Results of This Project
Using a Video to Empower Patients Facing Major Surgery
A narrative about how feedback from patients, family members, and surgeons led researchers to revise their plan for testing a tool to promote advance care planning.
Using Video to Help Patients Facing Major Surgery
Rebecca Aslakson speaks about how this project will assist patients discuss and make important decisions before entering the operating room.
Peer review of PCORI-funded research helps make sure the report presents complete, balanced, and useful information about the research. It also confirms that the research has followed PCORI’s Methodology Standards. During peer review, experts who were not members of the research team read a draft report of the research. These experts may include a scientist focused on the research topic, a specialist in research methods, a patient or caregiver, and a healthcare professional. Reviewers do not have conflicts of interest with the study.
The peer reviewers point out where the draft report may need revision. For example, they may suggest ways to improve how the research team analyzed its results or reported its conclusions. Learn more about PCORI’s peer-review process here.
In response to peer review, the PI made changes including
- Adding information to the report about the intervention video. The researchers added a table that describes the time spent on different concepts in the video.
- Describing a conceptual rationale for why the video intervention would be more effective than verbal communication for advanced care planning.
- Addressing some potential reasons why the video intervention did not show a significant effect on changing the patient-physician conversation to one more focused on psychosocial or emotional issues. In their response to reviewers, the researchers indicated that when they spoke to participating surgeons after the study, they learned that most doctors had a “‘hard-wired’ script” they followed for these discussions, with little opportunity for patients to change the conversation to one more focused on psychosocial or emotional issues.
- Responding to reviewers’ concerns about the study’s measure of communication outcomes by providing empirical evidence that the outcomes and the way they were measured were appropriate. The researchers went on to say that they would study the interactions between patients and doctors in a more qualitative manner to better assess communication quality.
- Clarifying in the report the reasons why the researchers determined that integration of the preoperative video was successful. Although the study found no significant effect on communication and advanced care planning outcomes, the researchers noted that, given past evidence that surgeons are reticent to engage in pre-operative advanced care planning, just integrating the video into pre-operative routines was an important outcome.
Conflict of Interest Disclosures
View the COI disclosure form.