Video-assisted informed consent for kidney cancer surgery - a potential solution for the new GMC consent guidance?
BAUS ePoster online library. Bellman R. 06/23/21; 319031; p12-3
Disclosure(s): Worked with mySurgery who created the videos used in this research.
Ryan Bellman
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Abstract
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Introduction
The General Medical Council (GMC) published new guidance on informed consent, including that patients should be given information needed to make a decision, and time and support to understand it. We provided patients with an animated video during the consent process for kidney cancer surgery. We assessed whether this improved patient understanding and satisfaction.
Methods
We developed an animated video describing the patient's treatment journey for minimally invasive kidney cancer surgery, including potential risks and complications. Scripts were co-designed with a multi-disciplinary team including patients with kidney cancer. The video was presented on a web platform for patients to view in their preferred time and location. Each video chapter was time and date stamped when watched. After 1 week, patients completed a questionnaire on their consent process experience.
Results
37 patients completed questionnaires (16 watched video, 21 had not). Overall 80% preferred to watch an animated video than read a patient information leaflet, although only 40% patients accessed the platform. Reasons for not accessing included difficulty with technology and lack of family support. More patients in the video group were satisfied with the consent process and rated 'strongly agree' in domains regarding procedural understanding.
Conclusions
Patients undergoing minimally invasive kidney cancer surgery preferred video to written procedural information. Consent process satisfaction was higher amongst patients who viewed the video. If implemented, consideration should be given to optimising access (patient support and enabling technology). Video assistance may enable compliance with new GMC consent guidance without disruption of clinical pathways.
The General Medical Council (GMC) published new guidance on informed consent, including that patients should be given information needed to make a decision, and time and support to understand it. We provided patients with an animated video during the consent process for kidney cancer surgery. We assessed whether this improved patient understanding and satisfaction.
Methods
We developed an animated video describing the patient's treatment journey for minimally invasive kidney cancer surgery, including potential risks and complications. Scripts were co-designed with a multi-disciplinary team including patients with kidney cancer. The video was presented on a web platform for patients to view in their preferred time and location. Each video chapter was time and date stamped when watched. After 1 week, patients completed a questionnaire on their consent process experience.
Results
37 patients completed questionnaires (16 watched video, 21 had not). Overall 80% preferred to watch an animated video than read a patient information leaflet, although only 40% patients accessed the platform. Reasons for not accessing included difficulty with technology and lack of family support. More patients in the video group were satisfied with the consent process and rated 'strongly agree' in domains regarding procedural understanding.
Conclusions
Patients undergoing minimally invasive kidney cancer surgery preferred video to written procedural information. Consent process satisfaction was higher amongst patients who viewed the video. If implemented, consideration should be given to optimising access (patient support and enabling technology). Video assistance may enable compliance with new GMC consent guidance without disruption of clinical pathways.
Introduction
The General Medical Council (GMC) published new guidance on informed consent, including that patients should be given information needed to make a decision, and time and support to understand it. We provided patients with an animated video during the consent process for kidney cancer surgery. We assessed whether this improved patient understanding and satisfaction.
Methods
We developed an animated video describing the patient's treatment journey for minimally invasive kidney cancer surgery, including potential risks and complications. Scripts were co-designed with a multi-disciplinary team including patients with kidney cancer. The video was presented on a web platform for patients to view in their preferred time and location. Each video chapter was time and date stamped when watched. After 1 week, patients completed a questionnaire on their consent process experience.
Results
37 patients completed questionnaires (16 watched video, 21 had not). Overall 80% preferred to watch an animated video than read a patient information leaflet, although only 40% patients accessed the platform. Reasons for not accessing included difficulty with technology and lack of family support. More patients in the video group were satisfied with the consent process and rated 'strongly agree' in domains regarding procedural understanding.
Conclusions
Patients undergoing minimally invasive kidney cancer surgery preferred video to written procedural information. Consent process satisfaction was higher amongst patients who viewed the video. If implemented, consideration should be given to optimising access (patient support and enabling technology). Video assistance may enable compliance with new GMC consent guidance without disruption of clinical pathways.
The General Medical Council (GMC) published new guidance on informed consent, including that patients should be given information needed to make a decision, and time and support to understand it. We provided patients with an animated video during the consent process for kidney cancer surgery. We assessed whether this improved patient understanding and satisfaction.
Methods
We developed an animated video describing the patient's treatment journey for minimally invasive kidney cancer surgery, including potential risks and complications. Scripts were co-designed with a multi-disciplinary team including patients with kidney cancer. The video was presented on a web platform for patients to view in their preferred time and location. Each video chapter was time and date stamped when watched. After 1 week, patients completed a questionnaire on their consent process experience.
Results
37 patients completed questionnaires (16 watched video, 21 had not). Overall 80% preferred to watch an animated video than read a patient information leaflet, although only 40% patients accessed the platform. Reasons for not accessing included difficulty with technology and lack of family support. More patients in the video group were satisfied with the consent process and rated 'strongly agree' in domains regarding procedural understanding.
Conclusions
Patients undergoing minimally invasive kidney cancer surgery preferred video to written procedural information. Consent process satisfaction was higher amongst patients who viewed the video. If implemented, consideration should be given to optimising access (patient support and enabling technology). Video assistance may enable compliance with new GMC consent guidance without disruption of clinical pathways.
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