Geoffroy Nourissat, UPMC Paris, Paris, France Gerard Quenet, Clinique des Maussins, Paris, France Track: Research Presentation Topic: Digital Learning Presentation Type: Poster presentation Submission Type: Single Presentation Last modified: 2014-09-01

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Introduction.
Many programs using internet and screens are developed to inform patients about their treatment. Few studies demonstrate their usefulness compare to regular mode of information. The current study compares the behavior of efficiency of two methods of information in the post-operative self-management of analgesic pump: paper versus screen.

Material and method:
During 2 months periods: 26 patients were prospectively included in the current study. Patients scheduled for shoulder cuff repair were seen in anesthesiology clinics on month before surgery and get information about global and post-operative anesthesia. Inter-scalenic bloc was performed the day of surgery, leaving in place a catheter with a pump for 4 days. At day one, patients left the hospital. In order to complete information on the management of the pump, a video film was shown to the patient. The exact text of the video has been previously printed. Patients were randomly informed by the text and the video, but alternatively by the video or the text in first. A quiz was then fill-up by the patient, assessing the global understanding of the pump function, and asking on which support (screen or text) the information was better understood.

Results:
14 men and 12 women were involved, with a mean age 55 yo (41-77). 10 patients had text first, 16 the video first. 23 patients understood what was the global pain treatment organization, 18 the exact mechanism of action of the pump. All patients understood the length of the treatment, and only 4 patients didn’t remember what were side effects of this therapy. Regarding clinical signs that must induce rapid pump removal; 25 over 26 understood the information. 22 patients found it difficult to understand the global treatment.
50% patients found that only the video was useful to understand function of the pump, other 50% liked text and video. Regarding understanding of the self-management of the pump; 14 patients liked association of text and video, 8 found video good enough, 4 preferred the text (because it was easy to read several time). 15 patients liked text and video to understand complications, 6 liked only video, 5 only the text. To remove the pump in case of complication, 12 patients thought it was useful to get text and video, 10 needed only video, 4 liked the text.

Discussion:
The current study demonstrates that a majority of patients prefers to have both information supports, text and video, rather than only one. Those 2 modes of information helps patient to well understand the rationale of the treatment, particularly when it involves technical aspect of the treatment.

Conclusion:
The current study suggests that patients receive differently the same information, depending on the delivery support. Information gains to be delivered through several support, text and video. Even in those conditions, patients still have difficulties to well understand the information.