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American Association for Hand Surgery

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Patient Comprehension of Trigger Finger Concepts Based on Distribution Format: A Randomized Controlled Trial of Handout Versus Video
Gregory R Toci, BS1, Peter Filtes, PharmD2, Vincent Lau, DO3, Casey Imbergamo, MD2, Bobby Varghese, MD2, Amr Tawfik, BA1, Francis Sirch, BS1, Daniel Fletcher, MD4 and Brian M Katt, MD1, (1)Rothman Orthopaedic Institute, Philadelphia, PA, (2)Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, (3)Rowan University School of Osteopathic Medicine, Stratford, NJ, (4)Rothman Institute, philadelphia, PA

INTRODUCTION
Patient education is an important component in optimizing patient outcomes, and it is critical to determine which educational formats result in the greatest comprehension. The positive impact of the video format on patient comprehension of medical terminology, informed consent, and surgical procedures has been well established. However, prior literature has not focused on management of an upper extremity condition. The purpose of this randomized controlled trial was to evaluate the differences in patient comprehension after distributing educational information on trigger finger in handout versus video format.

MATERIALS & METHODS
Patients ≥18 years with a trigger finger diagnosis were prospectively enrolled and randomized to either receive a physical handout in clinic (handout) or be emailed or texted a video link (video) with information regarding the pathophysiology, diagnosis, and treatment of trigger finger. Survey assessments were distributed one week following enrollment. The survey consisted of seven questions on trigger finger directly pertaining to identical information included in both the handout and video, as well as an opportunity to rate satisfaction with the way the information was presented. Continuous data were compared using two-sample t-tests, and categorical data were compared with chi-square tests. Alpha was 0.05.

RESULTS
A total of 70 patients were enrolled. 31 patients were randomized to the handout group, while 39 patients were randomized to the video group. The overall response rate was 80%, with responses from 24 patients in the handout group and 31 patients in the video group. There were no significant differences in age (handout: 63.0, video: 64.6; p=0.541) or sex (handout: 71% female, video: 65% female; p=0.837) between groups. The video group had significantly higher satisfaction scores (9.4 vs. 8.4, p=0.012) but were no different in comprehension scores (82% vs. 72%, p=0.078). Patients in the video group were significantly more likely to obtain additional information from a website than the handout group (45% vs. 19%, p=0.039).

CONCLUSIONS
Patients who received their trigger finger information via video had higher satisfaction with the way the information was presented but had no difference in comprehension scores. Further, those in video group were more likely to research additional information from a website. Enrollment is continuing to achieve higher powered comparisons. Validation of these findings in other orthopaedic conditions and subspecialties may be worthwhile, and orthopaedic clinics and their patients may benefit from providing a video format for patient educational materials.


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