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ORIGINAL INVESTIGATION Patient Comprehension of an Interactive, Computer-Based Information Program for Cardiac Catheterization A Comparison With Standard Information Alan R. Tait, PhD; Terri Voepel-Lewis, MSN, RN; Mauro Moscucci, MD, MBA; Colleen M. Brennan-Martinez, BSN, MS; Robert Levine, MD Background: Several studies suggest that standard ver- Results: Subjects randomized to the ICI intervention had bal and written consent information for treatment is of- significantly greater improvement in understanding com- ten poorly understood by patients and their families. The paredwiththosewhoreceivedtheSI(netchange,0.81;95% confidence interval, 0.01-1.6). Significantly more subjects present study examines the effect of an interactive com- in the ICI group had complete understanding of the risks puter-based information program on patients’ under- of cardiac catheterization (53.6% vs 23.1%) (P=.001) and standing of cardiac catheterization. optionsfortreatment(63.2%vs46.2%)(P=.048)compared withtheSIgroup.Severalpredictorsofimprovedunderstand- Methods: Adult patients scheduled to undergo diag- ingwereidentified,includingbaselineknowledge(P.001), nostic cardiac catheterization (n=135) were random- younger age (P=.002), and use of the ICI (P=.003). ized to receive details about the procedure using either standard institutional verbal and written information (SI) Conclusions: Results suggest that an interactive computer- or interactive computerized information (ICI) pre- based information program for cardiac catheterization may loaded on a laptop computer. Understanding was mea- be more effective in improving patient understanding than sured
JAMA Internal Medicine – American Medical Association
Published: Nov 9, 2009
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