THE IMPACT OF A TABLET-BASED GRAPHICS APPLICATION ON PATIENTS' EXPERIENCES AND ENGAGEMENT DURING THE CONSENT PROCESS FOR INPATIENT CARDIAC CATHETERIZATION Open Access
Demyun, Janci A (2014)
Published
Abstract
Abstract
THE IMPACT OF A TABLET-BASED GRAPHICS APPLICATION
ON PATIENTS' EXPERIENCES AND ENGAGEMENT
DURING THE CONSENT PROCESS
FOR INPATIENT CARDIAC CATHETERIZATION
BY
Janci A. Demyun
Objective: The objective of this exploratory study was to assess the impact of an interactive, tablet-based graphics application on patients' experiences with the consent process and decision-making for inpatient cardiac catheterization.
Methods: We employed a modified pre-post design. Eighteen patients underwent a consent process incorporating the tablet-based graphics application; 22 patients underwent a standard consent process. Outcomes were assessed via structured interview and included procedural knowledge, satisfaction with the consent process, and perceptions of the intervention.
Results: Patients from both groups reported high satisfaction with the consent process. No significant differences were appreciated between groups regarding procedural understanding or treatment decisions. Many intervention patients valued seeing the procedure beforehand. In particular, patients reported that pictorial representations created a sense of reassurance and comfort.
Conclusion: Significant differential impact on objective outcome measures was not appreciated but was difficult to assess given high background satisfaction. However, patients' responses were very positive toward the intervention. Applications like this may enhance patients' experiences of consent and reduce procedural anxiety. These goals have practical and ethical importance independent of procedural knowledge or decisions.
Table of Contents
Table of Contents
Chapter One: Introduction 1
Overview of Problem 1
Background 1
Primary Research Questions 3
Purpose of study 4
Chapter Two: Literature Review 5
Patient-centered medical care 5
Five dimensions of PCC 5
Shared decision-making and relationship-centered care 6
Barriers 7
IT and Informed Consent 8
Knowledge 9
Communication 10
Summary of Findings 12
Chapter Three: Methods 13
Purpose of study 13
Study Design 14
Study Population 15
Recruitment 15
Sampling 15
Questionnaire/Interview guide 16
Physician Focus Groups 17
Data Collection and management 17
Data analysis 18
Results 18
Chapter Four: Discussion and conclusion 22
Discussion 22
Conclusion 24
Chapter Five: Journal article 25
Appendix A: IRB Approval 37
Appendix B: Patient Interview Guide 38
Bibliography 46
List of Tables
Table 1. Demographic information 19, 30
Table 2. Relevant themes 20, 31
List of Figures
Figure 1. Sample graphics from the intervention 3, 14, 28
About this Master's Thesis
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Primary PDF
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THE IMPACT OF A TABLET-BASED GRAPHICS APPLICATION ON PATIENTS' EXPERIENCES AND ENGAGEMENT DURING THE CONSENT PROCESS FOR INPATIENT CARDIAC CATHETERIZATION () | 2018-08-28 14:28:14 -0400 |
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Supplemental Files
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IRB_Approval_05_29_2013.pdf () | 2018-08-28 14:31:54 -0400 |
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