Evaluation of a novel augmented reality educational tool and its effects on patient experience: A randomized controlled trial

Author:

Miller Caroline A.1,Locke Rachel A.2,Holck Hailey W.3,Evans Holt J.4,Bhamber Tiag P.5,Sinks Alexander L.6,McGrath Lila G.2,Boselli Danielle M.7,Clark Peter E.2,Roy Ornob P.2

Affiliation:

1. University of North Carolina School of Medicine, Chapel Hill, Charlotte, North Carolina, USA

2. Department of Urology, Atrium Health Levine Cancer Institute, Charlotte, North Carolina, USA

3. University of Texas Southwestern Medical School, Dallas, Texas, USA

4. Edward Via College of Osteopathic Medicine, Spartanburg, South Carolina, USA

5. University of Florida College of Medicine, Jacksonville, Florida, USA

6. Wake Forest School of Medicine, Winston-Salem, Charlotte, North Carolina, USA

7. Department of Biostatistics, Levine Cancer Institute, Charlotte, North Carolina, USA

Abstract

ABSTRACT Introduction: Patient education is an essential element of the treatment pathway. Augmented reality (AR), with disease simulations and three-dimensional visuals, offers a developing approach to patient education. We aim to determine whether this tool can increase patient understanding of their disease and post-visit satisfaction in comparison to current standard of care (SOC) educational practices in a randomized control study. Methods: Our single-site study consisted of 100 patients with initial diagnoses of kidney masses or stones randomly enrolled in the AR or SOC arm. In the AR arm, a physician used AR software on a tablet to educate the patient. SOC patients were educated through traditional discussion, imaging, and hand-drawn illustrations. Participants completed pre- and post-physician encounter surveys adapted from the Press Ganey® patient questionnaire to assess understanding and satisfaction. Their responses were evaluated in the Readability Studio® and analyzed to quantify rates of improvement in self-reported understanding and satisfaction scores. Results: There was no significant difference in participant education level (P = 0.828) or visit length (27.6 vs. 25.0 min, P = 0.065) between cohorts. Our data indicate that the rate of change in pre- to post-visit self-reported understanding was similar in each arm (P ≥ 0.106 for all responses). The AR arm, however, had significantly higher patient satisfaction scores concerning the educational effectiveness and understanding of images used during the consultation (P < 0.05). Conclusions: While AR did not significantly increase self-reported patient understanding of their disease compared to SOC, this study suggests AR as a potential avenue to increase patient satisfaction with educational tools used during consultations.

Publisher

Medknow

Subject

Urology

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