The Effect of Providing Audiovisual Surgical Information on Decisional Conflict in Patients Undergoing Plate Fixation for Distal Radius Fractures
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2021;9(8):15 Clin Orthop Surg. 2021 Mar;13(1): 18-23.What this means for my practice?
The study findings suggest that the provision of an audiovisual information video can significantly reduce decisional conflict in patients with acute distal radius fractures. However, this did not translate into any advantage in wrist function at 2 weeks post-treatment. This study was limited by the fact that the audiovisual intervention was only provided to patients who already selected surgery, and it is unknown whether the intervention would affect a patients decision if offered prior to decision making. Moreover, the sample size was small, and it was not possible to control for previous advice which may have been received prior to study referral. Larger trials assessing the impact of the audiovisual information intervention on the decision-making process are of interest.
Study Summary
Fifty patients with acute distal radius fractures were randomized to receive an audiovisual surgical information video plus standard information (n=25) or standard information only (n=25) to reduce decisional conflict. The primary outcome of interest was decisional conflict measured using the Decisional Conflict Scale (DCS). The secondary outcome of interest was the Disability of the Arm, Shoulder and Hand (DASH) score. Outcomes were assessed 2 weeks post-treatment. Results revealed statistically significantly lower DCS scores in the audiovisual group compared to the control group (p=0.001). However, no statistical differences were observed between the two groups in DASH scores at 2 weeks (p=0.654).
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