Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/53516
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | Improving informed consent to chemotherapy: A randomized controlled trial of written information versus an interactive multimedia CD-ROM |
Author: | Olver, I. Whitford, H. Denson, L. Peterson, M. Olver, S. |
Citation: | Patient Education and Counseling, 2009; 74(2):197-204 |
Publisher: | Elsevier Sci Ireland Ltd |
Issue Date: | 2009 |
ISSN: | 0738-3991 1873-5134 |
Statement of Responsibility: | Ian N. Olver, Hayley S. Whitford, Linley A. Denson, Melissa J. Peterson and Scott I. Olver |
Abstract: | <h4>Objective</h4>This randomized controlled trial aimed to determine whether an interactive CD-ROM improved cancer patients' recall of chemotherapy treatment information over standard written information, and whether demographic, cognitive, and psychological factors better predicted recall than this format of delivery.<h4>Methods</h4>One-hundred-and-one new patients about to commence chemotherapy were randomized to receive written information or a CD-ROM containing treatment information before giving informed consent. Patients' recall, concentration, short-term memory, reading comprehension, anxiety, depression, and coping styles were assessed with standardized measures pre-treatment. Seventy-seven patients completed tests for recall of treatment information before their second chemotherapy session.<h4>Results</h4>Intention-to-treat analyses indicated no significant differences between the written information and CD-ROM groups across recall questions about number of drugs received (p=.43), treatment length (p=.23), and treatment goal (p=.69). Binary logistic regressions indicated that for groups combined different variables predicted each of the recall questions.<h4>Conclusion</h4>An interactive CD-ROM did not improve cancer patients' recall of treatment information enough to warrant changes in consent procedures.<h4>Practice implications</h4>Different variables predicted recall of different treatment aspects highlighting the complex nature of attempting to improve patient recall. Attending to the effect of depression on patient knowledge and understanding appears paramount. |
Keywords: | Humans Neoplasms Antineoplastic Agents Logistic Models Chi-Square Distribution Depression Anxiety Mental Recall Informed Consent Educational Measurement Computer-Assisted Instruction Audiovisual Aids Multimedia CD-ROM User-Computer Interface Middle Aged New South Wales Female Male Patient Education as Topic |
Rights: | © 2008 Elsevier Ireland Ltd All rights reserved. |
DOI: | 10.1016/j.pec.2008.08.021 |
Published version: | http://dx.doi.org/10.1016/j.pec.2008.08.021 |
Appears in Collections: | Aurora harvest 5 Psychology publications |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.