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Using digital videos displayed on personal digital assistants (PDAs) to enhance patient education in clinical settings
Abstract
Objectives To evaluate the effects of using an audiovisual animation (i.e., digital video) displayed on a personal digital assistant (PDA) for patient education in a clinical setting.Methods Quasi-experimental study of a prospective technology intervention conducted in an outpatient infectious diseases clinic at an academic medical center. Subjects responded to questions immediately before, immediately after, and 4-6 weeks after watching a digital video on a PDA. Outcome measures include participant knowledge of disease, knowledge of medications, and knowledge of adherence behaviors; attitudes toward the video and PDA; self-reported adherence; and practicality of the intervention.Results Fifty-one English-speaking adults who were initiating or taking medications for the treatment of HIV/AIDS participated in the study. At visit one, statistically significant improvements in knowledge of disease (p<0.005; paired t-test), knowledge of medications (p<0.005; paired t-test), and knowledge of adherence behaviors (p<0.05; ANOVA) were measured after participants watched the PDA-based video. At visit two (4-6 weeks later), statistically significant improvements in self-reported adherence to the medication regimens (p<0.005; paired t-test) were reported. Participants liked the PDA-based video and indicated that it was an appropriate medium for learning, regardless of their baseline literacy skills. The video education process was estimated to take 25 min of participant time and was viewed in both private and semi-private locations.Conclusions Technology-assisted education using a digital video delivered via PDA is a convenient and potentially powerful way to deliver health messages. The intervention was implemented efficiently with participants of a variety of ages and educational levels, and in a range of locations within clinical environments. Additional study of this methodology is warranted.
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“Several descriptive [19,34] and quasi-experimental studies [27,35-37] conclude that text message reminders are acceptable, feasible, and useful for improved treatment adherence among PLHIV in resource-constrained settings.”
From mHealth for HIV Treatment & Prevention: A Systematic Review of the Literature (2013) · cites this paper as [19]
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Rahman, A. E., Hossain, A. T., Zaman, S. B., Salim, N., K.C., A., Day, L. T., Ameen, S., Ruysen, H., Kija, E., Peven, K., et al. (2021) · Figshare · doi:10.6084/m9.figshare.14314558
Rahman, A. E., Hossain, A. T., Zaman, S. B., Salim, N., K.C., A., Day, L. T., Ameen, S., Ruysen, H., Kija, E., Peven, K., et al. (2021) · Figshare · doi:10.6084/m9.figshare.14314552
Rahman, A. E., Hossain, A. T., Zaman, S. B., Salim, N., K.C., A., Day, L. T., Ameen, S., Ruysen, H., Kija, E., Peven, K., et al. (2021) · Figshare · doi:10.6084/m9.figshare.14314555
Rahman, A. E., Hossain, A. T., Zaman, S. B., Salim, N., K.C., A., Day, L. T., Ameen, S., Ruysen, H., Kija, E., Peven, K., et al. (2021) · Figshare · doi:10.6084/m9.figshare.14314546
Rahman, A. E., Hossain, A. T., Zaman, S. B., Salim, N., K.C., A., Day, L. T., Ameen, S., Ruysen, H., Kija, E., Peven, K., et al. (2021) · Figshare · doi:10.6084/m9.figshare.14314549
Metadata
- Authors
- Brock, T. P., & Smith, S. R.
- Affiliations
- University of London (GB)
- Agency for Healthcare Research and Quality (US)
- Corresponding author
- Brock, Tina Penick
- Venue
- International Journal of Medical Informatics
- Publisher
- Elsevier BV
- Published
- 2007-11
- Volume
- 76
- Issue
- 11-12
- Pages
- 829-835
- ISSN
- 1386-5056 (ISSN-L)
- OpenAlex
- W1989817528
- Cited by
- 100
- References
- 38
- Citations by year
- 2026: 1 · 2025: 8 · 2024: 2 · 2023: 3 · 2022: 4 · 2021: 13 · 2020: 5 · 2019: 4 · 2018: 7 · 2017: 5 · 2016: 4 · 2015: 4 · 2014: 8 · 2013: 9 · 2012: 4
- FWCI
- 3.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Medical Informatics (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Deutsches Krebsforschungszentrum
- National Institutes of Health
- National Institute of Allergy and Infectious Diseases (9-P30-AI50410, P30AI050410)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Social Sciences › Health › Social Media in Health Education
- Keywords
- patient education, personal digital assistants, digital video, audiovisual animation, medication adherence, HIV/AIDS, infectious diseases, health literacy, medication knowledge, disease knowledge
- MeSH terms
- Adult, Aged, Female, Health Facilities, Humans, Male, Middle Aged, Patient Education as Topic, Surveys and Questionnaires, United States, User-Computer Interface, Video Recording, HIV Infections, Computers, Handheld
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