Impact of Informative Videos on Proxy Consent by Parents for Pediatric Surgery: A Randomized Controlled Trial

Background: Consent is never truly exercised in children as parents act as their proxy and often do not understand the advantages, disadvantages, risks, and benefits of the procedure. Their high anxiety state is mirrored in the child, leading to slower recovery. Hence, this study was designed to und...

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Main Authors: Shreyas Dudhani, Bindey Kumar, Amit Kumar Sinha, Amit Kumar, Rashi Rashi, Gaurav Shandilya
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-11-01
Series:Journal of Indian Association of Pediatric Surgeons
Subjects:
Online Access:https://journals.lww.com/10.4103/jiaps.jiaps_58_24
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author Shreyas Dudhani
Bindey Kumar
Amit Kumar Sinha
Amit Kumar
Rashi Rashi
Gaurav Shandilya
author_facet Shreyas Dudhani
Bindey Kumar
Amit Kumar Sinha
Amit Kumar
Rashi Rashi
Gaurav Shandilya
author_sort Shreyas Dudhani
collection DOAJ
description Background: Consent is never truly exercised in children as parents act as their proxy and often do not understand the advantages, disadvantages, risks, and benefits of the procedure. Their high anxiety state is mirrored in the child, leading to slower recovery. Hence, this study was designed to understand if an intervention can impact the effect of consent on parents’ anxiety, satisfaction, and knowledge. Methodology: A two-arm, parallel design, randomized controlled trial was conducted from March 2020 to March 2022 to analyze the effect of an educational video in comparison to an informational leaflet in parents giving proxy consents for various listed pediatric surgical procedures. Results: Parents in the video group had a higher mean knowledge score (6.97 vs. 6.77, P = 0.40), comparable satisfaction scores (27.45 vs. 27.58, P = 0.88), and statistically insignificant difference between anxiety scores. We noted highest score of satisfaction (28.5/40) in the parents educated up to High School level or less. Knowledge scores were lowest in pelvic-ureteric junction obstruction (5.1/10) patients. Conclusions: Our study done over a period of 2 years included a variety of diagnoses, and the videos and information leaflets were self-designed. It showed comparable anxiety, knowledge, or satisfaction in parents. Studies with more participants would be needed to take this research forward.
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institution Kabale University
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1998-3891
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publishDate 2024-11-01
publisher Wolters Kluwer Medknow Publications
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series Journal of Indian Association of Pediatric Surgeons
spelling doaj-art-249e5cb4328f4855b021bb30442f3ed72024-12-10T11:02:56ZengWolters Kluwer Medknow PublicationsJournal of Indian Association of Pediatric Surgeons0971-92611998-38912024-11-0129657357810.4103/jiaps.jiaps_58_24Impact of Informative Videos on Proxy Consent by Parents for Pediatric Surgery: A Randomized Controlled TrialShreyas DudhaniBindey KumarAmit Kumar SinhaAmit KumarRashi RashiGaurav ShandilyaBackground: Consent is never truly exercised in children as parents act as their proxy and often do not understand the advantages, disadvantages, risks, and benefits of the procedure. Their high anxiety state is mirrored in the child, leading to slower recovery. Hence, this study was designed to understand if an intervention can impact the effect of consent on parents’ anxiety, satisfaction, and knowledge. Methodology: A two-arm, parallel design, randomized controlled trial was conducted from March 2020 to March 2022 to analyze the effect of an educational video in comparison to an informational leaflet in parents giving proxy consents for various listed pediatric surgical procedures. Results: Parents in the video group had a higher mean knowledge score (6.97 vs. 6.77, P = 0.40), comparable satisfaction scores (27.45 vs. 27.58, P = 0.88), and statistically insignificant difference between anxiety scores. We noted highest score of satisfaction (28.5/40) in the parents educated up to High School level or less. Knowledge scores were lowest in pelvic-ureteric junction obstruction (5.1/10) patients. Conclusions: Our study done over a period of 2 years included a variety of diagnoses, and the videos and information leaflets were self-designed. It showed comparable anxiety, knowledge, or satisfaction in parents. Studies with more participants would be needed to take this research forward.https://journals.lww.com/10.4103/jiaps.jiaps_58_24anxietyeducational videoinformation leafletknowledgesatisfaction
spellingShingle Shreyas Dudhani
Bindey Kumar
Amit Kumar Sinha
Amit Kumar
Rashi Rashi
Gaurav Shandilya
Impact of Informative Videos on Proxy Consent by Parents for Pediatric Surgery: A Randomized Controlled Trial
Journal of Indian Association of Pediatric Surgeons
anxiety
educational video
information leaflet
knowledge
satisfaction
title Impact of Informative Videos on Proxy Consent by Parents for Pediatric Surgery: A Randomized Controlled Trial
title_full Impact of Informative Videos on Proxy Consent by Parents for Pediatric Surgery: A Randomized Controlled Trial
title_fullStr Impact of Informative Videos on Proxy Consent by Parents for Pediatric Surgery: A Randomized Controlled Trial
title_full_unstemmed Impact of Informative Videos on Proxy Consent by Parents for Pediatric Surgery: A Randomized Controlled Trial
title_short Impact of Informative Videos on Proxy Consent by Parents for Pediatric Surgery: A Randomized Controlled Trial
title_sort impact of informative videos on proxy consent by parents for pediatric surgery a randomized controlled trial
topic anxiety
educational video
information leaflet
knowledge
satisfaction
url https://journals.lww.com/10.4103/jiaps.jiaps_58_24
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