Real-Time Captioning for Improving Informed Consent: Patient and Physician Benefits.
Real-Time Captioning for Improving Informed Consent: Patient and Physician Benefits.
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DOI：
10.1097/aap.0000000000000347
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发表时间：
2016-01
影响因子：
5.1
通讯作者：
Murray DJ
中科院分区：
文献类型：
--
作者：
Spehar B;Tye-Murray N;Myerson J;Murray DJ
需要更好的方法来提高医生沟通信息的技能，并提高患者回忆信息的能力。我们评估了一种实时语音转文本字幕系统，以帮助听力受损的患者，同时为患者和麻醉师提供语音转文本记录。该研究的目的是评估患者对使用实时字幕进行的关于区域麻醉的知情同意讨论的回忆，并确定医生是否发现该系统对监测他们自己的表现有用。我们记录了两个模拟知情同意遇到听力受损的老年人，其中医生提供的区域麻醉程序的描述。这些对话是在有和没有实时字幕的情况下进行的。随后，自始至终佩戴助听器的患者参与者接受了所提供材料的测试，并分析了会面的视频记录，以确定医生在有字幕系统和没有字幕系统的情况下沟通的有效性。无论是否使用实时字幕系统，麻醉科住院医师都向患者参与者提供类似的信息。尽管患者保留了相对较少的细节，无论知情同意讨论，他们可以回忆起显着更多的关键点时，提供了真实的时间字幕。实时语音转文字字幕改善了听力受损患者的回忆，并被证明有助于确定知情同意过程中提供的信息。实时语音转文本字幕可以提供一种评估医生沟通的方法，既可以用于自我评估，也可以作为一种评估方法，在实践环境中培训沟通技能。
Better methods are needed to improve physicians’ skill in communicating information and to enhance patients’ ability to recall that information. We evaluated a real-time speech-to-text captioning system to aid hearing-impaired patients that simultaneously provided a speech-to-text record for both patient and anesthesiologist. The goals of the study were to assess patient’s recall of an informed consent discussion about regional anesthesia using real-time captioning and to determine whether the physicians found the system useful for monitoring their own performance. We recorded two simulated informed consent encounters with hearing-impaired older adults in which physicians provided descriptions of regional anesthetic procedures. The conversations were conducted with and without real-time captioning. Afterwards, the patient-participants, who wore their hearing aids throughout, were tested on the material presented and video recordings of the encounters were analyzed to determine how effectively physicians communicated with and without the captioning system. The anesthesiology residents provided similar information to the patient-participants regardless of whether the real-time captioning system was used. Although the patients retained relatively few details regardless of the informed consent discussio, they could recall significantly more of the key points when provided with real time captioning. Real-time speech-to-text captioning improved recall in hearing-impaired patients and proved useful for determining the information provided during an informed consent encounter. Real-time speech-to-text captioning could provide a method for assessing physicians’ communication that could be used both for self-assessment and as an evaluative approach to training communication skills in practice settings.