Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Patients learn more facts from videos but need contact with doctor to soothe their anxiety

26.07.2005


U-M Health System study finds patient education video is excellent teaching tool but doctors are better at calming fears



In an age when people often learn health information from surfing the Web and watching television shows set in hospitals, researchers have found that showing patients an educational video about their condition teaches them the facts about their disease even better than when their doctor tells them about the condition.

But the power of videotaped information also has its limits. The same study, by researchers at the University of Michigan Health System, also found that anxiety and stress are reduced much more among patients after they have visited with their doctors than after viewing the information on the educational video.


"The study confirmed the informational value of videotape-based educational materials. In fact, patients learned many more facts from the videotape – which was created with information from physicians – than they learned from their doctors during a clinic visit," says Jeffrey S. Orringer, M.D., lead author of the study, which appears in the new issue of the Journal of the American Academy of Dermatology.

"We also expected that the educational videotape would reduce patients’ anxiety and distress levels about their condition. It did, but their anxiety levels decreased by a much larger margin during clinic visits with their doctors," Orringer says. "This tells us that the videotape is an excellent educational tool, but that it can’t replace a positive patient-doctor relationship."

Part of the reason the videotape was such a good educational tool, he says, is that the message was consistent. Patients could watch the tape over and over again, and the unchanging information was reinforced each time for the viewer. In contrast, an encounter with another human being is by its nature less consistent and redundant, Orringer points out.

At the same time, the consistency of the videotape helps to explain why it isn’t as helpful at reducing a patient’s distress and anxiety levels, he says. While the video is invariable, a doctor can tailor information to the specific concerns and fears a patient is encountering, says Orringer, clinical assistant professor of dermatology at the U-M Medical School and clinical director of the Cosmetic Dermatology and Laser Center at UMHS.

The study was conducted with 217 patients who were in two different groups, one of which received the educational videotape before an initial consultation visit at the U-M Multidisciplinary Melanoma Clinic along with questionnaires assessing their knowledge about melanoma and their anxiety levels. The patients were instructed to complete one set of questionnaires before watching the 11-minute video – which was developed by physicians at U-M – and one after viewing the video but before their melanoma clinic visit.

The other group of patients received the same questionnaires but no videotape, and they were instructed to fill out one set of the forms before the melanoma clinic consultation visit. After their appointment but before they left the clinic, they were asked to fill out a second set of questionnaires. The changes in their knowledge about melanoma and anxiety levels were attributed to the usual standard care and were used as a basis for comparison with the first group. (This group also received the videotape after they completed their part in the study.)

In the videotape group, knowledge about melanoma increased by an average score of 8.8 after watching the tape, compared with a 5.1 increase of the average score among the group that was measured after the clinic visit. Anxiety and emotional distress scores showed a decreased score of 3.2 and 0.56, respectively, in the videotape group. The decrease was much greater in the group measured after a clinic visit: 10.2 and 1.4, respectively, which was about three times the decrease of the videotape group’s anxiety and distress scores.

While the study was conducted with melanoma patients, Orringer says it could have broad implications in the way health care providers educate their patients.

"The lessons of our study are broadly applicable to people with a variety of conditions," Orringer says. "Health care providers can use what we have learned to help them develop educational materials, and to understand that a conversation between a patient and doctor is the best way to reduce distress and anxiety."

In addition to Orringer, the authors on the paper were Timothy M. Johnson, M.D., professor, Department of Dermatology, director of the Cutaneous Surgery and Oncology Unit and the Melanoma Clinic at the U-M Comprehensive Cancer Center, associate professor of surgery, and professor of otolaryngology; A. Mark Fendrick, M.D., professor, Department of Internal Medicine, and associate professor of health management and policy at the School of Public Health; Christopher K. Bichakjian, M.D., Jennifer L. Schwartz, M.D., Timothy S. Wang, M.D., and Darius J. Karimipour, M.D., clinical assistant professors in the Department of Dermatology; and Peter C. Trask, Ph.D., formerly a professor at U-M and now at Brown University.

