title: Improving patient knowledge about sacral nerve stimulation using a patient based educational video.
abstract: OBJECTIVE
  We developed a patient based educational video to address the information needs of women considering sacral nerve stimulation for overactive bladder.
  
  
  METHODS
  Five semistructured focus groups were used to identify patient knowledge gaps, information needs, patient acceptable terminology and video content preferences for a patient based sacral nerve stimulation educational video. Each session was transcribed, independently coded by 2 coders and examined using an iterative method. A 16-minute educational video was created to address previously identified knowledge gaps and information needs using patient footage, 3-dimensional animation and peer reviewed literature. We developed a questionnaire to evaluate participant sacral nerve stimulation knowledge and therapy attitudes. We then performed a randomized trial to assess the effect of the educational video vs the manufacturer video on patient knowledge and attitudes using our questionnaire.
  
  
  RESULTS
  We identified 10 patient important domains, including 1) anatomy, 2) expectations, 3) sacral nerve stimulation device efficacy, 4) surgical procedure, 5) surgical/device complications, 6) post-procedure recovery, 7) sacral nerve stimulation side effects, 8) postoperative restrictions, 9) device maintenance and 10) general sacral nerve stimulation information. A total of 40 women with overactive bladder were randomized to watch the educational (20) or manufacturer (20) video. Knowledge scores improved in each group but the educational video group had a greater score improvement (76.6 vs 24.2 points, p <0.0001). Women who watched the educational video reported more favorable attitudes and expectations about sacral nerve stimulation therapy.
  
  
  CONCLUSIONS
  Women with overactive bladder considering sacral nerve stimulation therapy have specific information needs. The video that we developed to address these needs was associated with improved short-term patient knowledge.
authors: Division of Urogynecology and Reconstructive Pelvic Surgery, Alpert Medical School of Brown University, Providence, Rhode Island.
authors: Peter Clegg
authors: PC
authors: Jeppson
authors: Melissa A
authors: MA
authors: Clark
authors: Brittany Star
authors: BS
authors: Hampton
authors: Christina A
authors: CA
authors: Raker
authors: Vivian W
authors: VW
authors: Sung
mesh_terms: D000368:Aged; D004599:Electric Stimulation Therapy; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D058542:Implantable Neurostimulators; D008160:Lumbosacral Plexus; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D053201:Urinary Bladder, Overactive / Q000601:surgery*; D014741:Video Recording
keywords: EV; MV; OAB; SNS; educational video; electric stimulation; manufacturer video; overactive; overactive bladder; patient education as topic; prostheses and implants; questionnaires; sacral nerve stimulation; urinary bladder