Patient counseling with computer assisted instruction versus traditional diagrams for stress urinary incontinence and pelvic organ prolapse

Bogdan Grigorescu, Nicole M. Golbari, George Lazarou
In: Obstetrics & Gynecology International Journal · 2019 · vol. 10(1) · doi:10.15406/ogij.2019.10.00410 · W2924677326
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Abstract

Background: Computer assisted instruction (CAI) for patient counseling has emerged as an alternative to traditional instructional diagrams (TD). As most pelvic floor disorders are treated electively, CAI provides an option for educating patients with urogynecologic conditions. Methods: 56 patients diagnosed with SUI and/or POP were recruited from an academic urogynecology practice between December 2016 and June 2017. Patients were counseled on their diagnosis and treatment options using TD, and subsequently by a web-based CAI. Patients completed a Likert-style survey with questions to assess preference and satisfaction with each counseling modality. Results: Regarding patient satisfaction with comprehension of diagnosis and treatment options, there was a significant difference in the proportion of patients who were satisfied with CAI and unsatisfied with TD (48.9%) vs. those satisfied with TD and unsatisfied with CAI (2.2%). Overall, significantly more patients preferred counseling with CAI vs. TD (93% vs. 4%), and CAI had significantly greater impact on patients’ medical decision making (91% vs. 5%). Conclusion: Patients expressed higher levels of satisfaction with counseling using CAI versus TD for their condition and management of SUI and POP. Employing CAI for patient counseling for treatment of SUI and/or POP, may facilitate the patient decision making process for management.

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