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Impact of Preoperative Video Education for Cataract Surgery on Patient Learning Outcomes

Authors Wisely CE, Robbins CB, Stinnett S, Kim T, Vann RR, Gupta PK

Received 2 February 2020

Accepted for publication 17 April 2020

Published 20 May 2020 Volume 2020:14 Pages 1365—1371

DOI https://doi.org/10.2147/OPTH.S248080

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser


C Ellis Wisely,1 Cason B Robbins,2 Sandra Stinnett,1 Terry Kim,1 Robin R Vann,1 Preeya K Gupta1

1Duke University, Department of Ophthalmology, Durham, NC, USA; 2Duke University, School of Medicine, Durham, NC, USA

Correspondence: Preeya K Gupta
Duke University Eye Center at Page Road, 4709 Creekstone Drive Suite 100, Durham, NC 27703, USA
Tel +1 919-660-5234
Email preeya.gupta@duke.edu

Purpose: To assess the effect of an educational video on 1) patient knowledge about cataract surgery, 2) patient perception of preoperative assessment visit quality, 3) face-to-face time with the surgeon, and 4) choices regarding premium intraocular lenses (IOLs) or laser-assisted cataract surgery (LACS).
Setting: Eye clinic in an academic medical center.
Design: Prospective survey of patients who randomly viewed or did not view an educational video.
Methods: Patients of three cataract surgeons completed a survey during cataract surgery preoperative visits. One group viewed an educational video about cataract surgery, while the other did not. All patients received their surgeon’s typical preoperative counseling.
Results: A total of 101 patients were surveyed. Out of 101 patients, 58 viewed the educational video. Patients who viewed the video exhibited stronger learning outcomes; in particular, patients who viewed the video scored higher on cataract surgery educational assessments than those who did not (83% vs 76%, p=0.032), particularly on the assessment of postoperative visual expectations (98% vs 80%, p=0.003). Differences in educational assessment scores between groups were not affected by which surgeon patients saw (p=0.807). Patients who watched the video were more likely to agree their surgeon provided quality explanations (93% vs 74% strongly agreed, p=0.025) and trended toward greater perception the surgeon spent enough time with them (p=0.067). Video education did not affect face-to-face surgeon time with patients (p=0.212) or choices of multifocal IOLs (p=0.795), toric IOLs (p=0.321), or LACS (p=0.940).
Conclusion: Video education during preoperative cataract surgery assessments improved patient understanding of cataract surgery and perception of preoperative visits. Video education is easily integrated into preoperative visits and can enhance the preoperative experience.

Keywords: cataract surgery, video education, patient experience

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