1. POSTER TEMPLATE BY: www.PosterPresentations.com Taking the 'Hysteria' out of the Hysterectomy Consent Signing Process: a Novel Video Approach BACKGROUND RESULTS OBJECTIVE CONCLUSIONS 33 subjects completed both surveys for inclusion in our analysis. Both the video and standard consent groups showed improvement in comprehension, with the video group exhibiting a larger before-to-after change. Interestingly, anxiety scores increased in the standard group, while they decreased in the vide group. Both groups were satisfied with the consent process, with less thought that the process could have been improved by the video group. Video consent was unanimously recommended by all 18 subjects who received it. SUBJECT SATISFACTION FOR ANY CONSENT PROCESS (n = 33): Have you ever signed a consent for another procedure? Yes: 23No: 7No response: 3 Are you satisfied with today’s consenting process? Yes : 31No: 2 Do you feel that today’s consenting process could’ve been better? Traditional group: 30%Video group: 5% LR Knoepp 1, QA Bixler 1 Ochsner Medical Center, New Orleans, LA. 1 Informed consent is necessary to meet ethical standards and improve patient autonomy. Successful completion of this process can be difficult due to barriers in patient comprehension, anxiety levels, and satisfaction. Other medical specialties have utilized video consent, with positive effect on at least one of these barriers. Gynecology has not yet assessed the effect of video consent on hysterectomy. To determine whether comprehension, satisfaction, and anxiety level are impacted by video consent in patients undergoing hysterectomy. HYPOTHESIS In subjects undergoing hysterectomy, there is no difference in comprehension, satisfaction, and anxiety level between those consented with typical, script-guided conversation with a physician versus those consented with video assistance. RESULTS Figure 3a: Consent comprehension scores (% correct) before vs. after traditional or video consent. METHODS Over a 6 month period, we enrolled women scheduled for hysterectomy and at least 30 years of age. Participants were randomly assigned to 1 of 2 groups: those consented with a typical, script-guided conversation with a physician or those consented by watching a video. The video reviewed anatomy, hysterectomy type and approach, risks/benefits/alternatives, and postoperative course expectations. Each participant completed a survey assessing patient comprehension, anxiety levels, and satisfaction before and after undergoing the assigned consent type. Video consent shows promise in streamlining the consent process for hysterectomy, improving patient comprehension, anxiety levels, and satisfaction. Further studies might account for difference in patient educational level, payer status, and previous consent experience. KEY: TAH: total abdominal hysterectomy; TLH: total laparoscopic hysterectomy; BS: bilateral salpingectomy; BSO: bilateral salpingo-oophorectomy Figure 1: Participant inclusion and exclusion. Figure 2: Hysterectomy by type. Total hysterectomies 49 Included 33 Traditional 15 Video 18 Excluded 16 - Oncologic diagnosis (9) - Psychiatric disorder (5) - non-English speaking (2) Figure 3b: Anatomy comprehension scores (% correct) before vs. after traditional or video consent. Figure 3a: Postoperative comprehension scores (% correct) before vs. after traditional or video consent. Figure 4: Mean anxiety scores (max score = 40) before vs. after traditional or video consent. References 1) Accepted Manuscript (accepted Jan 2, 2014), to appear in The Journal of Minimally Invasive Gynecology: “The use of a multimedia module to aid the informed consent process in patients undergoing gynecological laparoscopy for pelvic pain- A randomized controlled trial” 2) Sahai, et al. 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Vol. 110, pp. 1062- 1071. 8) Farrell E, et al. Systematic review and meta-analysis of audio-visual information aids for informed consent for invasive healthcare procedures in clinical practice. PEC” Patient Education and Counseling. Jan 2014. Vol 94, pp. 20-32.