Isotretinoin and iPledge Program patient information video: A new modality that improves patient comprehension

To the Editor: Evidence confirms lack of readability and comprehension current iPledge Program patient educational materials.1Howard R. Smith G. Readability education materials.J Am Acad Dermatol. 2018; 79: e69-e70Abstract Full Text PDF PubMed Scopus (5) Google Scholar Today, because patients obtain much their information online through popular websites or social media, it is important to provide them with quality via these platforms. Unfortunately, there a diverse range in currently available resources. This was highlighted by recent study Xiang et al2Xiang L. Ravichandran S. Tamashunas N. Wan A. Mazmudar R.S. Scott J.F. YouTube as source dermatologic on isotretinoin.J 2020; 83: 653-655Abstract (8) that evaluated top 50 most-viewed isotretinoin videos graded each video across 5 categories.2Xiang The majority had fair- poor-quality medical information.2Xiang We performed improvement assessing benefit using physician-directed improve comprehension. intervention efficient provides an easy method detailed office setting, which replicable could be generalized academic community dermatology practices. commenced after University California San Diego's institutional review board exemption January 28, 2019 (protocol no. 182107). Patients 15 years age older were enrolled at time registration board-certified dermatologists. dermatologists who not involved creation this publication provided standard verbal counseling, 1 authors (AM) administered video-based did have any interaction physician (available https://www.youtube.com/watch?v=kGL77TPrJOU&t=). Before delivery traditional participant informed he she would receive post-counseling survey. survey included 10 questions addition regarding demographics, level education, preferred learning style, personal rating perceived (Supplemental Materials; Mendeley https://doi.org/10.17632/tkzfbvh4j5.1). developed aid focus group composed adult pediatric severe acne. Surveys from November March 2020. Data imported into Excel (Microsoft, Redmond, WA) file analyzed April 25 aged 32 (mean 23 years), 11 males 14 females. average highest for participants college degree. Eleven received counseling (Table I). A student t test showed statistically significant difference (P < .0001) two groups, demonstrated superiority II).Table IDemographics ComprehensionKey demographics comprehensionTraditional (n = 11)Video-based 14)Mean age, y20.4524.92Sex, n (%)Male: (45)Female: 6 (55)Male: (43)Female: 8 (57)Prior family members prescribed isotretinoin, nNo: 7Yes: 4No: 11Yes: 3Mean self-comprehension rating, scale 0-109.39.3Mean percentage correct questions, %62.794.3Preferred receiving information, (%)Verbal explanation: 7 (64)Reading written material: (64) Open table new tab Table IICorrect responses questions∗Please refer Supplemental Materials https://doi.org/10.17632/tkzfbvh4j5.1) see full administered.Comprehension question number topicTraditional % answered correctlyVideo-based correctly1: Side effects medication181002: Sharing medication1001003: Donation blood911004: Moisturization sun protection1001005: Necessity obtaining blood work911006: Frequency pregnancy testing female can get pregnant3671.47: Definition teratogen271008: How create account721009: Requirements initiate treatment7285.710: Window pick up medication pharmacy1885.7∗ Please administered. believe results clinicians tool will appropriately efficiently counsel way improves overall may lead improved outcomes. are scalable broadly implemented community-based Our several limitations, including small sample size absence blinding group. Another limitation used validated tool; however, serve pilot future larger, randomized investigations aimed validating survey, principal component analysis results.