Using digital videos displayed on personal digital assistants (PDAs) to enhance patient education in clinical settings.

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2007-10-23
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OBJECTIVES To evaluate the effects of using an audiovisual animation i e digital video displayed on a personal digital assistant PDA for patient education in a clinical setting METHODS Quasi experimental study of a prospective technology intervention conducted in an outpatient infectious diseases clinic at an academic medical center Subjects responded to questions immediately before immediately after and 4 6 weeks after watching a digital video on a PDA Outcome measures include participant knowledge of disease knowledge of medications and knowledge of adherence behaviors attitudes toward the video and PDA self reported adherence and practicality of the intervention RESULTS Fifty one English speaking adults who were initiating or taking medications for the treatment of HIV AIDS participated in the study At visit one statistically significant improvements in knowledge of disease pUnder0 005 paired t test knowledge of medications pUnder0 005 paired t test and knowledge of adherence behaviors pUnder0 05 ANOVA were measured after participants watched the PDA based video At visit two 4 6 weeks later statistically significant improvements in self reported adherence to the medication regimens pUnder0 005 paired t test were reported Participants liked the PDA based video and indicated that it was an appropriate medium for learning regardless of their baseline literacy skills The video education process was estimated to take 25 min of participant time and was viewed in both private and semi private locations CONCLUSIONS Technology assisted education using a digital video delivered via PDA is a convenient and potentially powerful way to deliver health messages The intervention was implemented efficiently with participants of a variety of ages and educational levels and in a range of locations within clinical environments Additional study of this methodology is warranted
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