Abstract
There has been a growing interest in improving the informed consent process to ensure
patients truly understand the benefits, risks, and alternatives of their procedures.
Herein, we sought to describe the production of an educational video to supplement
the traditional rhinoplasty informed consent process. Additionally, we evaluate satisfaction
and risk recall among prospective rhinoplasty patients who participated in the video-assisted
informed consent process. One author attended 30 rhinoplasty consultations where informed
consent was performed and generated 65 questions related to the benefits, risks, alternatives,
and general knowledge of rhinoplasty operations. A video of the senior author answering
these questions was filmed and edited to 25 minutes. Prospective rhinoplasty patients
watched the video before their initial consultation and were asked to complete two
surveys assessing their satisfaction with the video-assisted process as well as their
ability to recall risks discussed in the video. Understandability and actionability
of the video was assessed by three independent reviewers using the Patient Education
Materials Assessment Tool. Postvideo surveys were completed by 40 patients. Patients
strongly agreed that the video informed them about rhinoplasty risks and benefits
(4.90/5.00), effectively answered their questions and/or concerns (4.78/5.00), and
provided adequate information before surgery (4.85/5.00). Participants strongly recommended
that all prospective patients watch the video prior to surgery (4.97/5.00). Participants
on average correctly answered 4.00 ± 0.877 out of five risk recall questions. There
was no statistically significant difference in risk recall performance between college
graduates (4.19 ± 0.602) and those who did not graduate college (3.79 ± 1.08), p = 0.076. No significant correlation was found between patient age and recall performance
(r = –0.011), p = 0.943. The overall mean understandability and actionability scores for the video
were 100%. Video-assisted informed consent for rhinoplasty may enhance and overcome
limitations to the traditional verbal consent process by ensuring comprehensive, standardized,
and readily understandable information.
Keywords
rhinoplasty - informed consent - quality improvement - patient education - video
