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. 2020 Sep;34(9):1563-1569.
doi: 10.1038/s41433-020-0798-z. Epub 2020 Mar 9.

Watch this space: a systematic review of the use of video-based media as a patient education tool in ophthalmology

Reem Farwana  1 , Adam Sheriff  2 , Haider Manzar  3 , Mohammad Farwana  4 , Ammar Yusuf  5 , Ibrahim Sheriff  6
Affiliations

Watch this space: a systematic review of the use of video-based media as a patient education tool in ophthalmology

Reem Farwana et al. Eye (Lond). 2020 Sep.

Abstract
in English, Chinese

Effective clinician-patient communication is particularly important in ophthalmology where long-term adherence to treatment is often required. However, in the context of increasingly pressurised clinics, there is a tendency to resort to written information leaflets not suited to patients with visual impairment, non-English speakers or those with low levels of literacy. Video-based media could be harnessed to enhance clinician-patient communication. This systematic review aimed to assess the efficacy of using video-based media for patient education in ophthalmology. A pre-defined search strategy was used by two independent researchers to systematically review the PubMed, MEDLINE, EMBASE and PsycINFO databases. Eligible articles included peer-reviewed studies involving ophthalmology patients, who received a solely video-based educational intervention to assess for improvement in patient knowledge, behaviour and overall health-related outcomes. The search yielded 481 studies of which 31 passed initial screening. Following full-text analysis, 12 studies met the inclusion criteria, of which seven studies (58.3%) were randomised controlled trials. The majority of studies (58.3%) reported outcomes on patient comprehension with 5/7 (71%) showing statistically significant improvement after video intervention. Four studies (33.3%) reported on patient performance in a task (e.g. drop application method) or overall health-related outcome with 2/4 (50%) showing statistically significant improvement after intervention. Though more evidence is needed, the use of video-based media appears to be effective in improving patient understanding and in certain cases may ameliorate overall outcome. There is a paucity of well-designed studies and future research is required to fully examine the role of video-based media in patient education.

摘要: 因眼科疾病通常需要长期治疗, 有效的医患沟通在眼科临床工作中尤为重要。然而, 日益增长的临床工作压力使沟通倾向于书面形式, 但并不适合视力差、非英语使用者或识字水平低的人。以视频为媒介可增进医患沟通。本文旨在评估眼科患者教育中应用视频媒体的效果。两位研究人员背靠背使用预先定义搜索策略, 系统地检索了PubMed、MEDLINE、EMBASE和PsychINFO数据库。符合条件的文献包括同行评议研究, 研究中眼科患者仅接受视频教育, 以评估患者知识水平、行为和总体健康相关的改善情况。本文共检索481项研究, 其中31项通过初筛。经全文分析, 12项研究符合纳入标准, 其中7项 (58.3%) 为随机对照试验。大多数研究 (58.3%) 报告了患者接受视频教育后理解力提高的结果, 其中5/7 (71%) 显示视频干预后有统计学意义的显著改善。4项研究 (33.3%) 报告了患者针对某项任务的理解力 (如眼药滴药方法) 或总体健康情况的改善情况, 其中2/4 (50%) 显示干预后有明显的改善 (有统计学意义) 。尽管需要更多证据, 但应用视频媒体能有效地提高患者理解力, 以及在某些情况下, 可能改善总体预后。目前缺乏设计良好的临床实验, 未来的研究需要全面评估视频媒体在患者教育中的作用。.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1. PRISMA flow diagram highlighting the process of study selection.
A total of 12 studies were included in the systematic review.
Fig. 2
Fig. 2
Study designs of the papers included in the systematic review.
Fig. 3
Fig. 3. Countries of origin on the studies included.
Eleven out of twelve studies were single centre; Note that one multicentre study assessed cohorts in the USA and UK.
See this image and copyright information in PMC

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