Impact of Illustrated Postoperative Instructions on Knowledge and Retention During a Cleft Lip and Palate Surgical Mission.
Cleft Palate Craniofac J
; 60(8): 1010-1020, 2023 08.
Article
in En
| MEDLINE
| ID: mdl-35711155
ABSTRACT
OBJECTIVE:
To determine the impact of illustrated postoperative instructions on patient-caregiver knowledge and retention.DESIGN:
Prospective study with all participants receiving an educational intervention.SETTING:
Pediatric plastic surgical missions in Guatemala City, Guatemala, between 2019 and 2020.PARTICIPANTS:
A total of 63 majority-indigenous Guatemalan caregivers of patients receiving cleft lip and/or palate surgery. INTERVENTION Illustrated culturally appropriate postoperative care instructions were iteratively developed and given to caregivers who were surveyed on illustration-based and text-based information at preoperative, postoperative, and four-week follow-up time points. MAIN OUTCOMEMEASURE:
Postoperative care knowledge of illustration-based versus text-based information as determined by the ability to answer 11 illustration- and 8 text-based all-or-nothing questions, as well as retention of knowledge as determined by the same survey given at four weeks follow-up.RESULTS:
Scores for illustration-based and text-based information both significantly increased after caregivers received the postoperative instructions (+13.30 ± 3.78 % SE, + 11.26 ± 4.81 % SE; P < .05). At follow-up, scores were unchanged for illustration-based (-3.42 ± 4.49 % SE, P > .05), but significantly lower for text-based information (-28.46 ± 6.09 % SE, P < .01). Retention of text-based information at follow-up correlated positively with education level and Spanish literacy, but not for illustration-based.CONCLUSIONS:
In the setting of language and cultural barriers on a surgical mission, understanding of illustration-based and text-based information both increased after verbal explanation of illustrated postoperative instructions. Illustration-based information was more likely to be retained by patient caregivers after four weeks than text-based information, the latter of which correlated with increased education and literacy.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cleft Lip
/
Cleft Palate
/
Medical Missions
Type of study:
Observational_studies
Limits:
Child
/
Humans
Language:
En
Journal:
Cleft Palate Craniofac J
Journal subject:
ODONTOLOGIA
Year:
2023
Document type:
Article
Affiliation country:
Estados Unidos