Katie Gazella | EurekAlert!
Further information:
http://www.umich.edu

More articles from Studies and Analyses:

nachricht The personality factor: How to foster the sharing of research data
06.09.2017 | ZBW – Leibniz-Informationszentrum Wirtschaft

nachricht Europe’s Demographic Future. Where the Regions Are Heading after a Decade of Crises
10.08.2017 | Berlin-Institut für Bevölkerung und Entwicklung

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: The fastest light-driven current source

Controlling electronic current is essential to modern electronics, as data and signals are transferred by streams of electrons which are controlled at high speed. Demands on transmission speeds are also increasing as technology develops. Scientists from the Chair of Laser Physics and the Chair of Applied Physics at Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU) have succeeded in switching on a current with a desired direction in graphene using a single laser pulse within a femtosecond ¬¬ – a femtosecond corresponds to the millionth part of a billionth of a second. This is more than a thousand times faster compared to the most efficient transistors today.

Graphene is up to the job

Im Focus: LaserTAB: More efficient and precise contacts thanks to human-robot collaboration

At the productronica trade fair in Munich this November, the Fraunhofer Institute for Laser Technology ILT will be presenting Laser-Based Tape-Automated Bonding, LaserTAB for short. The experts from Aachen will be demonstrating how new battery cells and power electronics can be micro-welded more efficiently and precisely than ever before thanks to new optics and robot support.

Fraunhofer ILT from Aachen relies on a clever combination of robotics and a laser scanner with new optics as well as process monitoring, which it has developed...

Im Focus: The pyrenoid is a carbon-fixing liquid droplet

Plants and algae use the enzyme Rubisco to fix carbon dioxide, removing it from the atmosphere and converting it into biomass. Algae have figured out a way to increase the efficiency of carbon fixation. They gather most of their Rubisco into a ball-shaped microcompartment called the pyrenoid, which they flood with a high local concentration of carbon dioxide. A team of scientists at Princeton University, the Carnegie Institution for Science, Stanford University and the Max Plank Institute of Biochemistry have unravelled the mysteries of how the pyrenoid is assembled. These insights can help to engineer crops that remove more carbon dioxide from the atmosphere while producing more food.

A warming planet

Im Focus: Highly precise wiring in the Cerebral Cortex

Our brains house extremely complex neuronal circuits, whose detailed structures are still largely unknown. This is especially true for the so-called cerebral cortex of mammals, where among other things vision, thoughts or spatial orientation are being computed. Here the rules by which nerve cells are connected to each other are only partly understood. A team of scientists around Moritz Helmstaedter at the Frankfiurt Max Planck Institute for Brain Research and Helene Schmidt (Humboldt University in Berlin) have now discovered a surprisingly precise nerve cell connectivity pattern in the part of the cerebral cortex that is responsible for orienting the individual animal or human in space.

The researchers report online in Nature (Schmidt et al., 2017. Axonal synapse sorting in medial entorhinal cortex, DOI: 10.1038/nature24005) that synapses in...

Im Focus: Tiny lasers from a gallery of whispers

New technique promises tunable laser devices

Whispering gallery mode (WGM) resonators are used to make tiny micro-lasers, sensors, switches, routers and other devices. These tiny structures rely on a...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

“Lasers in Composites Symposium” in Aachen – from Science to Application

19.09.2017 | Event News

I-ESA 2018 – Call for Papers

12.09.2017 | Event News

EMBO at Basel Life, a new conference on current and emerging life science research

06.09.2017 | Event News

 
Latest News

Nerves control the body’s bacterial community

26.09.2017 | Life Sciences

Four elements make 2-D optical platform

26.09.2017 | Physics and Astronomy

Goodbye, login. Hello, heart scan

26.09.2017 | Information Technology

VideoLinks
B2B-VideoLinks
More VideoLinks >>>