Effects of video information on precolonoscopy anxiety and knowledge: a randomised trial

Background The provision of information before medical or surgical procedur es should improve knowledge and allay anxiety about the pending procedure. This trial aimed to assess the value of an information video in this proces s, Methods Patients scheduled to undergo colonoscopy were approached about 1 w eek before the procedure. All patients; were given an information leaflet a bout colonoscopy, and: completed a Spielberger state anxiety inventory (STA I) questionnaire to assess baseline anxiety. The patients were then randoml y assigned to watch or not watch the information video. Immediately before colonoscopy, all patients completed a second anxiety questionnaire and a kn owledge questionnaire. Findings 198 patients were screened. 31 declined to participate and 17 were unable to complete the forms. Of the remaining 150 patients, 72 were assig ned the video, and 78 no video, The groups were similar with regard to age, sex, educational attainment, and initial anxiety score. Female patients ha d higher baseline anxiety than male patients (mean STAI 46.3 [95% CI 44.9-4 7.7] vs 36.9 [35.5-38.3]; difference 9.4 [7.8-12.2], p=0.0008). Patients wh o had not had a previous colonoscopy had higher baseline anxiety scores tha n those who had prior experience of the procedure (46.9 [45.4-48.5] vs 36.3 [34.7-37.9]; difference 10.6 [7.5-13.8], p=0.0008). Patients who watched t he video were significantly less anxious before colonoscopy than those who did not. The former also scored more highly in the knowledge questionnaire than the latter with regard to the purpose of the procedure, procedural det ails, and potential complications of colonoscopy. Interpretation An information video increases knowledge and decreases anxie ty in patients preparing for colonoscopy.