The Patient Education Institute is an education-technology company. Our mission is to engage patients and their families in medical decisions, treatments, and lifestyle changes to improve health outcomes.
The Patient Education Institute has published, reviewed or updated 82 titles in Q1 and Q2 2024.
Aid Tools for Older Adults English
Amputation of the Leg English
Anal Cancer English
Anterior Cruciate Ligament Repair - ACL Repair English
Aplastic Anemia English
Bile Duct Diseases and Problems English
Birth Control - Contraception (Arabic) Arabic
Blood and Blood Disorders English
Bronchitis English
Building and Keeping Healthy Habits English
Cancer Clinical Trials English
Cannabis English
Cardiac Catheterization - Coronary Angiography English
Carotid Endarterectomy English
Cerebral Palsy English
Cerebral Palsy - Pediatrics English
Cervix Disorders (Arabic) Arabic
Changes as We Get Older English
Cholecystectomy - Open and Laparoscopic English
Common Accidents Among Older Adults English
COVID-19 - Coronavirus English
COVID-19 - Coronavirus (Arabic) Arabic
COVID-19 - Coronavirus (Spanish) Spanish
De Quervain's Tendonitis (Arabic) Arabic
Diabetes - Introduction English
Ectopic Pregnancy English
Electroconvulsive Therapy - ECT (Arabic) Arabic
Encephalitis English
Fun Ways to Make Your Retirement Better English
Gallstones English
Game Addiction in Older Adults English
Gastrointestinal Bleeding English
H1N1 Influenza English
Health Problems in Pregnancy English
Hearing Loss English
HIV/AIDS and Infections English
HIV/AIDS and Pregnancy English
Hysteroscopy English
Influenza - Flu English
Influenza - Pediatrics English
Inguinal Hernia Repair - Pediatrics (Arabic) Arabic
Iron Overload - Hemochromatosis (Arabic) Arabic
IVP - Intravenous Pyelogram English
Keeping a Positive Mindset English
Keeping Your Retirement Money Safe from Crimes English
Leukemia English
Living with Congestive Heart Failure (Arabic) Arabic
Long-Term Care Insurance English
Making Your Body's Immune System Stronger English
Midlife Crises and Transitions English
Moles English
Mumps English
Newborn Screening English
Open Shoulder Surgery English
Organizing Your Medications English
Palliative Care and Hospice Care English
Pancreatitis English
Pediatric Post-Operative Instructions English
Port Catheter Insertions (Arabic) Arabic
Preventing Strokes English
Preventing Trips and Falls English
Pulmonary Fibrosis English
Reading Lab Results English
Reporting and Preventing Elder Abuse English
Sexuality and Aging English
Shoulder Replacement English
Sjogren's Syndrome English
Stellate Block (Arabic) Arabic
Suicide in Older Adults English
The A1C Test English
The FODMAP Diet for Digestive Health English
Thoracotomy English
Tracheotomy or Tracheostomy (Arabic) Arabic
Transient Ischemic Attack - TIA English
Understanding Medicare English
Upper GI Endoscopy English
Upper GI Endoscopy and Colonoscopy English
Viagra - Sildenafil English
Warfarin - Introduction for New Users English
Warfarin - Introduction for New Users - Pediatrics English
Warfarin - Review for Current Users English
What to Expect When You Retire English
Revolutionizing Patient Education with “X-Plain Health AI”
Imagine a world where every patient's educational journey is uniquely tailored to their health needs, language, and learning style. This is not a distant dream but a present reality, thanks to the groundbreaking advancements in AI with “X-Plain Health AI,” a custom GPT app redefining the landscape of patient education. How is this innovative technology transforming how we understand and interact with healthcare information? Let's explore the future, which is already here.
What are Custom GPTs? Custom GPTs are a specialized iteration of the Generative Pre-trained Transformer models designed specifically for targeted applications. Unlike general-purpose models like ChatGPT, custom GPTs are fine-tuned with specific datasets, tailored instructions, and integrated functionalities to cater to particular needs. This specialization enables them to produce outputs that are highly adaptive and aligned with specific objectives, making them invaluable in fields like patient education.
Traditional vs. AI-based Patient Education
In traditional settings, patient education relies on printed materials, videos, and digital resources, which often fall short in addressing the diverse needs of patients. These methods, while informative, lack the personalization necessary for effective healthcare communication. Custom GPTs revolutionize this domain by offering tailored, dynamic, and interactive educational content. This AI-driven approach aligns with individual health conditions, literacy levels, and cultural backgrounds, enhancing patient understanding, engagement, and adherence to medical guidance.
Consider the case of Laila, a 52-year-old woman recently diagnosed with type 2 diabetes. She's overwhelmed with the flood of generic information available online. That's where 'X-Plain Health AI' comes in. Unlike traditional GPT models like ChatGPT, our custom GPT is fine-tuned with vast medical data. When Laila uses X-Plain Health AI, she receives personalized information. The system adjusts the complexity of the language to match her understanding and even considers her cultural background. This means Laila gets tailored advice on managing her diabetes, dietary recommendations suited to her lifestyle, and explanations of medical terms in a way she can easily comprehend. It's like having a virtual health educator, always ready to provide information that’s specifically relevant to her, rather than a one-size-fits-all approach.
X-Plain Health AI
Custom GPTs for patient education can generate detailed, specific information about a patient's condition and treatment options, adjust the complexity of the language to suit the patient's literacy level, facilitate interactive learning sessions for heightened engagement, and offer materials in multiple languages, considering cultural nuances.
Released on February 5, 2024, X-Plain Health AI is a pioneering custom GPT model developed by the Patient Education Institute. Accessible through the ChatGPT Store, it promises unprecedented personalization in patient education. What does “X-Plain Health AI” offer beyond what ChatGPT can do? Some key features include:
Prompting users to set their preferences for language, content depth, difficulty level, and other parameters.
Ask users to select a health topic, then offer targeted questions to refine information to specific interests like causes, symptoms, alternative treatments, risks, coping strategies, support options, and more.
Adjusting the complexity of the text according to the user’s preferences and previous interactions.
Engage with users to explain complex terms, present statistics, or compare treatment options tailored to their specific requests.
Asking questions to verify understanding.
