Oxford Video Informed Consent Tool (OxVIC): a pilot study of informed video consent in spinal surgery and preoperative patient satisfaction

Objectives The British Association of Spinal Surgeons recently called for updates in consenting practice. This study investigates the utility and acceptability of a personalised video consent tool to enhance patient satisfaction in the preoperative consent giving process.Design A single-centre, pros...

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Main Authors: Victoria Williamson, Gerard Mawhinney, Chrishan Thakar, Dominique A Rothenfluh, Jeremy Reynolds
Format: Article
Language:English
Published: BMJ Publishing Group 2019-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/9/7/e027712.full
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author Victoria Williamson
Gerard Mawhinney
Chrishan Thakar
Dominique A Rothenfluh
Jeremy Reynolds
author_facet Victoria Williamson
Gerard Mawhinney
Chrishan Thakar
Dominique A Rothenfluh
Jeremy Reynolds
author_sort Victoria Williamson
collection DOAJ
description Objectives The British Association of Spinal Surgeons recently called for updates in consenting practice. This study investigates the utility and acceptability of a personalised video consent tool to enhance patient satisfaction in the preoperative consent giving process.Design A single-centre, prospective pilot study using questionnaires to assess acceptability of video consent and its impacts on preoperative patient satisfaction.Setting A single National Health Service centre with individuals undergoing surgery at a regional spinal centre in the UK.Outcome measure As part of preoperative planning, study participants completed a self-administered questionnaire (CSQ-8), which measured their satisfaction with the use of a video consent tool as an adjunct to traditional consenting methods.Participants 20 participants with a mean age of 56 years (SD=16.26) undergoing spinal surgery.Results Mean patient satisfaction (CSQ-8) score was 30.2/32. Median number of video views were 2–3 times. Eighty-five per cent of patients watched the video with family and friends. Eighty per cent of participants reported that the video consent tool helped to their address preoperative concerns. All participants stated they would use the video consent service again. All would recommend the service to others requiring surgery. Implementing the video consent tool did not endure any significant time or costs.Conclusions Introduction of a video consent tool was found to be a positive adjunct to traditional consenting methods. Patient–clinician consent dialogue can now be documented. A randomised controlled study to further evaluate the effects of video consent on patients’ retention of information, preoperative and postoperative anxiety, patient reported outcome measures as well as length of stay may be beneficial.
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spelling doaj-art-ef2975d65b264cf4a602eb4ebfa0e5f52024-11-30T04:45:08ZengBMJ Publishing GroupBMJ Open2044-60552019-07-019710.1136/bmjopen-2018-027712Oxford Video Informed Consent Tool (OxVIC): a pilot study of informed video consent in spinal surgery and preoperative patient satisfactionVictoria Williamson0Gerard Mawhinney1Chrishan Thakar2Dominique A Rothenfluh3Jeremy Reynolds41 Department of Psychology, University of Exeter, Exeter, UK1 The Department of Spinal Surgery, Oxford University Hospitals NHS Foundation Trust1 The Department of Spinal Surgery, Oxford University Hospitals NHS Foundation Trust1 The Department of Spinal Surgery, Oxford University Hospitals NHS Foundation Trust1 The Department of Spinal Surgery, Oxford University Hospitals NHS Foundation TrustObjectives The British Association of Spinal Surgeons recently called for updates in consenting practice. This study investigates the utility and acceptability of a personalised video consent tool to enhance patient satisfaction in the preoperative consent giving process.Design A single-centre, prospective pilot study using questionnaires to assess acceptability of video consent and its impacts on preoperative patient satisfaction.Setting A single National Health Service centre with individuals undergoing surgery at a regional spinal centre in the UK.Outcome measure As part of preoperative planning, study participants completed a self-administered questionnaire (CSQ-8), which measured their satisfaction with the use of a video consent tool as an adjunct to traditional consenting methods.Participants 20 participants with a mean age of 56 years (SD=16.26) undergoing spinal surgery.Results Mean patient satisfaction (CSQ-8) score was 30.2/32. Median number of video views were 2–3 times. Eighty-five per cent of patients watched the video with family and friends. Eighty per cent of participants reported that the video consent tool helped to their address preoperative concerns. All participants stated they would use the video consent service again. All would recommend the service to others requiring surgery. Implementing the video consent tool did not endure any significant time or costs.Conclusions Introduction of a video consent tool was found to be a positive adjunct to traditional consenting methods. Patient–clinician consent dialogue can now be documented. A randomised controlled study to further evaluate the effects of video consent on patients’ retention of information, preoperative and postoperative anxiety, patient reported outcome measures as well as length of stay may be beneficial.https://bmjopen.bmj.com/content/9/7/e027712.full
spellingShingle Victoria Williamson
Gerard Mawhinney
Chrishan Thakar
Dominique A Rothenfluh
Jeremy Reynolds
Oxford Video Informed Consent Tool (OxVIC): a pilot study of informed video consent in spinal surgery and preoperative patient satisfaction
BMJ Open
title Oxford Video Informed Consent Tool (OxVIC): a pilot study of informed video consent in spinal surgery and preoperative patient satisfaction
title_full Oxford Video Informed Consent Tool (OxVIC): a pilot study of informed video consent in spinal surgery and preoperative patient satisfaction
title_fullStr Oxford Video Informed Consent Tool (OxVIC): a pilot study of informed video consent in spinal surgery and preoperative patient satisfaction
title_full_unstemmed Oxford Video Informed Consent Tool (OxVIC): a pilot study of informed video consent in spinal surgery and preoperative patient satisfaction
title_short Oxford Video Informed Consent Tool (OxVIC): a pilot study of informed video consent in spinal surgery and preoperative patient satisfaction
title_sort oxford video informed consent tool oxvic a pilot study of informed video consent in spinal surgery and preoperative patient satisfaction
url https://bmjopen.bmj.com/content/9/7/e027712.full
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