3.8 Article

Lumbar puncture patient video increases knowledge and reduces uncertainty: An RCT

Publisher

WILEY
DOI: 10.1002/trc2.12127

Keywords

Alzheimer's disease; educational animation-video; information provision; lumbar puncture; memory clinics; patient education; post-lumbar puncture complications

Funding

  1. Pasman stichting
  2. Stichting Alzheimer Nederland
  3. Stichting VUmc fonds
  4. Stichting Dioraphte
  5. Stichting LSH-TKI [LSHM16025]
  6. Alzheimer Nederland
  7. Amsterdam Medical Center
  8. Ministry of Economic Affairs and Climate Policy
  9. Piramal Neuroimaging
  10. VU University Medical Center

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Preparing patients for lumbar puncture with an educational video can increase knowledge about the procedure and reduce feelings of uncertainty.
Background Patients often perceive a lumbar puncture (LP) as an invasive procedure. We aimed to evaluate the impact of a 3-minute educational animation-video explaining the LP procedure, on patients' knowledge, uncertainty, anxiety, and post-LP complications. Methods We included 203 newly referred memory clinic patients, who were randomly assigned to one of three conditions: (1) home viewing of the video, (2) clinic viewing of the video, or (3) control condition (care as usual). Participants completed questionnaires measuring knowledge as information recall, uncertainty, anxiety, and post-LP complications, the latter when patients underwent an LP procedure (n = 145). Results Viewing the video increased information recall for both home (P < .001), and clinic viewers (P < .001) compared to controls. Levels of uncertainty decreased after viewing (P-for interaction = .044), particularly for clinic viewers. Viewing the video or not did not affect anxiety and post-LP complications. Discussion Preparing individuals for an LP by means of an educational video can help to increase knowledge about the procedure and reduce feelings of uncertainty.

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