Using our extensive database of peer-reviewed, up-to-date content, which includes over 25 million words, a video library with over 2,500 videos, and 2,500 interactive quizzes for comprehension testing, ensuring that users receive up-to-date information in their preferred educational format.
Upon the user’s request, display one of our +10,000 illustrations and +100,000 slides to show diagrams and anatomical and procedural illustrations (in progress).
Here is a scenario illustrating how X-Plain Health AI interacts with a user: John, a 40-year-old man, logs into X-Plain Health AI.
— X-Plain Health AI: "Hello! How may I assist you today? Do you have any specific health topics or questions in mind? Also, would you like me to address you by a name?”
— John: “You can call me John. I want to learn about managing high blood pressure.”
— X-Plain Health AI: “Welcome, John! To provide you with personalized information about managing high blood pressure, I have a few questions for you. First, what is your preferred language for communication?"
— John: "English, please."
— X-Plain Health AI: "Great, English it is. How would you rate your understanding of high blood pressure management on a scale from 1 to 5?"
— John: "Probably around a 2."
— X-Plain Health AI: "Understood, we'll keep things straightforward. Are you seeking information on causes, symptoms, complications, diet, exercise, medication, or all of these topics?"
— John: "Mostly diet and exercise."
— X-Plain Health AI: "Okay. I can provide dietary guidelines and exercise tips that effectively manage high blood pressure. Before we proceed, do you have any dietary restrictions or physical limitations I should be aware of?"
— John: "I'm a vegetarian and have a knee injury, so nothing too strenuous."
— X-Plain Health AI: "Thanks for sharing that, John. I'll tailor the information accordingly. [Provides tailored advice on a vegetarian diet and low-impact exercises suitable for someone with a knee injury]. Would you like me to ask a few questions to ensure you've understood the information clearly?"
— John: "Yes, that would be helpful."
— X-Plain Health AI: "Alright, let's start with a simple one: Can you name two vegetables that are particularly beneficial for managing high blood pressure?"
— John: [Responds with his answers]
— X-Plain Health AI: "That's correct! [Provides feedback on his answers]. Let’s try another question to see how you’re doing with the exercise recommendations."
Challenges and Considerations
The deployment of custom GPTs in patient education presents challenges, particularly in privacy and information accuracy. Ensuring compliance with healthcare privacy laws, such as HIPAA, and maintaining the accuracy of the information provided by these AI models are of utmost importance. It's crucial to continually remind users that AI-generated content should be seen as supplementary to professional medical advice, not a replacement.
In OpenAI's custom GPT environment, users have control over their data. If they permit ChatGPT to learn from their interactions, the chats with custom GPTs remain private and are not shared with the creators. A key challenge is ensuring GPT models adhere to healthcare privacy laws like HIPAA. ChatGPT and custom GPT models consistently remind users not to share any personally identifiable information during conversations. Users also have the option to adjust their settings to prevent ChatGPT from retaining their chat history. However, these settings may not be straightforward and could be inadvertently altered during updates or when opting into new services. In addition, the field is rapidly developing, and so are OpenAI’s privacy and data training policies.
Two years following the launch of X-Plain in 1995, we established a clear distinction between Clinical X-Plain and Public X-Plain. Clinical X-Plain serves a crucial role in clinical environments, offering informed consent, discharge instructions, and specific guidance on medications and home care directly to patients. In contrast, Public X-Plain is a patient education resource available on healthcare institutions' websites, assisting patients in learning about and preparing for clinical visits. In this context, X-Plain Health AI is envisioned as a public-facing tool accessible online to aid patients in understanding and preparing for healthcare encounters. It is distinct from the discharge documents that healthcare providers typically hand to patients following outpatient, inpatient, or emergency room visits.
Monetization
The introduction of the GPT Store by OpenAI marks a significant shift in the landscape of AI application development. Like an app store for AI technologies, this platform allows creators to publish and potentially monetize their GPT models. Although still in its infancy, the revenue-sharing model indicates a promising avenue for creators to benefit financially from their innovative AI solutions in healthcare.
What do we know so far? OpenAI covers the cost of tokens for GPTs in the OpenAI GPT Store. This means neither the user nor the creator of a custom GPT bears the token cost. However, access to the GPT Store and its features is limited to ChatGPT Plus Subscribers and OpenAI Enterprise customers.
The monetization model for OpenAI's GPT Store is still unspecified and vague. OpenAI states that it will involve revenue sharing with creators, where creators are paid based on the usage and utility of their custom GPTs. Initially, the revenue model may start with a straightforward revenue share, the specifics of which are yet to be detailed. Later, there might be options for subscription-based access to individual GPTs, depending on demand.
These monetization policies are dynamic and tentative; for the most current monetization models, check OpenAI's official website.
Our patient education solutions are exclusively licensed to healthcare institutions and stakeholders, not directly to patients. However, with OpenAI's proposed model for monetization, we are poised to indirectly offer X-Plain Health AI to patients and individual users for the first time, a departure from our traditional approach of licensing only to healthcare service providers. Given the importance of ensuring accuracy and privacy, we will maintain X-Plain Health AI as a public patient education tool rather than a clinical one until these critical factors are fully guaranteed.
The Future
Looking ahead, the potential of AI in patient education is immense. Future developments in custom GPTs are expected to include a deeper understanding of language nuances, more sophisticated bias mitigation techniques, and enhanced integration with other applications.
Regarding its integration with other applications, future custom GPT models for patient education will offer capabilities such as:
Seamlessly combining several aspects of patient care, including treatment planning, patient education, and follow-up care.
Dynamically adapting educational content in real-time based on the user's preferences, interaction style, and updates in their health records.
Utilize predictive analytics to identify potential health risks and deliver tailored educational content to patients accordingly.
Enhancing patient engagement and understanding using augmented reality in educational materials.
Final Notes
As custom AI models like X-Plain Health AI evolve, it’s crucial to steer their integration and governance in patient engagement proactively. To ensure these advancements serve the best interests of all involved, consider the following:
Healthcare thought leaders should commit to ongoing research and develop oversight processes. Regular evaluations of custom GPTs for accuracy, privacy protection, and clinical effectiveness are essential. This continuous monitoring facilitates responsible innovation that truly benefits patients.
