title: The impact of watching educational video clips on analogue patients' physiological arousal and information recall.
abstract: OBJECTIVE
  Investigating the influence of watching three educational patient-provider interactions on analogue patients' emotional arousal and information recall.
  
  
  METHODS
  In 75 analogue patients the emotional arousal was measured with physiological responses (electrodermal activity and heart rate) and self-reported arousal.
  
  
  RESULTS
  A moderate increased level of physiological arousal was measured but not too much to inflict emotional distress. Recall of information was within the pursued range.
  
  
  CONCLUSIONS
  Hence, physiological arousal is not expected to hinder the goals we pursue with our online intervention.
  
  
  CONCLUSIONS
  Still, developers and researchers should remain attentive to the self-reported (conscious) and hidden (subconscious) emotions evoked by the content of educational video clips presented in self-help interventions. A moderate increased level of arousal is preferred to increase the learning capacity. However, too much arousal may decrease the learning capacity and may cause distress, which should obviously be avoided for ethical reasons.
authors.affiliation: NIVEL (Netherlands Institute for Health Services Research), Utrecht, The Netherlands. Electronic address: i.vanbruinessen@nivel.nl.
authors.forename: I R
authors.initials: IR
authors.lastname: van Bruinessen
authors.affiliation: NIVEL (Netherlands Institute for Health Services Research), Utrecht, The Netherlands.
authors.forename: I T A
authors.initials: IT
authors.lastname: van den Ende
authors.affiliation: AMC Medical Research, Academic Medical Center/University of Amsterdam, The Netherlands.
authors.forename: L N C
authors.initials: LN
authors.lastname: Visser
authors.affiliation: NIVEL (Netherlands Institute for Health Services Research), Utrecht, The Netherlands; Department of Primary and Community Care, Radboud University Medical Centre, Nijmegen, The Netherlands; Faculty of Health Sciences, Buskerud and Vestfold University College, Drammen, Norway.
authors.forename: S
authors.initials: S
authors.lastname: van Dulmen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001143:Arousal / Q000502:physiology*; D001288:Attention / Q000502:physiology; D004644:Emotions / Q000502:physiology*; D005260:Female; D005712:Galvanic Skin Response; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D008297:Male; D011939:Mental Recall / Q000502:physiology*; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D010358:Patient Participation / Q000523:psychology* / Q000706:statistics & numerical data; D010817:Physician-Patient Relations; D057566:Self Report; D014743:Videotape Recording
keywords: Electrodermal activity; Information recall; Narratives; Oncology care; Patient doctor communication; Physiological response