Using multimedia to enhance the consent process for bunion correction surgery

ANZ J Surg. 2014 Apr;84(4):249-54. doi: 10.1111/ans.12534.


Background: Obtaining informed consent from patients considering bunion surgery can be challenging. This study assessed the efficacy of a multimedia technology as an adjunct to the informed consent process.

Methods: A prospective, cohort study was conducted involving 55 patients (7 males, 48 females) who underwent a standardized verbal discussion regarding bunion correction surgery followed by completion of a knowledge questionnaire. A multimedia educational program was then administered and the knowledge questionnaire repeated. Additional supplementary questions were then given regarding satisfaction with the multimedia program.

Results: Patients answered 74% questions correctly before the multimedia module compared with 94% after it (P < 0.0001). Patients rated the ease of understanding and the amount of information provided by the module highly. Eighty-four percent of patients considered that the multimedia tool performed as well as the treating surgeon.

Conclusion: Multimedia technology is useful in enhancing patient knowledge regarding bunion surgery for the purposes of obtaining informed consent.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Comprehension
  • Computer-Assisted Instruction / methods*
  • Female
  • Hallux Valgus / surgery*
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Informed Consent*
  • Male
  • Middle Aged
  • Multimedia*
  • Patient Education as Topic / methods*
  • Patient Satisfaction
  • Physician-Patient Relations
  • Prospective Studies
  • Surveys and Questionnaires