Policymakers must act promptly to establish data governance laws specifically for healthcare AI. These regulations should balance patient rights protection with the encouragement of empowering innovations.
Patients should be encouraged to learn about and use AI-powered educational tools. They need to recognize that, while valuable, these tools are not replacements for professional medical advice.
By fostering frameworks that promote accountability in tandem with technological advancement, we can revolutionize how individuals learn about and manage their health.
As we stand on the brink of a new healthcare age, X-Plain Health AI represents a pivotal shift from one-size-fits-all to a world where patient education is as adapted as a tailored suit.
The Patient Education Institute has published, reviewed or updated 34 titles in Q3 2023. We provide each topic in 5 instructional formats (tutorial, video, illustrated handout, XML, and overview).
Agoraphobia
Agoraphobia (Arabic)
Aspiration Pneumonia
Colon Resection Surgery - General
Colon Resection Surgery - General
Colon Resection Surgery - General (Arabic)
Epstein-Barr Virus/Mono
Epstein-Barr Virus/Mono (Arabic)
Epstein-Barr Virus/Mono (Spanish)
Friedreich's Ataxia
Friedreich's Ataxia (Arabic)
Jock Itch
Jock Itch (Arabic)
Kidney Infection - Pyelonephritis
Kidney Infection - Pyelonephritis
Kidney Infection - Pyelonephritis (Arabic)
Levitra
Levitra (Spanish)
Managing Stress
Managing Stress (Spanish)
Peripheral Nerve Disorders
Peripheral Nerve Disorders (Arabic)
Pilonidal Cyst
Pilonidal Cyst (Arabic)
Preventing Surgical Site Infections - SSI
Preventing Surgical Site Infections - SSI (Arabic)
Progressive Relaxation
Progressive Relaxation (Arabic)
Tailbone Disorders
Tailbone Disorders (Arabic)
Typhoid Fever
Typhoid Fever (Arabic)
Using Your Blood Glucose Meter - OneTouch Verio IQ
Using Your Blood Glucose Meter - OneTouch Verio IQ (Spanish)
Patient Education Institute Voted Best In Coralville
FOR IMMEDIATE RELEASE
PEI, Inc. Honored with the 2023 Best of Coralville Award
CORALVILLE, August 31, 2023 -- PEI, Inc. proudly announces its recent recognition as the recipient of the 2023 Best of Coralville Award in the Software company category. The award, presented by the Coralville Award Program, recognizes businesses that have demonstrated outstanding success and made positive contributions to the local community.
"Our commitment to delivering quality software solutions for patient education has always been our top priority. This award reaffirms that our efforts are making a meaningful impact on the community of Coralville." said Moe Ajam, President. "We remain committed to upholding the high standards that this award recognizes and aim to continue serving our community and clients with excellence."
PEI, Inc. thanks the Coralville Award Program for acknowledging local businesses that actively contribute to making Coralville an outstanding place to live, work, and thrive. This recognition motivates PEI, Inc. to continue its work and further its contributions to the broader community.
About PEI, Inc.
Patient Education Institute (PEI, Inc.) is a leading software company specializing in educational solutions for healthcare providers and patients. Established in 1995, PEI aims to empower individuals through accurate, accessible, and actionable health information.
For more information about PEI, Inc., please visit www.patient-education.com or contact us at 319-351-5220 or [email protected].[contact person's name and email/phone].
The Patient Education Institute has published, reviewed or updated 91 titles in Q1 and Q2 2023. We provide each topic in 5 instructional formats (tutorial, video, illustrated handout, XML, and overview).
Alcohol Use Disorder
Amyotrophic Lateral Sclerosis (Arabic)
Angina
Arixtra
Arrhythmias
Asperger's Syndrome (Arabic)
Asthma - Pediatric (Arabic)
Atherosclerosis
Atrial Flutter (Spanish)
Attention Deficit Hyperactivity Disorder - ADHD (Arabic)
Back Pain - Introduction to Pain Management
Blepharoplasty - Eyelid Surgery
Blood Pressure Medicines (Arabic)
Bone Densitometry
Breast Cancer - Hormonal and Targeted Therapies
Breast Cancer - Hormonal and Targeted Therapies (Arabic)
Bunionectomy
Bursitis (Arabic)
C. difficile Infections
Cardiac Ablation for Atrial Fibrillation
Cardiac Rehabilitation (Arabic)
Cataract Surgery
Cerebral Angiogram
Chagas Disease (Arabic)
Chemotherapy for Breast Cancer - General (Arabic)
Chickenpox
Cholera (Arabic)
Colon Cancer (Spanish)
Colon Cancer Surgery (Arabic)
Colorectal Cancer (Arabic)
Cystocele
Dilation and Curettage (Spanish)
Dust Mite Allergy
Dystonia
Erectile Dysfunction - Penile Implants
Fetal Alcohol Syndrome
Fibromyalgia
Forehead Lift
Galactosemia
Gout (Spanish)
Healthy Sleeping
Hearing Problems in Children (Arabic)
HIDA Scan
HPV - Warts
Hydrothermal Endometrial Ablation
Incentive Spirometer
Incentive Spirometer - Pediatrics
Intrathecal Morphine Pump Placement
Juvenile Idiopathic Arthritis (Arabic)
Knee Replacement - Preventing Post Op Complications (Arabic)
Living Healthy (Spanish)
Living with Congestive Heart Failure
Lung Cancer (Spanish)
Lupus
Lyme Disease (Arabic)
Massage Therapy
Meditation
Melanoma
Menstruation (Arabic)
Miscarriage (Arabic)
Monkeypox
Multiple Sclerosis (Spanish)
Nail Diseases and Problems (Arabic)
Neuroblastoma (Arabic)
Neurofibromatosis
Non-Hodgkin's Lymphoma
Nutrition During Cancer Treatment
Pancreas Transplantation (Arabic)
Personality Disorders (Arabic)
Pregnancy - First Trimester - What to Expect
Pregnancy - Second Trimester - What to Expect
Pregnancy - Third Trimester - What to Expect
Prenatal Testing (Spanish)
Preventing Catheter Associated Bloodstream Infections (Arabic)
PSA - Screening for Prostate Cancer
Rhinoplasty
Rubella
Schizophrenia
Severe Acute Respiratory Syndrome - SARS
Sickle Cell Anemia (Arabic)
Sigmoidoscopy
Simpson-Golabi-Behmel Syndrome - SGBS
Skin Cancer - Non-Melanoma (Spanish)
Smoking Cessation
Tendinitis (Arabic)
Treatment of Myelodysplastic Syndromes - MDS
Understanding the Different Types of Myelodysplastic Syndromes - MDS (Spanish)
Urinary Tract Infections in Elderly Adults
Uterine Diseases (Arabic)
VP Shunts
Warfarin - Review for Current Users - Pediatrics
Revolutionizing Healthcare: Overcoming Barriers in Interactive Patient Education
By Moe A. Ajam, Ph.D.
