title: A video-based educational pilot for basal cell carcinoma (BCC) treatment: A randomized controlled trial.
abstract: BACKGROUND
  Several treatment options exist for uncomplicated basal cell carcinoma. Standardized and effective informed consent is difficult in busy dermatology clinics.
  
  
  OBJECTIVE
  We investigated whether an educational video depicting 3 treatment options for uncomplicated basal cell carcinoma-excision, electrodessication and curettage, and topical therapy-before standard in-office informed consent affected patient knowledge and consent time compared with standard in-office consent alone.
  
  
  METHODS
  Patients were randomized to receive video education plus verbal discussion (video) or standard verbal discussion alone (control). Both groups completed baseline and final knowledge assessments. The primary outcome measure was change in knowledge scores between groups. Secondary outcomes were patient satisfaction, physician satisfaction, and informed consent time.
  
  
  RESULTS
  In all, 32 eligible patients (16 control, 16 video) from an academic institution and affiliate Department of Veterans Affairs Medical Center dermatology clinics participated. The video group had significantly greater gains in knowledge compared with the control group (mean ± SD: 9 ± 3.6 vs 2.9 ± 2.2) (P = .0048). There was no significant difference in total consent time between groups. Patients and physicians were highly satisfied with the video.
  
  
  CONCLUSIONS
  Small sample size and slight methodological difference between recruitment sites are limitations.
  
  
  CONCLUSIONS
  Video-based education for basal cell carcinoma improved patient knowledge with no additional physician time when compared with standard communication.
authors.affiliation: Department of Dermatology, New York University School of Medicine, New York, New York.
authors.forename: Elyse M
authors.initials: EM
authors.lastname: Love
authors.affiliation: Georgia Regents University Medical College of Georgia, Augusta, Georgia.
authors.forename: Iviensan F
authors.initials: IF
authors.lastname: Manalo
authors.affiliation: Division of Dermatology, Atlanta Department of Veterans Affairs Medical Center, Decatur, Georgia; Department of Dermatology, Emory University, Atlanta, Georgia.
authors.forename: Suephy C
authors.initials: SC
authors.lastname: Chen
authors.affiliation: Department of Dermatology, Emory University, Atlanta, Georgia.
authors.forename: Kuang-Ho
authors.initials: KH
authors.lastname: Chen
authors.affiliation: Division of Dermatology, Atlanta Department of Veterans Affairs Medical Center, Decatur, Georgia; Department of Dermatology, Emory University, Atlanta, Georgia. Electronic address: bstoff@emory.edu.
authors.forename: Benjamin K
authors.initials: BK
authors.lastname: Stoff
mesh_terms: D002280:Basal Cell Carcinoma / Q000601:surgery*; D003475:Curettage; D004501:Education, Medical / Q000379:methods; D004564:Electrocoagulation; D005260:Female; D006801:Humans; D007258:Informed Consent; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D016037:Single-Blind Method; D012878:Skin Neoplasms / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000193:education*; D014741:Video Recording
keywords: basal cell carcinoma; conventional excision; electrodessication and curettage; imiquimod; informed consent; patient education; patient satisfaction; physician satisfaction; treatment options; video-based education