title: Interactive iBook-Based Patient Education in a NeuroTrauma Clinic.
abstract: BACKGROUND
  Traumatic brain injury (TBI) is a leading cause of death and disability in the United States. Educational interventions may alleviate the burden of TBI for patients and their families. Interactive modalities that involve engagement with the educational material may enhance patient knowledge acquisition when compared to static text-based educational material.
  
  
  OBJECTIVE
  To determine the effects of educational interventions in the outpatient setting on self-reported patient knowledge, with a focus on iPad-based (Apple, Cupertino, California) interactive modules.
  
  
  METHODS
  Patients and family members presenting to a NeuroTrauma clinic at a tertiary care academic medical center completed a presurvey assessing baseline knowledge of TBI or concussion, depending on the diagnosis. Subjects then received either an interactive iBook (Apple) on TBI or concussion, or an informative pamphlet with identical information in text format. Subjects then completed a postsurvey prior to seeing the neurosurgeon.
  
  
  RESULTS
  All subjects (n = 152) significantly improved on self-reported knowledge measures following administration of either an iBook (Apple) or pamphlet (P < .01, 95% confidence interval [CI]). Subjects receiving the iBook (n = 122) performed significantly better on the postsurvey (P < .01, 95% CI), despite equivalent presurvey scores, when compared to those receiving pamphlets (n = 30). Lastly, patients preferred the iBook to pamphlets (P < .01, 95% CI).
  
  
  CONCLUSIONS
  Educational interventions in the outpatient NeuroTrauma setting led to significant improvement in self-reported measures of patient and family knowledge. This improved understanding may increase compliance with the neurosurgeon's recommendations and may help reduce the potential anxiety and complications that arise following a TBI.
authors.affiliation: UC Irvine School of Medicine, Irvine, California.
authors.forename: Ronald
authors.initials: R
authors.lastname: Sahyouni
authors.affiliation: UC Irvine Department of Biomedical Engineering, Irvine, California.
authors.forename: Amin
authors.initials: A
authors.lastname: Mahmoodi
authors.affiliation: UC Irvine Department of Neurological Surgery, Irvine, California.
authors.forename: Amir
authors.initials: A
authors.lastname: Mahmoodi
authors.affiliation: UC Irvine School of Medicine, Irvine, California.
authors.forename: Ramin R
authors.initials: RR
authors.lastname: Rajaii
authors.affiliation: UC Irvine School of Medicine, Irvine, California.
authors.forename: Bima J
authors.initials: BJ
authors.lastname: Hasjim
authors.affiliation: UC Irvine Department of Neurological Surgery, Irvine, California.
authors.forename: David
authors.initials: D
authors.lastname: Bustillo
authors.affiliation: UC Irvine Department of Neurological Surgery, Irvine, California.
authors.forename: Melissa
authors.initials: M
authors.lastname: Huang
authors.affiliation: UC Irvine Department of Neurological Surgery, Irvine, California.
authors.forename: Diem Kieu
authors.initials: DK
authors.lastname: Tran
authors.affiliation: UC Irvine Department of Neurological Surgery, Irvine, California.
authors.forename: Jefferson W
authors.initials: JW
authors.lastname: Chen
mesh_terms: D000328:Adult; D000070642:Brain Injuries, Traumatic / Q000628:therapy*; D034201:Computers, Handheld; D003430:Cross-Sectional Studies; D005190:Family; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D010361:Patients; D057566:Self Report; D000066908:Simulation Training / Q000379:methods*; D014481:United States; D055815:Young Adult
keywords: Concussion; Education; Ibook; Neurological surgery; TBI