Holtrop–Kooistra, N. (Nynke) (2014) Digitale versus schriftelijke informatie bij bekkenbodemproblematiek. thesis, Medicine.
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Abstract
Objective When patients are adequately informed about their medical condition, they will be more able to participate in the decision process, known as shared decision making. This positively affects patient compliance and may therefore improve patients’ health status. But how do you inform a patient adequately as a medical specialist? This study investigates two different forms of information provided to patients: traditional written information in leaflets versus digital information by using an internet-based health record with personal information, the digipoli. The two major differences between these two types are the form (written versus digital) and the specificity (a general leaflet versus the digipoli with customized information). What kind of information gives more patient satisfaction among patients with pelvic floor dysfunction and which one gives more recall among patients? And will these results differ between younger patients and elderly patients, who may depend on informal care-givers when they want to read the information? Methods Women with pelvic floor dysfunction who are seen by a gynecologist and need a gynecological treatment were informed about this study. Once they met the inclusion criteria and agreed to participate, they were randomized. Group A is informed by a traditional leaflet and group B by the digipoli. The participants were seen again at a next appointment. During this appointment they filled out two questionnaires, one on patient satisfaction and one on testing recall of information. After completing the questionnaires they received, if desired, the other form of information. Two weeks later the participants were contacted for a final evaluation by telephone or e-mail. Results There were 38 patients included (19 per group). Thirty-four satisfaction questionnaires were completed (19 in group A and 15 in group B) and 26 questionnaires about the content of the information (13 per group). The data shows that patient satisfaction was significantly higher in the group of women who were informed using the digipoli (p = 0.014). The mean satisfaction score for the digipoli was 35.87 out of 40 (SD = 2.95) and for the leaflets 32.16 (SD = 4.51). The overall satisfaction with the digipoli (score = 8.1 out of 10; SD = 1.2) did not significantly differ from the leaflets (score = 7.6; SD = 0.9; p = 0.136). Also the recall score did not show a significant difference (73.9%; SD = 13.6 in the digipoli group and 68.2%; SD = 8.9 in the folders group; p = 0.390). Age has no significant relationship with satisfaction nor the degree of recall of the information (p = 0.711). The level of education among the participants does have a significant (p = 0.002) positive relationship with the recall (r = 0.579) as also the type of treatment has a significant (p = 0.006) relation with the recall. Participants with a more complex treatment show more recall. Conclusions Patients satisfaction among women with pelvic floor dysfunction is higher when patients were informed using an individualized digital method, compared to using traditional, more general leaflets. Age has no influence on the outcome. However, participants with a higher level of education and participants with a more complex treatment give better recall.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Malmberg, G.G.A. |
| Supervisor name: | Houwen, C. Van der and Tjongerschans Heerenveen |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:56 |
| Last Modified: | 25 Jun 2020 10:56 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1702 |
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