Educational Video Use in Shared Decision-Making Improves Literacy About Psoriasis

The incorporation of educational videos into shared decision-making improved health literacy about psoriasis among patients, new findings suggest, in addition to facilitating their engagement in preparation for decision-making.¹

These findings followed the conclusion of a recent analysis conducted by a team led by Sheng-Wen Liu, from the department of dermatology at the National Defense Medical Center’s Tri-Service General Hospital in Taiwan. Liu et al. highlighted the value of health literacy as a cornerstone of engagement in shared decision-making as a process.²

Prior research had also suggested that a lack of knowledge in health-related decisions may harm the abilities of both patients and healthcare providers in their navigation of related challenges.³

“This study aimed to examine the effectiveness of providing patients who have psoriasis with additional clinician-created educational videos during the [shared decision-making] process, after they have read an educational pamphlet,” Liu and colleagues wrote. “It sought to compare patients' knowledge levels before and after watching the videos and to assess their opinions on both the videos and the [shared decision-making] process.”¹

Trial Design

The research team conducted their research at a single dermatology clinic and had initially enrolled 55 subjects with newly-diagnosed, moderate-to-severe psoriasis. Ultimately, they involved 48 participants in their research.

The subjects were instructed to engage in a structured process involving the accessing of an educational YouTube video and the filling out of online and questionnaires done online through URLs provided to them on mobile devices. Individuals who failed to finish out their evaluations were excluded from the analyses.

The investigators introduced the shared decision-making process eligible patients during their outpatient visits. The group was first told to read an educational pamphlet in the waiting room before then filling out an online test evaluating their awareness of the material.

Following this portion, the participats were given an educational YouTube video on their mobile phones that they would watch before then filling out a second test combining content from the pamphlet and the video. The research team also administered feedback questionnaires on both the video and the shared decision-making process.

During the consultations, discussions were held with clinicians in which options for treatment were highlighted for the subjects. They worked collaboratively to formulate personalized care plans, and the investigators required the participants to then take part in additional questionnaires to provide feedback on the shared decision-making process and view educational video content again.

Lastly, the subjects would fill out a second test with the same questions. The latter step was designed by the researchers with the aim of assessing improvements in comprehension.

Notable Findings

The investigative team’s statistical analysis demonstrated that subjects’ test scores after the video and pamphlet combination (mean ± SD: 86.25 ± 17.58) had substantially superior than those recorded after reading the pamphlet alone (mean ± SD: 72.08 ± 26.33, P < .0001). When looking at demographics, the team concluded that participants who were older demonstrated distinct improvements in comprehension following their consumption of the video content.

When evaluating the feedback from subjects, the results strongly suggested that the video content was more effective than the pamphlet in facilitating shared decision-making. Specifically, the investigators found that there had been an average score of 4.240 ± 0.816 on a 5-point Likert scale.

The research team noted that the overall shared decision-making process, enhanced by the content in the video, was given high ratings from participants (average score: 4.521 ± 0.5443). This, they noted, reflected increased trust in subjects’ healthcare providers and improved communication at the time of their consultations.

“For healthcare providers, video-assisted SDM demonstrated time efficiency, thereby reducing a significant barrier to implementing [shared decision-making],” they wrote. “In alignment with the Global Patient Safety Action Plan 2021–2030 issued by the World Health Organization, which emphasizes the importance of patient engagement, we aim to share our experience and promote the concept of video-assisted [shared decision-making].”^1,4

References

1. ^{Liu S-W, Wu SE, Chen Y-H, Soong C-Y, Chiang C-P, Wang W-M, et al. Educational video assistance in shared decision-making for psoriasis: Effectiveness and outcomes. J Dermatol. 2024; 00: 1–7. https://doi.org/10.1111/1346-8138.17550.}
2. ^{Yin HS, Dreyer BP, Vivar KL, MacFarland S, van Schaick L, Mendelsohn AL. Perceived barriers to care and attitudes towards shared decision-making among low socioeconomic status parents: role of health literacy. Acad Pediatr. 2012; 12: 117–124.}
3. ^{Larsen MH, Hagen KB, Krogstad AL, Wahl AK. Shared decision making in psoriasis: a systematic review of quantitative and qualitative studies. Am J Clin Dermatol. 2019; 20: 13–29.}
4. ^{World Health Organization. Global patient safety action plan 2021–2030: towards eliminating avoidable harm in health care. Geneva: World Health Organization; 2021.}