Examination of the Effectiveness of DVD Decision Support Tools for Patients With Unruptured Cerebral Aneurysms
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概要
- 論文の詳細を見る
Preventative treatments for unruptured cerebral aneurysms include craniotomy, endovascular treatment, and follow up. Since there is no agreement as to the best procedure, it is important to provide adequate information so that the patient and physician can share in the decision-making process. A multimedia DVD was created to inform patients of the facts. This study examined how effectively this DVD changes patients' recognition including knowledge of unruptured cerebral aneurysms. Forty-seven patients with unruptured cerebral aneurysms who sought neurosurgery consultation between December 2005 and February 2006 completed a questionnaire before and after watching the DVD, as well as at 3 months follow up. Before watching the DVD, the average knowledge score was 8.72 out of 15 total points. The average score increased to 12.4 after watching the DVD (p<0.001). At 3 months follow up, the average score was 10.34, which was still higher than before watching the DVD (p<0.01). Participants' knowledge about treatment methods also increased after watching the DVD (p<0.001). Compared to 63.2% who were satisfied with their treatment decision before watching the DVD, 69.6% were satisfied with their decision after watching the DVD. All participants responded that the use of multimedia images was helpful in better understanding treatment options and in making informed decisions. The DVD was favorably accepted as a decision support tool by patients with unruptured cerebral aneurysm and effectively increased patients' knowledge.
- 2007-12-15
著者
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MORITA Akio
Department of Neurosurgery and Stroke Unit, Kanto Medical Center, NTT East Corporation
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Nozaki Kazuhiko
Department Of Neurosurgery Faculty Of Medicine Kyoto University
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Nakayama Takeo
Department Of Epidemiology Medical Research Institute Tokyo Medical And Dental University
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Yokoyama Yoko
Department Of Dermatology Gunma University Graduate School Of Medicine
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Yokoyama Yoko
Department Of Epidemiology And Healthcare Research Kyoto University School Of Public Health
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Hashimoto Nobuo
Department Of Cerebrovascular Surgery National Cordiovascular Center
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OKUBO Chie
Department of Medical Ethics, Kyoto University School of Public Health
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AKAMATSU Rie
Faculty of Human Life and Environmental Sience, Ochanomizu University
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FUKUHARA Shun-ichi
Department of Epidemiology and Healthcare Research, Kyoto University School of Public Health
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Okubo Chie
Department Of Medical Ethics Kyoto University School Of Public Health
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Akamatsu Rie
Faculty Of Human Life And Environmental Sience Ochanomizu University
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Morita Akio
Department Of Neurosurgery Kanto Medical Center Ntt Ec
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Morita Akio
Department Of Applied Biological Chemistry Shizuoka Uiniversity
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Fukuhara Shun-ichi
Department Of Epidemiology And Healthcare Research Kyoto University School Of Public Health
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