for patients with low literacy and limited knowledge of surgical interventions. |
abstract_unstemmed |
Context: The provision of ocular surgical interventions for poorer, less educated populations is increasing as a result of increased globalization and outreach. However, these populations still have trouble understanding surgical concepts and are not always fully informed decision makers. Aims: We aimed to test the effect that a multimedia addition to a traditional verbal informed consent would have on patient comprehension of relatively difficult cataract surgical concepts. Settings and Design: We conducted a randomized controlled trial with relatively uneducated patients reporting to a private surgical hospital in Chennai, India. 47 patients were placed into the intervention group and 50 patients were placed into the control group. Materials and Methods: The intervention group was presented with a scripted verbal informed consent as well as a 3-fold pamphlet and a presentation with a 3-dimensional model of the eye. The control group was only presented with a scripted verbal informed consent. The two groups were tested using an 11 item "True/False/I don′t know" quiz directly before the informed consent, directly after the informed consent, and one-day postoperatively. Statistical Analysis Used: Scores on the quiz were compared across groups and time-points using paired t-tests. Results: Patients in the both groups showed a significant improvement in scores between pre- and post-informed consent quizzes (P value on the order of 10 -6 ) and the improvement in scores was significantly greater in the intervention group than the control group (P value on the order of 10 -16 ). There was no significant difference observed in either group with regards to the change in scores between post-informed consent and post-operative quizzes. Conclusion: Multimedia aids in addition to a standard informed consent process are effective in improving patient comprehension even for patients with low literacy and limited knowledge of surgical interventions. |
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The effect of multimedia interventions on the informed consent process for cataract surgery in rural South India |
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https://doi.org/10.4103/0301-4738.116488 https://doaj.org/article/9733f2fa2ecf4b4e9ae31221a4509f09 http://www.ijo.in/article.asp?issn=0301-4738;year=2014;volume=62;issue=2;spage=171;epage=175;aulast=Karan https://doaj.org/toc/0301-4738 https://doaj.org/toc/1998-3689 |
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Prashanth Somasundaram Haben Michael Aryan Shayegani Hylton Mayer |
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Prashanth Somasundaram Haben Michael Aryan Shayegani Hylton Mayer |
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485243563 |
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RE - Ophthalmology |
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doi_str |
10.4103/0301-4738.116488 |
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RE1-994 |
up_date |
2024-07-03T20:31:38.538Z |
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However, these populations still have trouble understanding surgical concepts and are not always fully informed decision makers. Aims: We aimed to test the effect that a multimedia addition to a traditional verbal informed consent would have on patient comprehension of relatively difficult cataract surgical concepts. Settings and Design: We conducted a randomized controlled trial with relatively uneducated patients reporting to a private surgical hospital in Chennai, India. 47 patients were placed into the intervention group and 50 patients were placed into the control group. Materials and Methods: The intervention group was presented with a scripted verbal informed consent as well as a 3-fold pamphlet and a presentation with a 3-dimensional model of the eye. The control group was only presented with a scripted verbal informed consent. The two groups were tested using an 11 item "True/False/I don′t know" quiz directly before the informed consent, directly after the informed consent, and one-day postoperatively. Statistical Analysis Used: Scores on the quiz were compared across groups and time-points using paired t-tests. Results: Patients in the both groups showed a significant improvement in scores between pre- and post-informed consent quizzes (P value on the order of 10 -6 ) and the improvement in scores was significantly greater in the intervention group than the control group (P value on the order of 10 -16 ). There was no significant difference observed in either group with regards to the change in scores between post-informed consent and post-operative quizzes. 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