IF 3.2 Q1 HEALTH CARE SCIENCES & SERVICES Frontiers in digital health Pub Date : 2025-02-13 eCollection Date: 2025-01-01 DOI:10.3389/fdgth.2025.1508163
Chhitij Tiwari, Keely Copperthite, Tia Morgan, Jonathan Oakes, Luigi Troiani, Chris Evans, Sonia Napravnik, Claire E Farel, Monica M Diaz
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摘要

背景:视频教育可提高患者的医学素养,减少接受腰椎穿刺(LP)等诊断程序的患者的焦虑和犹豫。以腰椎穿刺教育为中心的多项研究表明,视频教育可以减轻患者对可能发生的不良事件的焦虑,同时提高患者对手术本身的临床知识。我们的研究旨在评估视频教育对感染艾滋病毒的老年人(PWH)接受 LP 的知识和意愿的影响:我们招募了 2023 年 3 月 3 日至 11 月 16 日期间定期到传染病诊所就诊的年龄≥ 50 岁的艾滋病感染者。参与者观看了一段以患者为中心的教育视频,视频中解释了 LP 程序,并在观看视频前后填写了一份调查问卷,对人口统计学、对 LP 的一般认识和先前经验、对 LP 的具体知识、态度和看法以及接受 LP 的意愿进行评估:我们的研究共包括 99 名腰椎间盘突出症患者,平均(标准差,SD)年龄为 58.8(5.7)岁,三分之一为女性,60% 为非裔美国人/黑人。观看视频后,参与者更有可能正确识别手术的技术细节(不包括以前做过腹腔镜手术的人,观看视频前为 83.7%,观看视频后为 95.9%)和腹腔镜手术的常见并发症;同意腹腔镜手术会导致背痛(p p 结论:其他教育干预措施,如现场演示或模型,可能有助于减轻对 LP 的恐惧。我们的研究为了解残疾人在被要求接受 LP 时的知识和看法提供了重要依据,并证明了基于视频的教育可能不足以减轻他们对 LP 程序的恐惧,或对参与 LP 缺乏兴趣或时间。
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Usefulness of lumbar puncture educational videos for older people with HIV.

Background: Video-based education offers opportunities to enhance patients' medical literacy and to reduce anxiety and hesitation for patients undergoing diagnostic procedures such as lumbar puncture (LP). Multiple studies centered on LP education have demonstrated that video-based education can reduce anxiety regarding possible adverse events, while increasing literacy regarding the procedure itself for clinical purposes. Our study sought to assess the impact of video-based education on knowledge of and willingness to undergo an LP among older people with HIV (PWH).

Methods: We enrolled PWH age ≥ 50 years who regularly attend our Infectious Diseases clinic between March 3 and November 16, 2023. Participants watched a patient-centered educational video explaining the LP procedure and completed a questionnaire both pre- and post-video assessing demographics, general awareness and prior experience with an LP, specific knowledge, attitudes and perceptions toward an LP and willingness to undergo an LP.

Results: Our study included 99 PWH with mean (standard deviation, SD) age of 58.8 (5.7) years, one-third females and 60% African American/Black race. After watching the video, participants were significantly more likely to correctly identify technical details of the procedure (excluding those who had previously had an LP, 83.7% pre-video vs. 95.9% post-video) and common complications of an LP; agree that LPs can result in back pain (p < 0.001) and headaches (p < 0.001). There was no significant difference in participants' willingness to undergo an LP for diagnostic or research purposes. Only 5% said that they would never have an LP under any circumstance after watching the video.

Conclusions: Other educational interventions, such as in-person demonstrations or models, may help mitigate fears of LP. Our study provides important insight into the knowledge and perceptions of PWH when asked to undergo an LP and demonstrates that video-based education may not be sufficient to mitigate fears surrounding LP procedures, or a lack of interest or time for participating in an LP.

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来源期刊
CiteScore
4.20
自引率
0.00%
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审稿时长
13 weeks
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