The process of informed consent is an integral part of the preoperative encounter. In theory, it has the potential to educate patients, enabling them to reach a true autonomous decision regarding the treatment offered. Unfortunately, in recent years informed consent has become overly complicated for the average patient. Questions have been raised regarding the ability of the process, as practiced nowadays, to actually increase knowledge and achieve its goals. In search of new ways to increase patient comprehension, researchers have suggested use of multimedia during the process of informed consent. Visualization of complex ideas, interactive learning and tailoring the procedure to fit patient needs are all advantages presented by use of multimedia during the process. Several randomized prospective trials have looked into this topic and have presented promising data in favor of multimedia use. Informed consent is a process with unfulfilled potential, and use of multimedia may be part of the solution. In our opinion, it is time to change the way we educate patients.
Informed consent Multimedia Female pelvic medicine Patient education
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Conflicts of interest
H.H. Chill and U. Dior have no conflicts of interest. D. Shveiky serves on the medical advisory board of Escala Medical.
von Ephesos I. Historia ecclesiastica, vol III. Louvain: E W Brooks; 1964. p. 91–6.Google Scholar
Feld AD. Informed consent: not just for procedures anymore. Am J Gastroenterol. 2004;99:977–80.CrossRefGoogle Scholar
Berg JW, Appelbaum PS, Lidz CW, Parker LS. Informed consent: legal theory and clinical practice. Oxford: Oxford University Press; 2001.Google Scholar
The Joint Commission Standard R1.01.03.01. 2009 hospital accreditation standards. Oakbrook Terrace (IL): The Commission. 2009.Google Scholar
Madeira JL, Andraka-Christou B. Paper trails, trailing behind: improving informed consent to IVF through multimedia applications. J Law Biosci. 2016;3(1):2–38.CrossRefGoogle Scholar
Krupp W, Spanehl O, Laubach W, et al. Informed consent in neurosurgery: patients’ recall of preoperative discussion. Acta Neurochir. 2000;142:233–8 discussion 238-9.CrossRefGoogle Scholar
Tait AR, Voepel-Lewis T. Digital multimedia: a new approach for informed consent? JAMA. 2015;313(5):463–4.CrossRefGoogle Scholar
Nishimura A, Carey J, Erwin PJ, Tilburt JC, Murad MH, McCormick JB. Improving understanding in the research informed consent process: a systematic review of 54 interventions tested in randomized control trials. BMC Med Ethics. 2013;14:28.CrossRefGoogle Scholar
Willis G. Cognitive interviewing as a tool to improve the informed consent process. J Empir Res Hum Res. 2006;1:9–24.CrossRefGoogle Scholar
Lewis D. Computer-based approaches to improving patient education: a review of the literature. J Am Med Inform Assoc. 1999;6:272–9.CrossRefGoogle Scholar
Ellett L, Villegas R, Beischer A, Ong N, Maher P. Use of a multimedia module to aid the informed consent process in patients undergoing gynecologic laparoscopy for pelvic pain: randomized controlled trial. J Minim Invasive Gynecol. 2014;21(4):602–11.CrossRefGoogle Scholar
Tipotsch-Maca SM, Varsits RM, Ginzel C, Vecsei-Marlovits PV. Effect of a multimedia-assisted informed consent procedure on the information gain, satisfaction, and anxiety of cataract surgery patients. J Cataract Refract Surg. 2016;42(1):110–6.CrossRefGoogle Scholar
Bowers N, Eisenberg E, Montbriand J, Jaskolka J, Roche-Nagle G. Using a multimedia presentation to improve patient understanding and satisfaction with informed conset for minimally invasive vascular procedures. Surgeon. 2017;15(1):7–11.CrossRefGoogle Scholar
Madeira JL, Rehbein J, Christianson MS, et al. Using the EngagedMD multimedia platform to improve informed consent for ovulation induction, intrauterine insemination, and in vitro fertilization. Fertil Steril. 2018;110(7):1338–46.CrossRefGoogle Scholar