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Dermatol Surg. 2018 Jul;44(7):924-932. doi: 10.1097/DSS.0000000000001489.

Web App- and Text Message-Based Patient Education in Mohs Micrographic Surgery-A Randomized Controlled Trial.

Author information

1
Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, North Carolina.
2
Transitional Year Program, Grand Strand Medical Center, Myrtle Beach, South Carolina.
3
Dermatology Group of the Carolinas, Concord, North Carolina.
4
The Skin Surgery Center, Winston-Salem, North Carolina.

Abstract

BACKGROUND:

Consent and wound care (WC) videos are used for education in Mohs micrographic surgery (MMS). Postoperative text messaging is poorly studied.

OBJECTIVE:

Develop and evaluate perioperative resources for MMS patients-video modules (DermPatientEd.com) and postoperative text messaging (DermTexts.com).

MATERIALS AND METHODS:

A study was conducted on 90 MMS patients. Patients were randomized 1:1:1:1 to videos with text messages, videos-only, text messages-only, or control. Primary outcomes included preoperative anxiety and knowledge of MMS and postoperative care. The secondary outcome included helpfulness/preference of interventions.

RESULTS:

Patients experienced a 19% reduction in anxiety as measured by a visual analog scale after the MMS video (p = .00062). There was no difference in knowledge after the WC video (p = .21498). Patients were more likely to report the WC video "very helpful" when compared with the pamphlet in understanding postoperative WC (p = .0016). Patients in text messaging groups were not more likely to report the service as "very helpful" when compared with the pamphlet (p = .3566), but preferred to receive WC instructions by text message for future visits (p = .0001).

CONCLUSION:

These resources proved helpful and effective in reducing preoperative anxiety. Patients prefer text message-based WC instructions over pamphlets after experiencing the service, but do not find them more helpful.

PMID:
29406486
DOI:
10.1097/DSS.0000000000001489
[Indexed for MEDLINE]

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