Abstract
Aim: To determine if videotapes about newborn circumcision would be superior to traditional physician 'informed consent' discussion for maternal knowledge, satisfaction and perception of provider bias. Designmethods: A convenience sample of mothers interested in or undecided about circumcision was randomized to watch a video on: (i) circumcision risksbenefits ('Video-Plus' n = 168); or (ii) unrelated material followed by traditional physician riskbenefit discussion ('Standard-MD' n = 136). Questionnaires were administered during hospitalization and subsequent telephone interviews. Statistical differences were analysed by chi-square and Wilcoxon signed rank test. Results: Most mothers (82%) decided about circumcision prenatally. Fewer mothers perceived bias from the video vs. physicians [1.1% vs. 6.8%, p = 0.04]. Composite knowledge (correct of 10 answers) [ (SD) 6.5 (2.1) vs. 6.4 (2.1), p = 0.78] or satisfaction [5-point Likert scale, 3.98 (1.50) vs. 3.75 (1.58), p = 0.16] did not differ by group, although more highly educated mothers preferred the video [satisfaction 4.08 (1.01) vs. 2.63 (0.99), p = 0.04]. Significant knowledge gaps existed in both groups. Conclusion: In this setting, no difference in maternal knowledge was found between 'Video-Plus' and traditional informed consent although more highly educated mothers preferred the video. Better ways to achieve understanding of risks and benefits for this elective procedure should be sought.
Original language | English (US) |
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Pages (from-to) | 1418-1424 |
Number of pages | 7 |
Journal | Acta Paediatrica, International Journal of Paediatrics |
Volume | 99 |
Issue number | 9 |
DOIs | |
State | Published - Sep 2010 |
Keywords
- Circumcision
- Informed consent
- Newborn
- Satisfaction
- Video
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health