title: Use of interactive iBooks for patient education in otology.
abstract: BACKGROUND
  Physicians in the ambulatory setting face challenges in adequately educating patients in a brief office encounter.
  
  
  OBJECTIVE
  To evaluate the efficacy of an iPad-based interactive educational module (iBook) in various otologic pathologies.
  
  
  METHODS
  Patients presenting with symptoms of tinnitus, dizziness, hearing loss, or cochlear implant evaluation were included. In total, 44 patients received the iBook and 22 patients served as controls. Prior to viewing the iBook, patients completed a pre-survey to assess baseline knowledge. After viewing the iBook, patients completed a post-survey to assess changes in perception and knowledge of their disease. Results were compared to that of the control group who did not receive iBook supplementation prior to being seen by the physician.
  
  
  RESULTS
  Paired t-test analysis showed significant improvements (p<0.01) in both self-reported perception and concrete understanding in various concepts when compared to pre-iBook results. This was further compared to the control group, which showed a significant gain in factual knowledge (p=0.02).
  
  
  CONCLUSIONS
  Patients who viewed the iBook, personalized to their diagnosis, displayed significantly improved understanding of their condition. Increased use of interactive educational modalities, such as the iBook, can be of benefit to an otologic practice in improving patient education and satisfaction.
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, University of California, Irvine, Irvine, CA, USA.
authors.forename: Omid
authors.initials: O
authors.lastname: Moshtaghi
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, University of California, Irvine, Irvine, CA, USA.
authors.forename: Yarah M
authors.initials: YM
authors.lastname: Haidar
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, University of California, Irvine, Irvine, CA, USA.
authors.forename: Ronald
authors.initials: R
authors.lastname: Sahyouni
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, University of California, Irvine, Irvine, CA, USA.
authors.forename: Ramin
authors.initials: R
authors.lastname: Rajaii
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, University of California, Irvine, Irvine, CA, USA.
authors.forename: Afsheen
authors.initials: A
authors.lastname: Moshtaghi
authors.affiliation: Department of Biomedical Engineering, University of California, Irvine, Irvine, CA, USA.
authors.forename: Amin
authors.initials: A
authors.lastname: Mahmoodi
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, University of California, Irvine, Irvine, CA, USA.
authors.forename: Yaser
authors.initials: Y
authors.lastname: Ghavami
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, University of California, Irvine, Irvine, CA, USA.
authors.forename: Harrison W
authors.initials: HW
authors.lastname: Lin
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, University of California, Irvine, Irvine, CA, USA; Department of Biomedical Engineering, University of California, Irvine, Irvine, CA, USA. Electronic address: hdjalili@uci.edu.
authors.forename: Hamid R
authors.initials: HR
authors.lastname: Djalilian
mesh_terms: D000553:Ambulatory Care; D016022:Case-Control Studies; D034201:Computers, Handheld; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D010036:Otolaryngology / Q000193:education*; D010353:Patient Education as Topic
keywords: Cochlear implant; Dizziness/vertigo; Hearing loss; Interactive; Knowledge; Patient education; Tinnitus; Understanding; iBook