Urology
September 5, 2026 · via Europe PMC
Animated Video vs Written Leaflet for Preoperative Kidney Transplant Education: A Randomized Comparative Study.
Polat ME, Tunc OE, Ulucay C, +12 more, European Association of Urology (EAU) Young Academic Urologists (YAU) Kidney Transplantation Working Group.
AI summary — for doctors, generated from the abstract only
A randomized trial found that both an animated educational video and a written leaflet, when added to standard verbal counseling, significantly improved procedural knowledge and reduced anxiety in kidney transplant candidates and donors, with neither format proving superior to the other.
What was studied
A prospective, randomized, two-arm comparative study of 130 adult kidney transplant candidates and prospective living donors, comparing an animated educational video against a content-matched written leaflet, both delivered alongside standard verbal counseling, measuring procedural knowledge and preoperative anxiety before and after the intervention.
Key findings
- Baseline characteristics were comparable between the video and leaflet groups
- Across the entire cohort, education significantly reduced the median number of incorrect knowledge-test answers from 3 to 1
- Preoperative anxiety scores (Amsterdam Preoperative Anxiety and Information Scale) significantly decreased from a median of 17 to 11 across the cohort
- Both modalities performed similarly, with neither the video nor the leaflet demonstrating superiority over the other, though patients expressed a preference for a combined audiovisual-and-written approach
Clinical relevance
The findings support using either animated video or written leaflet education, in addition to standard verbal counseling, to improve knowledge and reduce anxiety in kidney transplant candidates and donors, and suggest that offering a combined multimodal approach may align best with patient preference.
Who should care
Limitations
This was a single-center study with a modest sample size (130 participants), which may limit how broadly the findings generalize to other transplant centers and patient populations.
Both animated video and written leaflet education improved knowledge and reduced anxiety similarly in kidney transplant candidates and donors, with patients preferring a combination of both formats alongside standard counseling.
This is an AI-generated summary of the published abstract, not a clinical recommendation. It may not reflect the full text or subsequent updates — verify against the original source before acting on it.
Abstract
Objective
To compare an animated educational video with a content-matched written leaflet, each delivered alongside standard verbal counseling, for their effects on procedural knowledge and preoperative anxiety in kidney transplant candidates and prospective living donors.
Methods
In this prospective, randomized, two-arm comparative study, 130 adult KT candidates and prospective living donors were allocated 1:1 to a video group or a content-matched written leaflet group, both in addition to standardized verbal information. Procedural knowledge was assessed using a seven-item questionnaire, with lower scores indicating fewer incorrect answers, and preoperative anxiety was evaluated using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) before and after the intervention. Satisfaction, modality preference, and material quality, by the Patient Education Materials Assessment Tool (PEMAT) and Atesman readability, were also evaluated.
Results
Baseline demographic and clinical characteristics were comparable between the groups. Across the cohort, education significantly reduced the median number of incorrect answers from 3 (2-5) to 1 (0-2) and the median APAIS score from 17 (10-22) to 11 (7-18) (both P < .001). Direct comparison revealed no significant differences between the video and written groups regarding post-test knowledge (P = .433), APAIS score (P = .220), or satisfaction (P = .939). Most participants preferred combined audiovisual and written education (66.2% and 80.0% in the video and written groups, respectively).
Conclusion
Both modalities, added to verbal counseling, significantly improved knowledge and reduced preoperative anxiety, with neither demonstrating superiority over the other. The preference for a combined audiovisual-and-written approach supports the use of multimodal preoperative education in KT.
DOI
10.1016/j.urology.2026.08.017
PMID
42637098
Research metadata (titles, abstracts, authors, publication dates) is sourced from Europe PMC, which aggregates content from PubMed/MEDLINE, PubMed Central, and other providers under the U.S. National Library of Medicine (NLM/NCBI). NLM does not claim copyright on abstracts; the original journal publishers or authors may hold rights to the full articles. AI-generated summaries are derived only from the abstract, never the full text, and are always labeled as AI-generated.
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