The effects of a professionally produced videotape on education and anxiety/distress levels for patients with newly diagnosed melanoma: a randomized, prospective clinical trial.
OBJECTIVE
Little is known about the effects of videotape-based education on knowledge and anxiety levels among patients with melanoma. We sought to evaluate effects of a professionally produced videotape on the knowledge and distress levels among patients with newly diagnosed melanoma. Secondarily, we sought to compare these effects with those of a traditional clinic visit.


METHODS
We conducted a randomized controlled trial involving 217 patients. An intervention group underwent questionnaire-based testing of melanoma knowledge and anxiety/distress levels before and after viewing an educational videotape. A control group underwent similar testing before and after a clinic visit.


RESULTS
The videotape and clinical encounter significantly increased knowledge and decreased anxiety. Improvement in knowledge levels was significantly greater after viewing the videotape compared with the clinic visit, whereas anxiety levels decreased to a greater degree after the clinical encounter. Whether or not a synergistic relationship may exist between exposure to an educational videotape and a physician visit was not specifically evaluated in this study.


CONCLUSIONS
Videotape-based education may be more effective than that provided by a clinic visit, whereas the clinical encounter appears to be more effective in alleviating patient anxiety/distress.
Orringer
Jeffrey S
JS
Department of Dermatology, University of Michigan Medical School, Ann Arbor, Michigan, USA. jorringe@med.umich.edu
Fendrick
A Mark
AM
Trask
Peter C
PC
Bichakjian
Christopher K
CK
Schwartz
Jennifer L
JL
Wang
Timothy S
TS
Karimipour
Darius J
DJ
Johnson
Timothy M
TM
D001007:Anxiety / Q000209:etiology* / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008545:Melanoma / Q000150:complications*; D010353:Patient Education as Topic / Q000379:methods*; D011446:Prospective Studies; D012878:Skin Neoplasms / Q000150:complications*; D013315:Stress, Psychological / Q000209:etiology* / Q000628:therapy*; D011795:Surveys and Questionnaires; D014743:Videotape Recording