Effect of High-quality Pre-operative Videos on Patient Anxiety Levels Prior to Ambulatory Hand Surgery

NCT04424810 | Completed

• 1 other identifier: 20-0516
• Study Type: interventional
• Target: 167
• Locations: 1 country
• Sites: 1

Brief Summary

Previous research has shown that YouTube is a poor source of high-quality medical information. This is likely because there is no regulation of the content on YouTube and relatively little of the content is posted by qualified medical professionals. It is known that up to 30% of patients use the internet to research the procedure they will be having and given the increasing popularity of YouTube we suspect many patients are using YouTube or similar sites as a source of information prior to elective surgery. There are likely a number of patient factors that contribute to patients seeking out videos as a source of pre-operative medical information. Patient age, which is generally inversely correlated to computer literacy, may have a role. Patient anxiety and pre-operative worrying may cause a patient to turn to the internet to search for information, and the poor overall quality of the content available may worsen pre-operative anxiety. The primary objective of this study is to determine if providing patients with a reliable, high-quality video about their condition and operation prior to surgery reduces pre-operative anxiety. Secondary aims are to determine the percentage of patients that independently seek out videos online as a source of medical information prior to elective hand surgery, identify patient attributes that are associated with this behavior, and understand if introducing high quality pre-surgical videos has an impact on post-operative patient outcomes and/or patient engagement. The investigators hypothesize that providing patients with high-quality pre-operative videos will reduce pre-operative anxiety. Its is also expected that patients who seek out videos on their own for pre-operative medical information will be younger and have higher anxiety levels and pain catastrophizing scores. Additionally, the investigators hypothesize that patients who watch high-quality pre-operative videos may have better short term post-operative outcomes and greater engagement in their care than their counterparts that did not watch videos or who sought out videos on their own.

Conditions

Anxiety; Carpal Tunnel Syndrome; Trigger Finger; Engagement, Patient; Pain

Outcome Measures

Primary Outcomes (1)

• Pre-operative anxiety

  We will measure pre-operative anxiety using the State-Trait Anxiety Inventory (STAI) 6-item short form (minimum score: 20, maximum score: 80, higher scores indicate more anxiety)

  Immediately prior to surgery

Secondary Outcomes (5)

• Percentage of patients who sought out pre-operative videos before surgery

  Immediately before surgery

• Pain catastrophizing

  Immediately before surgery

• Patient engagement

  Immediately before surgery

• Pain scores

  At 48-72 hour post-operatively and 2 weeks post-operatively

• Functional outcomes

  At 48-72 hour post-operatively and 2 weeks post-operatively

Study Arms (2)

Video group

EXPERIMENTAL

Patients selected to be in the intervention group will be asked to watch a high-quality, physician created video describing their condition and the operative treatment they are about to undergo.

Other: High-quality, physician created video

Control group

PLACEBO COMPARATOR

Patients selected to be in the control group will not be asked to watch a video prior to surgery.

Other: Standard of care

Interventions

High-quality, physician created video OTHER

The intervention group will watch a short (2-5 minute) video prior to surgery that will provide them with information about their condition and the procedure they are about to undergo (either carpal tunnel release or trigger finger release).

Video group

Standard of care OTHER

Patients in the control group will not be asked to do anything differently prior to their surgery

Control group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• undergoing a primary routine elective hand procedure (Carpal tunnel release, trigger finger release)
• age \> 18 years

You may not qualify if:

• revision procedure
• prior debilitating upper extremity injury
• surgery not being performed on ambulatory basis
• special populations (pregnant patients, prisoners or other institutionalized patients, cognitive impairment)
• non-english speaking patients (videos only available in english language)
• age \< 18 years

Sponsors & Collaborators

• Northwell Health: lead

Study Sites (1)

North Shore University Hospital, Schwartz Ambulatory Surgery Center

Manhasset, New York, 11030, United States

Location

MeSH Terms

Conditions

Anxiety Disorders; Carpal Tunnel Syndrome; Trigger Finger Disorder; Patient Participation; Pain

Interventions

Standard of Care

Condition Hierarchy (Ancestors)

Mental Disorders; Median Neuropathy; Mononeuropathies; Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases; Nerve Compression Syndromes; Cumulative Trauma Disorders; Sprains and Strains; Wounds and Injuries; Tendon Entrapment; Tendinopathy; Muscular Diseases; Musculoskeletal Diseases; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Quality Indicators, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physician, Department of Orthopaedic Surgery

Model Details: Parallel, 2 groups, 1:1 randomization

Study Record Dates

• First Submitted: June 3, 2020
• First Posted: June 11, 2020
• Study Start: July 1, 2020
• Primary Completion: July 1, 2021
• Study Completion: July 1, 2021
• Last Updated: September 5, 2021

Record last verified: 2021-09

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)