PURPOSE: To develop a patient-based educational video to address the information needs of women considering sacral nerve stimulation (SNS) for overactive bladder (OAB.)
MATERIALS AND METHODS: 5 semi-structured focus groups were used to identify patient knowledge gaps, information needs, patient-acceptable terminology, and video content preferences for a patient-based SNS educational video. Each session was transcribed, independently coded by 2 coders, and examined using an iterative method. A 16 minute Educational Video (EV) was created to address previously identified knowledge gaps and information needs using patient footage, 3-dimensional animation and peer-reviewed literature. We developed a questionnaire to evaluate participant's SNS knowledge and therapy attitudes. We then performed a randomized trial to assess the effect of the EV compared to the Manufacturer's Video (MV) on patient knowledge and attitudes using our questionnaire.
RESULTS: 10 patient-important domains were identified: 1) anatomy, 2) expectations, 3) SNS device efficacy, 4) surgical procedure, 5) surgical/device complications, 6) post-procedure recovery, 7) SNS side-effects, 8) post-operative restrictions 9) device maintenance, and 10) general SNS information. 40 women with OAB were randomized to watch the EV or MV (N=20 per group). Knowledge scores improved in both groups but the EV group had greater score improvement compared to the MV group (improvement = 76.6 vs. 24.2 points, P< 0.0001). Women who watched the EV reported more favorable attitudes and expectations about SNS therapy.
CONCLUSIONS: Women with OAB considering SNS therapy have specific information needs. We developed a video to address these needs that was associated with improvements in short-term patient knowledge.
Written by:
Jeppson PC, Clark MA, Hampton BS, Raker CA, Sung VW. Are you the author?
Division of Urogynecology and Reconstructive Pelvic Surgery, Alpert Medical School of Brown University, Providence, Rhode Island.
Reference: J Urol. 2013 Apr 30. pii: S0022-5347(13)04225-0.
doi: 10.1016/j.juro.2013.04.074
PubMed Abstract
PMID: 23643598
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