Effect of Mobile Augmented Reality Counseling on Improving Shared Decision-Making in Thoracic Surgery: A Randomized Clinical Crossover Trial.

IF 6.2 2区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Ying-Shian Chen, Yi-Chen Hsu, Worachate Romalee, Ding-Han Wang, Jennifer Lai, Tsai-Wang Huang, Kuan Hsun Lin
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引用次数: 0

Abstract

Background: Augmented reality (AR) superimposes virtual objects onto the real-world environment, allowing users to interact in real-time. Since AR has become widely used, it also leverages the efficiency advantages of smartphones or tablets to enable mobile augmented reality (MAR) experiences. AR has been adopted in many industries, and literature has highlighted its applications in academic and clinical settings, particularly for enhancing visualization, communication, and learning.

Objective: This study investigates the potential of mobile augmented reality as mHealth tools to enhance shared decision-making (SDM) in thoracic surgery by increasing patient understanding and engagement during medical consultations.

Methods: A randomized crossover clinical trial was conducted at Tri-Service General Hospital in Taiwan. Participants scheduled for thoracic surgery were enrolled and randomized in a crossover design. The MAR intervention incorporated patient-specific three-dimensional (3D) anatomical models that were reconstructed from CT imaging to facilitate understanding and support SDM. The impact of each counseling approach on SDM was evaluated using post-intervention questionnaires.

Results: A total of forty-seven participants were effectively incorporated into the research. After analyzing the data, we found that patients in the MAR group showed significantly higher scores compared to those in the traditional counseling group (p < 0.05) during the SDM process. Moreover, patients reported higher satisfaction levels and found the visual objects helpful in understanding tumor location and surgical procedures.

Conclusions: The study demonstrates that MAR counseling significantly enhances patients' comprehension of thoracic conditions and increases their active engagement in the SDM process. The integration of patient-specific 3D anatomical models into MAR technology provided an intuitive method for critical medical information. This digital approach not only enhances personalization in medical communication but also reinforces patient education in their own healthcare conditions. The findings suggest that MAR counseling represents a promising approach for promoting patient-centered care in thoracic surgery and has potential applications across various clinical domains.

Clinicaltrial: ClinicalTrials.gov Identifier: NCT07062393. https://clinicaltrials.gov/study/NCT07062393.

移动增强现实咨询对改善胸外科共同决策的影响:一项随机临床交叉试验。
背景:增强现实(AR)将虚拟对象叠加到现实世界环境中,允许用户实时交互。由于AR已经被广泛使用,它还利用智能手机或平板电脑的效率优势来实现移动增强现实(MAR)体验。AR已被许多行业采用,文献强调了它在学术和临床环境中的应用,特别是在增强可视化、沟通和学习方面。目的:本研究探讨了移动增强现实作为移动健康工具的潜力,通过提高患者在医疗咨询过程中的理解和参与,来增强胸外科手术中的共同决策(SDM)。方法:在台湾三院进行随机交叉临床试验。计划进行胸外科手术的参与者被纳入交叉设计并随机化。MAR干预纳入了从CT成像重建的患者特异性三维(3D)解剖模型,以促进对SDM的理解和支持。使用干预后问卷评估每种咨询方法对SDM的影响。结果:共有47名参与者被有效纳入研究。经数据分析,我们发现在SDM过程中,MAR组患者的得分明显高于传统咨询组(p < 0.05)。此外,患者报告了更高的满意度,并发现视觉对象有助于了解肿瘤位置和手术过程。结论:本研究表明,MAR咨询可显著提高患者对胸部状况的理解,并增加其对SDM过程的积极参与。将患者特异性三维解剖模型集成到MAR技术中,为获取关键医疗信息提供了一种直观的方法。这种数字化方法不仅提高了医疗沟通的个性化,而且加强了患者对自身健康状况的教育。研究结果表明,MAR咨询代表了一种很有前途的方法,可以促进胸外科以患者为中心的护理,并在各个临床领域具有潜在的应用前景。临床试验:ClinicalTrials.gov标识符:NCT07062393。https://clinicaltrials.gov/study/NCT07062393。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
JMIR mHealth and uHealth
JMIR mHealth and uHealth Medicine-Health Informatics
CiteScore
12.60
自引率
4.00%
发文量
159
审稿时长
10 weeks
期刊介绍: JMIR mHealth and uHealth (JMU, ISSN 2291-5222) is a spin-off journal of JMIR, the leading eHealth journal (Impact Factor 2016: 5.175). JMIR mHealth and uHealth is indexed in PubMed, PubMed Central, and Science Citation Index Expanded (SCIE), and in June 2017 received a stunning inaugural Impact Factor of 4.636. The journal focusses on health and biomedical applications in mobile and tablet computing, pervasive and ubiquitous computing, wearable computing and domotics. JMIR mHealth and uHealth publishes since 2013 and was the first mhealth journal in Pubmed. It publishes even faster and has a broader scope with including papers which are more technical or more formative/developmental than what would be published in the Journal of Medical Internet Research.
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