Patient education is undergoing a metamorphosis, driven by technological advancements and a steadfast belief in patient-centered care. Integrating interactivity and multimedia into patient education is viewed as a game-changer. It promises to enhance learning experiences and improve health outcomes. However, like any significant transformation, it presents its challenges. Today, we delve into these challenges and explore how their resolutions shape patient education’s future.
The Technology Gap
The technology gap presents one of the most significant obstacles. The core of interactivity and multimedia in patient education lies in technology. Yet, the accessibility of devices, software, and reliable internet access varies widely among patients, creating a digital divide. To facilitate the universal adoption of interactive materials, healthcare providers and organizations must bridge this divide. At the Patient Education Institute, we've developed X-Plain for Tablets. This app enables healthcare providers to offer interactive tutorials to patients who don’t own a smartphone (19% of US patients as of 2023).
Addressing Language and Literacy Barriers
Language and literacy barriers also pose significant issues. Interactive patient education tools are often designed in a single language, with a specific literacy benchmark in mind. This approach could exclude patients with limited language proficiency or lower literacy levels. True accessibility requires these tools to be inclusive, necessitating the development of materials in multiple languages and formats. Our interactive tutorials, available in several languages, come with varied formats like video and illustrated guides, helping to dismantle these barriers.
The Need for Personalized Content
The demand for personalized content is another crucial consideration. The power of interactivity and multimedia resides in its potential for personalization, but many existing tools need to catch up. Generic materials may not address patients' cultural sensitivities or diverse learning styles. Consequently, creating a wide spectrum of interactive resources that cater to individual needs is critical. Our patient education software, X-Plain, meets this need by localizing illustrations for various markets, including North America, Latin America, and the Middle East. Furthermore, we accommodate different learning styles by offering content in interactive tutorials, videos, and textual guides.
Overcoming Resistance Among Healthcare Providers
Despite the clear advantages of interactive and multimedia tools, many healthcare providers are reluctant to adopt these methods. Reasons may range from time constraints to lack of training. To address this, we've refined X-Plain to require less staff time by automating patient education based on medical coding through integration with EMR, patient portals, and other healthcare IT systems.
Overcoming staff resistance involves fostering a culture of change within healthcare institutions. Still, raising awareness among hospital staff, particularly new members, is crucial for these valuable resources. One successful approach is sending a newsletter with articles about best practices in implementing patient education and engagement and a synopsis of content updates.
Evidence, Efficacy, and Research Challenges
While the potential benefits of interactive and multimedia patient education interventions, such as improved patient engagement and knowledge retention, are recognized (see https://www.patient-education.com/research.html), further research is needed to solidify their impact on patient outcomes. A lack of robust evidence may dissuade healthcare providers and institutions from investing in these technologies. Over the past three decades, our research teams have conducted numerous evaluations with leading healthcare institutions, highlighting the benefits of patient education in risk mitigation, reduced readmissions, and other vital healthcare goals. However, these findings are often kept internal, exacerbating the challenge. (We hypothesize that such reluctance stems more from an amplified fear of liability — due to studies potentially violating regulations and privacy laws — rather than from a desire to protect proprietary information.)
Cost Evolution
The cost of patient education solutions incorporating interactivity and multimedia was initially quite high. Upon launching X-Plain Neurosurgery in 1995, the price was a one-time fee of $3080 (for a 17” resistive-touch monitor), supplemented by an annual subscription of $3,768 for the neurosurgery library of ten topics. Today, with most organizations and patients having access to touch devices, the subscription cost can be as low as $14 per topic per year for a large library or $80 per topic per year for a single topic.
This significant price reduction can be attributed to technological advancements, increased efficiency in our development and update operations, and our ability to reduce the per-unit cost after recouping the initial R&D expenditure.
The cost of developing interactive elements can still be prohibitive for newcomers to the patient education industry. However, with the emergence of AI, these costs are expected to decrease significantly (for more details, see this article: https://www.linkedin.com/pulse/beyond-content-how-ai-redefining-patient-education-moe-a-ajam ).
Summary
Despite these hurdles, we're improving patient education through interactivity and multimedia. With ongoing efforts to improve technology access, an increased focus on cultural and linguistic inclusivity, and ongoing research into the effectiveness of these tools, we're witnessing a positive shift.
In summary, the future of patient education depends on overcoming the challenges associated with using interactive tools. As we continue to design accessible, tailored, and evidence-based interactive resources, we can deepen patients' understanding of their health and improve health outcomes. The journey may be challenging, but it offers the potential for an engaged, empowered patient population – a goal we're committed to achieving.
At X-Plain®, we constantly strive to broaden our reach, ensuring patient education is easy to access, engaging, and comprehensive. To make this a reality, we have expanded our offerings to YouTube.
Whether you're a patient seeking clarification on a complex medical condition, or a healthcare professional looking for easy-to-understand patient education resources, our YouTube channel is your one-stop destination. We've optimized our platform for customization, like speeding up the narration by adding subtitles in any language, jumping to sections, and many others.
Unlike our licensed X-Plain videos, our YouTube videos will contain advertising - a feature inherent to public YouTube videos. They will not include client-specific branding or our patient education services.
Experience our dynamic library of educational content by visiting our official YouTube channel. (https://www.youtube.com/@peixplain).
Please, share your experiences and thoughts by emailing us at [email protected]. We appreciate your involvement.
The Patient Education Institute has published, reviewed or updated 122 titles in Q2 and Q3 2022. We provide each topic in 5 instructional formats (tutorial, video, illustrated handout, XML, and overview).
