Citation

Sahyouni R, Mahmoodi A, Mahmoodi A, Huang M, Tran DK, Chen JW. Clin. Neurol. Neurosurg. 2017; 156: 41-47.

Affiliation

UC Irvine Department of Neurological Surgery, Irvine, CA, USA. Electronic address: jeffewc1@uci.edu.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/j.clineuro.2017.03.003

PMID

28324787

Abstract

OBJECTIVES: Traumatic Brain Injury (TBI) is a common and debilitating injury that is particularly prevalent in patients over 60. Given the influence of head injury on dementia (and vice versa), and the increased likelihood of ground-level falls, elderly patients are vulnerable to TBI. Educational interventions can increase knowledge and influence preventative activity to decrease the likelihood of further TBI. We sought to determine the efficacy of interactive tablet-based educational interventions in elderly patients on self-reported knowledge.

PATIENTS AND METHODS: Patients and family members, ages 20-90, presenting to a NeuroTrauma clinic completed a pre-survey to assess baseline TBI or concussion knowledge, depending on their diagnosis. Participants then received an interactive electronic book (eBook), or a text-based pamphlet with identical information, and completed a post-survey to test interim knowledge improvement.

RESULTS: All participants (n=180), regardless of age, had significantly higher post-survey scores (p<0.01, 95% CI). Elderly participants who received the eBook (n=39) scored lower than their younger counterparts despite higher pre-survey scores (p<0.01, 95% CI). All participants who received the eBook (n=20, 90) significantly improved on the post-survey (p<0.01, 95% CI) when compared to participants who received the paper pamphlets (n=10, 31). All participants significantly preferred the eBook (p<0.01, 95% CI).

CONCLUSIONS: We demonstrated that interactive educational interventions are effective in the elderly TBI population. Enhanced educational awareness in the elderly population, especially patients at risk or with prior TBI, may prevent further head injury by educating patients on the importance of avoiding further head injury and taking precautionary measures to decrease the likelihood of further injury.

Copyright © 2017 Elsevier B.V. All rights reserved.

Language: en

Keywords

Age; Concussion; Education; Elderly; Neurosurgery; TBI; Traumatic brain injury; iBook