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- Title
Impact of Illustrated Postoperative Instructions on Knowledge and Retention During a Cleft Lip and Palate Surgical Mission.
- Authors
Card, Elizabeth B.; Morales, Carrie E.; Ramirez, Juan M.; Billingslea, Marce; Marroquín, Ariel; Trueblood, Eo; Javia, Luv R.; McCormack, Susan M.; Friedland, Leonard R.; Low, David W.; Schwartz, Alan Jay; Scott, Michelle; Jackson, Oksana A.
- 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 Outcome Measure: 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.
- Subjects
GUATEMALA; ELECTIVE surgery; HEALTH policy; CAREGIVERS; POSTOPERATIVE care; HEALTH literacy; CLEFT lip; PALATE; LONGITUDINAL method
- Publication
Cleft Palate Craniofacial Journal, 2023, Vol 60, Issue 8, p1010
- ISSN
1055-6656
- Publication type
Article
- DOI
10.1177/10556656221100052