Acne (Spanish)
Advance Medical Directives
Advance Medical Directives (Spanish)
Anal and Rectal Diseases and Problems (Arabic)
Anterior Cervical Discectomy and Fusion - General
Anterior Cervical Discectomy and Fusion - General (Spanish)
Aspergillosis
Asthma
Asthma (Arabic)
Asthma (Spanish)
Atrial Flutter
Attention Deficit and Disruptive Behavior Disorders (Arabic)
Bile Duct Diseases and Problems (Arabic)
Birth Control - Emergency Contraception (Arabic)
Body Dysmorphic Disorder
Bolus Tube Feeding
Bolus Tube Feeding (Spanish)
Brain Cancer (Spanish)
Breast Changes and Diseases (Arabic)
Breast Reduction
Cervical Cancer
Cervical Cancer (Arabic)
Childhood Immunizations
Childhood Immunizations (Arabic)
Chronic Fatigue Syndrome (Arabic)
Colon Cancer
Common Cold (Arabic)
Coumadin - Introduction for New Users (Spanish)
Dilation and Curettage
Durable Power of Attorney for Healthcare
Durable Power of Attorney for Healthcare (Spanish)
Edema (Arabic)
Emphysema (Arabic)
Erectile Dysfunction - Your Choices (Spanish)
Fainting - Syncope
Financial Wellness
Gallbladder Cancer (Arabic)
GERD (Spanish)
Gestational Hypertension (Spanish)
Gout
Heel Injuries and Disorders
Hepatitis C (Spanish)
Herpes Simplex Virus
Hip Replacement - Physical Therapy
Hip Replacement - Physical Therapy (Arabic)
Hip Replacement - Physical Therapy (Spanish)
Hospitalized COVID Patient - What to Expect
How to Prevent Cancer - Early Screening (Spanish)
How to Prevent Cancer - Healthy Life Habits (Spanish)
Hypothermia
Incision Care
Incision Care (Arabic)
Incision Care (Spanish)
Infant and Newborn Nutrition (Arabic)
Infant CPR (Spanish)
Intestinal Cancer
Introduction to Tube Feeding
Introduction to Tube Feeding (Spanish)
Isotretinoin
Kidney Cancer (Arabic)
Kidney Stones (Spanish)
Knee Replacement - Physical Therapy (Arabic)
Leukemia - Pediatrics
Lewy Body Disease
Life Planning
Life Planning (Spanish)
Liposuction (Spanish)
Liver Diseases (Arabic)
Lovenox - Pediatrics
Lovenox - Pediatrics (Spanish)
Lumbar and Thoracic Fusion - Posterior
Lumbar and Thoracic Fusion - Posterior (Spanish)
Lumbar and/or Thoracic Fusion - Cages
Lumbar and/or Thoracic Fusion - Cages (Spanish)
Lung Cancer
Lung Transplantation
Measles
Men's Health
Mesothelioma
Miscarriage
Obesity in Children (Arabic)
Ovarian Cancer (Spanish)
Pancreatic Cancer (Spanish)
Parkinson's Disease (Spanish)
Penis Disorders
Percutaneous Endoscopic Gastrostomy - PEG
Percutaneous Endoscopic Gastrostomy - PEG (Spanish)
Peroneal Nerve Release
Positional Plagiocephaly
Postpartum Care (Arabic)
Premature Ejaculation
Prenatal Testing
Preventing HIV and AIDS (Spanish)
Preventing Infections - Hand Washing
Preventing Infections - Hand Washing (Spanish)
Preventing Lead Poisoning (Spanish)
Puberty (Arabic)
Rabies (Arabic)
Sarcoidosis (Spanish)
SCAD (Spanish)
Skin Cancer - Non-Melanoma
Stroke: What You Should Know (Spanish)
Throat Cancer
Tonsillectomy and Adenoidectomy - Pediatrics
Tracheostomy Care at Home
Tracheostomy Care at Home (Spanish)
Tracheostomy Care in the Hospital
Tracheostomy Care in the Hospital (Spanish)
Tracheotomy or Tracheostomy
Tracheotomy or Tracheostomy (Spanish)
Tube Feeding using a Joey Pump
Tube Feeding using a Joey Pump (Spanish)
Twin Gestation (Arabic)
Understanding the Different Types of Myelodysplastic Syndromes - MDS
Urinary Tract Infections (Arabic)
Vaginal Bleeding (Arabic)
Vasectomy
Vasectomy (Spanish)
Ventilator-Associated Pneumonia - VAP
Ventilator-Associated Pneumonia - VAP (Arabic)
Ventilator-Associated Pneumonia - VAP (Spanish)
Vitamin A (Arabic)
Research continues to provide evidence of the effectiveness of multimedia in e-learning and patient education. The Association of Psychological Sciences lists multimedia as one of the most well-established principles of e-learning. This article reviews the effects of graphics and how the X-Plain® patient education tutorials employ them. (We list some references for readers interested in evaluating patient engagement initiatives; for a more exhaustive bibliography of patient education research, check our research page.)
There is consistent evidence that people learn better from words and pictures than from words alone (Mayer, 1989b; Mayer & Anderson, 1991, 1992; Mayer, Bove, Bryman, Mars, & Tapangco, 1996; Mayer & Gallini, 1990; Moreno & Mayer, 1999, 2022). In eleven studies, learners who received a multimedia lesson comprising words and pictures performed better on subsequent tests than learners who received the same information in words alone (a median effect size of 1.50.) Multimedia presentations encourage learners to engage in active learning by making connections between pictorial and verbal representations. Active learning leads to better comprehension, memorization, and compliance with patient home instructions. In contrast, presenting words alone leads to shallow understanding without an effective connection of the text to pre-existing knowledge (Hakel 2007; Pashler, Bain, Bottage, Graesser, Koedinger, McDaniel, & Metcalfe, 2007).
X-Plain interactive tutorials are multimedia presentations that summarize a health education topic in about fifty slides, each presenting the text with its related graphics and full narration. Graphics can be anatomical illustrations, procedural diagrams, content charts, relational diagrams (such as genetic diagrams), and demonstrative graphics showing actions expected from the patient (eg, calling doctors, walking, taking medicine). Click on “Interactive Tutorial” in this link for a demo.
