1. Use of standardized visual aids improves informed consent for appendectomy in children: A randomized control trial.
- Author
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Rosenfeld EH, Lopez ME, Yu YR, Justus CA, Borges MM, Mathai RC, Karediya A, Zhang W, and Brandt ML
- Subjects
- Acute Disease, Adolescent, Adult, Child, Comprehension, Educational Status, Female, Humans, Logistic Models, Male, Middle Aged, Multivariate Analysis, Young Adult, Appendectomy, Appendicitis surgery, Audiovisual Aids, Health Education methods, Parental Consent
- Abstract
Background: Obtaining informed consent for surgical procedures is often compromised by patient and family educational background, complexity of the forms, and language barriers. We developed and tested a visual aid in order to improve the informed consent process for families of children with appendicitis., Methods: Families were randomized to receive either a standard surgical consent or a standard consent plus visual aid. Univariate and multivariate analyses were performed to assess the effectiveness of adding the visual aid to the consent procedure., Results: Parents in both cohorts were similar in age, gender and education level (p > 0.05). On multivariate analysis, visual consent had the strongest influence on parent/guardian comprehension (OR 4.0; 95%CI 2.2-7.2; p < 0.01), followed by post-secondary education (OR 2.7; 95%CI 1.5-4.9; p < 0.01), and use of external resources to look up appendicitis (OR 2.0; 95%CI 1.1-3.6; p = 0.02)., Conclusion: Visual aids improve understanding and retention of information given during the informed consent process of children with appendicitis., (Copyright © 2018 Elsevier Inc. All rights reserved.)
- Published
- 2018
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