Objective: To create a stroke education video and study its impact in stroke clinic with regards to patient satisfaction and knowledge acquisition.
Background: Excellent medical care includes providing patient education, but most clinics do not emphasize this. We are exploring the use of video education in the stroke clinic, as this patient population may particularly benefit from secondary stroke prevention teaching.
Methods: Ischemic stroke patients coming for routine hospital follow-up were enrolled and randomized to either watch an educational stroke video or receive standard care. Patients were stratified by education level, with one group having completed high school or less, and the other having completed any post high school training. Both groups took a pre- and post-visit knowledge test as well as a post-visit satisfaction survey. We hypothesized that knowledge acquisition, judged by improvement in test score, and satisfaction scores would both be greater in the video group. Test scores were expected to positively correlate with satisfaction.
Results: Forty patients were enrolled to date. Preliminary data demonstrated patients were positive (n=15) or neutral (n=5) about the video. Both groups were highly satisfied with their visit, and a two-tailed t-test demonstrated no difference in satisfaction between groups (p=0.89). A linear regression showed a trend for the highly educated patients in the video group having improved test scores after the visit (p=0.069). Further enrollment of patients is needed to better assess this. In both groups, there was a correlation between post-test scores and satisfaction scores (R=0.37, p=0.03).
Conclusions: Based on this preliminary data, stroke patients enjoy video education in clinic. However, as patients in both groups were highly satisfied, it remains unclear whether video education increases overall satisfaction. Highly educated patients may bennefit from video education, but further enrollment will clarify this. A positive correlation between post-visit test score and satisfaction indicates that clinics should prioritize patient education.