Annals of Internal Medicine

Medical Graphic Narratives to Improve Patient Comprehension and Periprocedural Anxiety Before Coronary Angiography and Percutaneous Coronary Intervention: A Randomized Trial
16. April 2019


Autor*innen: Anna Brand, MD, Linde Gao, MD, Alexandra Hamann, Claudia Crayen, PhD, Hannah Brand, Susan M. Squier, PhD, Karl Stangl, MD, Friederike Kendel, PhD, Verena Stangl, MD


Background: Written informed consent (IC) before such interventions as coronary angiography may not ensure that patients understand the rationale, procedural details, and potential risks involved. Barriers include patient anxiety, literacy, and differences in clinicians' communication skills. Medical graphic narratives (“comics”) may communicate complex health information more clearly.

Objective: To assess whether supplementing standard IC (ICstandard) with a comic (ICcomic) improves patient comprehension, anxiety, and satisfaction.

Methods: From October 2016 to January 2018, a total of 135 consecutive hospitalized patients who were having coronary angiography at Charité – Universitätsmedizin Berlin, Campus Mitte, were screened for enrollment. Of these patients, 121 were ...

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Annals Graphic Medicine - Patient-Informed Consent (comic)︎