A randomized, controlled trial of interactive, multimedia software for patient colonoscopy education

A randomized, controlled trial of interactive, multimedia software for patient colonoscopy education
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DOI:
10.1097/00004836-200102000-00010
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发表时间:
2001-02-01
影响因子:
2.9
通讯作者:
Cass, OW
Cass, OW
中科院分区:
医学3区
文献类型:
--
作者:
Shaw, MJ;Beebe, TJ;Cass, OW

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本研究的目的是评估计算机辅助教学(CAI)在结肠镜检查患者中的有效性。我们在大型多专科诊所进行了一项随机对照试验。86例患者接受结肠镜检查。干预措施为标准教育与标准教育加CAI,结果测量为焦虑、理解和满意度。计算机辅助教学对患者的焦虑没有影响。接受CAI的组表现出更好的整体理解(p < 0.001)。然而,对严重并发症的某些方面的理解和适当的离职后行为不受教育方法的影响。与标准教育组相比,CAI组患者更有可能对所提供的信息量表示满意(p = 0.001)。总体满意度不受教育方式的影响。计算机辅助结肠镜检查教学比标准教育提供了更好的理解和更高的满意度。计算机辅助教学帮助医生在不损害医患关系的人际方面履行其教育责任。
The purpose of our study was to assess the effectiveness of computer-assisted instruction (CAI) in patients having colonoscopies. We conducted a randomized, controlled trial in large, multispecialty clinic. Eighty-six patients were referred for colonoscopies. The interventions were standard education versus standard education plus CAI, and the outcome measures were anxiety, comprehension, and satisfaction. Computer-assisted instruction had no effect on patients' anxiety. The group receiving CAI demonstrated better overall comprehension (p < 0.001). However, Comprehension of certain aspects: of serious complications and appropriate postsedation behavior were unaffected by educational method. Patients in the CAI group were: more likely to indicate satisfaction with the amount of information provided when compared with the standard education counterparts (p = 0.001). Overall satisfaction was unaffected by educational method. Computer-assisted instruction for colonoscopy provided better comprehension and greater satisfaction with the adequacy of education than standard education. Computer-assisted instruction helps physicians meet their educational responsibilities with no decrement to the interpersonal aspects of the patient-physician relationship.