Research studies show that simpler graphics lead to better learning than photographs or complex 3D visuals (Butcher, 2016; Mayer, 1993; Mayer, Sims, & Tajika, 1995). X-Plain uses line illustrations in its tutorials. Using 3D images, photographs, or animations adds details that distract learners, particularly beginners, because of cognitive load (Betrancourt, 2005; Hegarty, Kriz, & Cate, 2003; Mayer, Hegarty, Mayer, & Campbell, 2005; Tversky, Morrison, & Betrancourt, 2002). X-Plain uses animations only when it helps illustrate a necessary concept, such as physical therapy exercise, operating a medical tool, spinal fluid flow, blood circulation, and Mendelian genetic diagrams.
Considering the logical and empirical evidence of the effectiveness of graphics in education and training, one wonders why the use of multimedia in patient education is not more predominant. The answer is cost. Including illustrations, diagrams, animations, and videos significantly increases the price of developing and updating patient education materials. The X-Plain multimedia library, which grew over 27 years to include over 9,000 illustrations and animations in over 2,500 tutorials in several languages, is about twice the price of alternative text-only materials. Besides interactive multimedia tutorials, the X-Plain Encyclopedia includes videos and illustrated handouts to meet patients’ preferences. Our clients use X-Plain in a variety of approaches. Our most common solutions include tablets in clinics and at the bedside, content for EMRs and patient portals, content on PCs, and videos for smart-TVs. Our solutions offer easy implementation with minimal staff-time requirements; prescription of patient education, which allows patients to complete assigned materials outside clinical settings; and documentation of completion and understanding.
If you are new to X-Plain and want to investigate the effectiveness of new patient education models, contact us to explore interactive patient education.
Moe A. Ajam, Ph.D. Director Patient Education Institute
(In our next newsletter, we will discuss research on the use of interactive questions, narration, and self-paced learning, and how X-Plain tutorials implement them to further patient satisfaction, comprehension, and compliance.)
The Patient Education Institute has published, reviewed or updated 58 titles in Q4 2021 and Q1 2022. We provide each topic in 5 instructional formats (tutorial, video, illustrated handout, XML, and overview)
Age Spots
Allogenic (Donor) Bone Marrow Transplant (Arabic)
Aorto-Bifemoral Bypass (Spanish)
Aphasia
Asthma (Arabic)
Avian Influenza or Bird Flu (Spanish)
Breast Cancer - Hormonal and Targeted Therapies (Spanish)
Breast Cancer (Spanish)
Breast Lift - Mastopexy
Breast Milk Storage
Breast Self Exam - BSE
Chronic Kidney Disease (Spanish)
Colon Polyps
Colonoscopy
Colonoscopy - African-American Outreach
Coumadin - Introduction for New Users
Coumadin - Review for Current Users
Crohn's Disease (Spanish)
CT Scan Guided Biopsy of a Lung or Other Chest Area Lesion (Arabic)
Cystocele Surgery
Dandruff
Ectopic Pregnancy (Arabic)
Erectile Dysfunction - Your Choices
Fecal Occult Blood Test - FOBT (Spanish)
Fifth Disease
Goiter
H1N1 Influenza (Spanish)
Hidradenitis Suppurativa
How to Prevent Cancer - Healthy Life Habits
Joint Arthrodesis (Arabic)
Low Testosterone in Men (Arabic)
Macular Degeneration (Spanish)
Male Breast Cancer
Menopause
Moles
Multiple Myeloma (Spanish)
Nasogastric Tube Placement and Care - Adults
Obsessive Compulsive Disorder - OCD (Arabic)
Osteoarthritis (Spanish)
Osteogenic Sarcoma
Pelviscopy
Phobias (Arabic)
Plavix
Pregnancy and Medicines (Arabic)
Preventing HIV and AIDS
Psoriasis (Spanish)
Radiofrequency Ablation
Sepsis
Shoulder Arthroscopy (Arabic)
Shoulder Replacement (Arabic)
Speech and Language Disorders (Arabic)
Subcutaneous Injection (Arabic)
Tapeworm Infection
Trigeminal Neuralgia (Spanish)
Using an Inhaler and Nebulizer
Vaginal Diseases (Arabic)
Vitamin K (Arabic)
Women's Health
At a recent patient experience meeting, Kristen, VP of Customer Service, brainstormed with hospitals about ways to motivate hospital staff to use X-Plain. Here is a list of 7 tips.
1. Ask nurses to send success stories to be featured in your newsletters or other staff communication.
2. Create an award to recognize nurses that excel at using X-Plain.
3. Have buttons made to tell patients to ask about X-Plain.
4. Host a virtual X-Plain fair: a representative of X-Plain hosts an online meeting where nurses can pop in to share experiences, ask questions, and get a full demonstration on how your hospital is using X-Plain.
5. Include X-Plain in your new hire training.
6. Recognize the department with the highest usage; throw a pizza party or recognize in your newsletter.
7. Work with your volunteer coordinator to train volunteers to start specific videos for patients.
The Patient Education Institute has published, reviewed or updated 95 titles since May. We provide each topic in 5 instructional formats (tutorial, video, illustrated handout, XML, and overview).
