The evidence supporting educational videos for patients and caregivers receiving hospice and palliative care: A systematic review.
Dulce M Cruz-Oliver, Angel Pacheco Rueda, Liliana Viera-Ortiz and 2 others
PMID 32241583WHAT IT FOUND
Hospice and palliative care patients and caregivers often shifted preferences toward comfort care after videos, but advance care planning completion was not clearly better than written information.
Pain and mood benefits were mixed and sometimes short-lived.
Key findings
01Videos most often targeted care preferences and advance care planning, and generally shifted participants toward comfort care.
02Advance care planning completion increased after video education, but it was not clearly different from written information, and advance care planning discussion did not change; completion was higher than with verbal narrative.
03After cancer pain video education, patient pain scores improved within 1.5 weeks but not at 35 days, while family pain knowledge improved.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review only included English-language studies, so evidence from other languages may be missing. One research team published 39% of the included articles, and the review authors wrote two included studies, so the quality assessment may be biased. Many included studies were pilot or feasibility trials, with missing power calculations, unclear randomization, or poor allocation concealment. Outcomes were very different across studies, so the review could not compare them directly. Most videos were delivered in person, but studies often did not report viewing time or whether the educational message was actually received. None explicitly described the teaching method or learning approach behind the videos.
Declared interests
No funding or conflict-of-interest declaration appears in the article text. The publication types list Research Support, N.I.H., Extramural.
The easy way to misread this
Do not conclude that video education is established as better than all usual patient education for every hospice or palliative care patient. The included studies measured many different outcomes, often compared videos with written or verbal information, and some benefits did not last. The review also did not find evidence for a required video dosage or for when remote delivery works as well as in-person delivery.