A video-based educational pilot for basal cell carcinoma (BCC) treatment: A randomized controlled trial

Abstract

Introduction: Several treatment options exist for uncomplicated basal cell carcinoma. Standardized and effective informed consent is difficult in busy dermatology clinics.

Objective: We investigated whether an educational video depicting 3 treatment options for uncomplicated basal cell carcinoma-excision, electrodessication and curettage, and topical therapy-before standard in-office informed consent affected patient knowledge and consent time compared with standard in-office consent alone.

Methods: Patients were randomized to receive video education plus verbal discussion (video) or standard verbal discussion alone (control). Both groups completed baseline and final knowledge assessments. The primary outcome measure was change in knowledge scores between groups. Secondary outcomes were patient satisfaction, physician satisfaction, and informed consent time.

Results: In all, 32 eligible patients (16 control, 16 video) from an academic institution and affiliate Department of Veterans Affairs Medical Center dermatology clinics participated. The video group had significantly greater gains in knowledge compared with the control group (mean ± SD: 9 ± 3.6 vs 2.9 ± 2.2) (P = .0048). There was no significant difference in total consent time between groups. Patients and physicians were highly satisfied with the video.

Limitations: Small sample size and slight methodological difference between recruitment sites are limitations.

Conclusion: Video-based education for basal cell carcinoma improved patient knowledge with no additional physician time when compared with standard communication.

Keywords: basal cell carcinoma; conventional excision; electrodessication and curettage; imiquimod; informed consent; patient education; patient satisfaction; physician satisfaction; treatment options; video-based education.