An interactive videodisc program for low back pain patients

An interactive videodisc program for low back pain patients

Decisions about back pain treatment are often made in the presence of both physician and patient uncertainty. Therefore, we developed a computerized, interactive video program to help patients make informed decisions about undergoing low back surgery. Program development was guided by the shared dec...

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Bibliographic Details
Published in:Health education research Vol. 11; no. 4; pp. 535 - 541
Main Authors: Spunt, B.S., Deyo, R.A., Taylor, V.M., Leek, K.M., Goldberg, H.I., Mulley, A.G.
Format: Journal Article
Language:English
Published: England Oxford University Press 01-12-1996
Subjects:
Adolescent
Adult
Aged
Decision making
Decision Support Techniques
Female
Health technology assessment
Humans
Interactive videodiscs
Low back pain
Low Back Pain - surgery
Low Back Pain - therapy
Male
Middle Aged
Patient Education as Topic
Patients
Program Evaluation
Risk Factors
SHORT COMMUNICATION
Surgery
Videodisc Recording
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Summary:Decisions about back pain treatment are often made in the presence of both physician and patient uncertainty. Therefore, we developed a computerized, interactive video program to help patients make informed decisions about undergoing low back surgery. Program development was guided by the shared decision-making model, a comprehensive literature synthesis, information from administrative databases, and focus groups of patients and physicians. Core segments are tailored to each patient's age and diagnosis; and include a narrative, excerpts from patient interviews, animated graphics illustrating spinal anatomy, and tabular summaries of the benefits and risks of both surgical and non-surgical treatment. As part of a multifocal information dissemination effort, interactive videodiscs were placed in five medical facilities in two Washington State counties. Patients (N = 239) who viewed the video program completed short evaluation forms. The majority rated the video's understandability (84%) and interest (64%) as very good or excellent. Most patients felt the amount of information provided was appropriate (75%) and over half (56%) believed the discussion of surgical versus non-surgical treatment was completely balanced. Fewer patients (17%) remained undecided about therapy after watching the program than before (29%). We conclude that interactive videodisc technology offers substantial promise as a means of involving patients in their own medical decision making.
Bibliography:V. Taylor
ark:/67375/HXZ-Z0J26GGZ-Z
istex:C4F12908B319D1729C54AE1229B59E5F0F58D6DD
ArticleID:11.4.535
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0268-1153
1465-3648
DOI:10.1093/her/11.4.535