Abdominal Aortic Aneurysm Surgery (Spanish)
Allogenic (Donor) Bone Marrow Transplant
Allogenic (Donor) Bone Marrow Transplant (Spanish)
Amyotrophic Lateral Sclerosis (Spanish)
Anthrax (Spanish)
Attention Deficit Hyperactivity Disorder - ADHD
Bone Grafts
Bowel Incontinence
Cardiac Diet (Arabic)
Carotid Artery Disease
Cataract Surgery (Spanish)
Catheter Access for Hemodialysis
Catheter Access for Peritoneal Dialysis
Catheter Access for Peritoneal Dialysis (Spanish)
Childhood Immunizations (Arabic)
Chronic Lymphocytic Leukemia
Cold and Cough Medicines
Coronary Artery Bypass Graft
Coronavirus
COVID-19 - Coronavirus
COVID-19 - Coronavirus (Arabic)
COVID-19 - Coronavirus (Spanish)
CT Scan Guided Biopsy of a Lung or Other Chest Area Lesion
Cystic Fibrosis (Spanish)
Dehydration
Delirium (Arabic)
Dermabrasion
Dietary Fats
Dietary Fats (Arabic)
Diverticulosis and Surgical Treatment for Diverticulitis (Spanish)
Eating Disorders (Arabic)
Eating Healthy (Spanish)
Ebola
Essential Hypertension
Essential Hypertension (Arabic)
Exercise
Fibromyalgia (Spanish)
Glaucoma
Heart Valve Replacement
Hypothyroidism
Influenza - Flu (Spanish)
Irritable Bowel Syndrome
JP Drain
JP Drain (Spanish)
Low Testosterone in Men
Lupus (Spanish)
Malaria (Spanish)
Mammography (Spanish)
Managing Cholesterol
Managing Cholesterol (Arabic)
Managing Cholesterol (Spanish)
MCAD
MCAD (Spanish)
Meniere's Disease
Migraine Headaches (Spanish)
Monitoring for Congestive Heart Failure in Babies
Monitoring for Congestive Heart Failure in Babies (Spanish)
Monitoring for Congestive Heart Failure in Children and Teens
Monitoring for Congestive Heart Failure in Children and Teens (Spanish)
Nutrition for Seniors
Nutrition for Seniors (Arabic)
Obesity in Children
Open-Heart Surgery - What to Expect (Arabic)
Oral Rehydration Therapy (Spanish)
Osteoporosis
Palliative Care (Spanish)
Parathyroid Disorders
Peritoneal Dialysis (Arabic)
Preconception Care (Arabic)
Pregnancy and Medicines (Spanish)
Premenstrual Syndrome - PMS (Arabic)
Preventing Falls at the Hospital
Preventing Falls at the Hospital (Spanish)
Preventing Hospital Falls in High-Risk Patients
Preventing Hospital Falls in High-Risk Patients (Spanish)
PSA - Screening for Prostate Cancer (Spanish)
Rheumatoid Arthritis
Rheumatoid Arthritis (Arabic)
Rheumatoid Arthritis (Spanish)
Rotator Cuff Injuries (Spanish)
Schizophrenia (Arabic)
Shingles (Spanish)
Sleep Disorders (Spanish)
Smoking - Your Choice
Spinal Fusion for Scoliosis - Pediatrics
Spinal Fusion for Scoliosis - Pediatrics (Spanish)
Stuttering
Taking Injectable Insulin
Taking Injectable Insulin (Spanish)
Tonsillectomy and Adenoidectomy (Spanish)
Transcatheter Aortic Valve Replacement - TAVR
Using Your Blood Glucose Meter - OneTouch Verio Flex
Using Your Blood Glucose Meter - OneTouch Verio Flex (Spanish)
Vitamin A
Vulvar Disorders (Arabic)
We share an article from Dr. Bartelson (Mayo Clinic) where he addresses health literacy and provides patient education tips. Dr. Bartelson raises issues that are rarely addressed: the skills needed by providers for effective communication, advice on identifying patients with low literacy skills, and tactics for effective patient education.
https://www.aan.com/globals/axon/assets/6106.pdf
We quoted seven tips from the article and commented on how X-Plain® Patient Education implements them.
1. “Provide patients with health information in a form that they can understand.”
Every X-Plain topic comes in four formats: videos, interactive tutorials, illustrated handouts, and text. This allows each patient to choose the learning format they prefer.
2. “They [patients] may have difficulty understanding due to hearing loss, a learning disability or language impairment.”
X-Plain is open-captioned – that is, a narrator reads the text aloud for people with visual impairments or hearing loss. X-Plain meets the requirements of WCAG AA accessibility guidelines.
3. “Medical tests and treatments are growing ever more complex. We ask them [patients] to undertake more and more complicated self-care programs.”
X-Plain includes libraries for complex home instructions, such as the X-Plain infusion library.
4. “Slow down.”
X-Plain is self-paced: it adjusts the speed of a tutorial according to each patient’s reading ability.
5. “Visual images complement written and spoken messages and may be remembered better.”
Every slide in an X-Plain tutorial contains illustrations or animations to depict the concept visually.
6. “Confirm that the patient understands by asking them to repeat back your description or instructions.”
X-Plain tutorials ask questions, give corrective feedback, and document comprehension.
7. “There is increased legal pressure to adequately inform patients so that they can make truly informed choices.”
X-Plain asks patients questions to ensure they understand key concepts. Should a court of law require evidence of informed consent, the Patient Education Institute can provide a copy of what a patient saw and the questions they answered.
X-Plain never replaces the pivotal role providers play in patient education. It does, however, help staff save time. To reap the benefits of X-Plain, always present X-Plain videos and tutorials as a free service that does not replace in-person patient education. This fosters a patient-centered environment and increases patient satisfaction.
The Patient Education Institute has published, reviewed or updated 103 titles since November. We provide each topic in 5 instructional formats (tutorial, video, illustrated handout, XML, and overview).
