Abstract


OBJECTIVE: Medical professionals have expressed concern about patient understanding of IVF and/or low-tech OI-IUI treatment’s risks and consequences. We report the impact of a multimedia platform (MP) on patient and provider feedback about the IC process.
DESIGN: Quantitative survey. view more

OBJECTIVE: Medical professionals have expressed concern about patient understanding of IVF and/or low-tech OI-IUI treatment’s risks and consequences. We report the impact of a multimedia platform (MP) on patient and provider feedback about the IC process.
DESIGN: Quantitative survey.
MATERIALS AND METHODS: A 17-question survey was given to 4336 women using MP prior to IVF or OI-IUI from 14 USA IVF centers. The EngagedMD MP IVF module consisted of 13 videos and the OI-IUI module of 9 videos, 5-7 min in length, each followed by a brief quiz with correct answer pop-ups. Survey responses were five-item Likert scales ranging from Strongly Disagree to Strongly Agree, and reported descriptively.
RESULTS: The MP was completed by 3,654 patients (IVF: 76%, n=2777 and OI-IUI: 24%, n=877) and 92 providers. After completing the MP, patients had significantly more favorable cycle expectations for both IVF (3.3 ± 1 vs 4.5 ± 0.7, p<0.01) and OI-IUI modules (3.5 ± 1 vs 4.5 ± 0.7, p<0.01), following a scale of Strongly Disagree (1) to Strongly Agree (5). Overall, 97% felt the MP a helpful addition to medical consultation/teaching, 71% were more satisfied with their care, 54% felt it answered questions they would’ve asked providers, and 89% (IVF) and 93% (OI-IUI) thought the MP was the appropriate length and level of detail. Compared to internet-based sources (3.88 ± 1.3), printed materials (3.66 ± 1.2) and nurse and staff training (2.9 ± 1.2), the MP more effectively educated about process and risks (2.5 ± 1.2, p<0.01), following a scale of Strongly Agree (1) to Strongly Disagree (5). Overall, 73% (n=67) of providers/nurses felt the MP improved patient learning and understanding, helped visual and auditory learners, and was more convenient for patients, with 63% (n=58) feeling it saved up to one hour per patient.
CONCLUSIONS: Data suggests the EngagedMD MP improves patient education about treatment, gives them more control over their medical decisions, and better prepares them for consent. Providers/nurses appear to like it, and find it easy to implement.

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