Background/Purpose: Patient education materials incorporating video modelling can be effective in improving patients’ outcomes. We conducted a randomized control trial to test the efficacy of a multimedia-patient education tool (MM-PtET) for patients with osteoporosis, including storylines and narratives.
Methods: 224 patients were recruited from three outpatient clinic systems and through advertisement. Inclusion criteria were: (i) diagnosis of osteoporosis/osteopenia, (ii) female gender, (iii) age ≥50 years (iv) at least 3 years post-menopausal, (v) adequate cognitive status, and (vi) ability to communicate in English or Spanish language. Participants were given materials to review based on randomization (Intervention=MM-PtET; Control=written booklet with same content as MM-PtET). All participants completed pre-post self-report questionnaires. Primary outcome measures included: a) Disease knowledge and, b) Decisional Conflict Scale- “Informed” and “Values clarity” scales. Secondary outcomes included: a) Ottawa Acceptability Instrument and b) Evaluation of the educational tool. Baseline demographic information and health literacy level were also obtained. Mean differences in knowledge scores (pre-post randomization) and between group differences in the Ottawa Acceptability and tool evaluation measures were calculated.
Results: 111 patients were randomly allocated to the MM-PtET intervention and 113 to the control booklet. Mean age of participants was 64±9 years and 82% had adequate health literacy. Knowledge scores significantly increased in both groups, post randomization (MM-PtET: 9.5±4.2 vs 12.8±3.2 and Control: 9.1±4.2 vs 12.5±3.2; p<0.05 for both groups). Post randomization, participants in both groups had significantly lower “Informed” scores (pre vs post; Intervention: 55.3±38.7 vs 15.8±25.6 and Control: 54.0±38.1 vs 17.7±30.8; p<0.05 for both groups; lower scores=more informed) and “Values clarity” scores (pre vs post; Intervention: 49.8±40.9 vs 16.9±30.6 and Control: 55.1±40.8 vs 18.6±29.3; p<0.05 for both groups; lower scores=more values clarity). Compared to controls, participants in the MM-PtET group rated better explanation of the medical facts (p=0.03), and the understanding of the potential side effects (p=0.03). Similarly, when asked about the balance of the material (slanted towards self-care/lifestyle options, slanted toward medical therapies, balanced), greater number of intervention group participants found the material to be “balanced” (p=0.004).
Conclusion: The results of our study indicate that, when compared to standard written materials, the MM-PtET was better rated and was comparable in improving knowledge in women with osteopenia/osteoporosis.
Disclosure:
M. A. Lopez-Olivo,
None;
A. Ingleshwar,
None;
R. Volk,
None;
A. Barbo,
None;
M. Jibaja-Weiss,
None;
H. Lin,
None;
M. E. Suarez-Almazor,
None.
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ACR Meeting Abstracts - https://acrabstracts.org/abstract/multimedia-patient-education-tool-for-patients-with-osteoporosis/