Addison's Disease
Amniocentesis
Amniocentesis (Spanish)
Amyotrophic Lateral Sclerosis
Anthrax
Bed Bugs (Arabic)
Bedwetting (Arabic)
Bipolar Disorder (Arabic)
Bladder Diseases and Problems
Blood Pressure Medicines (Spanish)
Blood Transfusion (Spanish)
Breast Cancer Surgery (Arabic)
Breast Lumpectomy and Sentinel Lymph Node Biopsy (Arabic)
Breast Lumps Biopsy (Arabic)
CADD-Solis VIP Pump Overview
CADD-Solis VIP Pump Overview (Spanish)
Cardiac Diet (Spanish)
Choking
Cholera
Complex Regional Pain Syndrome - CRPS
Continuous Total Parenteral Nutrition Therapy with the CADD Solis Pump
Continuous Total Parenteral Nutrition Therapy with the CADD Solis Pump (Spanish)
COVID-19 - Coronavirus
COVID-19 - Coronavirus (Spanish)
Cycled Total Parenteral Nutrition Therapy with the CADD Solis Pump
Cycled Total Parenteral Nutrition Therapy with the CADD Solis Pump (Spanish)
Dengue Fever
Diarrhea
Down Syndrome
Eating Healthy
Eating Healthy
Eating Healthy (Arabic)
Female Infertility (Arabic)
Fragile X Syndrome
Gestational Hypertension
Gravity Infusion Therapy with the Duplex Gravity Bag
Gravity Infusion Therapy with the Duplex Gravity Bag (Spanish)
Healthy Eating During Ramadan
Healthy Eating During Ramadan (Arabic)
Hiatal Hernia
How to Prevent Cancer - Early Screening
Hyperglycemia (Spanish)
Immunization
Infant and Newborn Nutrition
Infant CPR
Influenza - Pediatrics
Influenza - Pediatrics (Spanish)
Infusion Device Pump System
Infusion Device Pump System (Spanish)
Intermittent Infusion with the CADD Solis Pump
Intermittent Infusion with the CADD Solis Pump (Spanish)
Joint Arthrodesis
Kidney Stones
Learning Disorders (Arabic)
Living Healthy
Living with Cancer (Spanish)
Lovenox
Lovenox (Spanish)
Lumbar Laminectomy and Possible Disk Excision (Spanish)
Mammography
Managing Post-op Pain at Home (Spanish)
Measles (Arabic)
Neonatal Jaundice
Neonatal Jaundice (Spanish)
Nephrostomy Tube Care
Nephrostomy Tube Care (Spanish)
Night Terrors
Nutrition and Exercise During Pregnancy
Oral Rehydration Therapy
Panic Disorder (Arabic)
Pelvic Support Problems in Women
Peptic Ulcer (Arabic)
Peripheral Artery Disease - PAD
Phenylketonuria or PKU
Pneumococcal Infections
Porphyria
Premature Ovarian Failure - POF
Preventing Catheter Associated Bloodstream Infections (Spanish)
Preventing Readmission (Spanish)
Pulmonary Embolism (Arabic)
Respiratory Syncytial Virus - RSV - Pediatrics
Respiratory Syncytial Virus - RSV - Pediatrics (Spanish)
Reye's Syndrome
Rotavirus Infections
Sciatica (Arabic)
Shoulder Injuries and Disorders
Sickle Cell Anemia
Social Anxiety Disorder - SAD (Arabic)
Statins (Spanish)
Stroke: What You Should Know
Sweaty Palms or Hyperhidrosis
Syphilis
Tears
Tendinitis
Toddler Nutrition
Tonsillectomy and Adenoidectomy (Arabic)
Transvaginal Tape Bladder Sling Surgery
Treating Clubfoot with the Ponseti Method (Arabic)
Treatment for Bipolar Disorder (Arabic)
Urinary Tract Infections
Using Your Incentive Spirometer - ERAS (Spanish)
Uterine Cancer (Arabic)
Warts (Spanish)
The Patient Education Institute has published, reviewed or updated 832 titles since March. We provide each topic in 5 instructional formats (tutorial, video, illustrated handout, XML, and overview).
ACF (Anterior Cervical Fusion) - Banked Bone
ACF (Anterior Cervical Fusion) - Banked Bone - Plating
ACF (Anterior Cervical Fusion) - Hip Bone
ACF (Anterior Cervical Fusion) - Hip Bone - Plating
Acoustic Neuroma
Acoustic Neuroma (Arabic)
Activity After Surgery - ERAS
Activity After Surgery - ERAS (Spanish)
Acupuncture
Adhesions
Adhesions (Arabic)
Alopecia (Spanish)
Alpha-1 Antitrypsin Deficiency
Alpha-1 Antitrypsin Deficiency (Arabic)
Alzheimer's Dementia
Amputation of the Leg
Anal and Rectal Diseases and Problems
Anal Cancer
Anemia
Anemia (Arabic)
Anorexia Nervosa
Anorexia Nervosa (Arabic)
Anterior Cervical Discectomy and Fusion - General
Anterior Cervical Discectomy and Fusion - General (Arabic)
Anterior Cervical Discectomy and Fusion - General (Spanish)
Anterior Cervical Diskectomy - Without Fusion
Antibiotics
Antibiotics (Arabic)
Anticoagulant Therapy
Antioxidants
Antioxidants (Arabic)
Antiplatelet Therapy
Antiplatelet Therapy - Intravenous
Appendectomy - Open and Laparoscopic
Appendectomy - Open and Laparoscopic
Appendectomy - Open and Laparoscopic (Arabic)
Appendicitis
Appendicitis (Arabic)
Arterial Line
Arteriovenous Malformations - AVM
Asperger's Syndrome
Asthma - Pediatric
Astragalus
Astragalus
Astragalus (Arabic)
AV Graft Insertion
Avian Influenza or Bird Flu
B Vitamins
B Vitamins
B Vitamins (Arabic)
Baby Baths
Baby Baths (Arabic)
Balloon Kyphoplasty
Balloon Kyphoplasty (Arabic)
Bedwetting
Bedwetting (Spanish)
Behcet's Syndrome
Behcet's Syndrome (Arabic)
Bell's Palsy (Spanish)
Bereavement
Bereavement (Arabic)
Biotinidase Deficiency
Biotinidase Deficiency
Biotinidase Deficiency (Arabic)
Biotinidase Deficiency (Spanish)
Bipolar Disorder (Arabic)
Birthmarks
Birthmarks (Arabic)
Blood Transfusion
Bolus Tube Feeding
Bolus Tube Feeding (Spanish)
Bone Cancer
Bone Cancer (Arabic)
Bone Diseases
Bone Diseases (Arabic)
Botox
Botox (Arabic)
Botulism
Botulism (Arabic)
Bowel Movement
Bowel Movement (Arabic)
Breast Cancer Surgery
Breast Cancer Surgery (Arabic)
Breast Cancer Surgery (Spanish)
Breast Changes and Diseases
Breast Lumpectomy and Sentinel Lymph Node Biopsy
Breast Lumpectomy and Sentinel Lymph Node Biopsy (Arabic)
The Patient Education Institute has released a new title, COVID-19 - Coronavirus. Our goal is to educate as many people as possible on this international public health threat at no cost.
The Patient Education Institute has published, reviewed or updated 702 titles within the last 4 months. We provide each topic in 6 instructional formats (tutorial, video, illustrated handout, XML database, overview and interactive quiz). See the full list of topics below.