Cognitive Health Awareness Program in Surgical Patients

NCT06540638 | Recruiting

• 1 other identifier: 24-5067
• Study Type: interventional
• Target: 164
• Locations: 1 country
• Sites: 2

Brief Summary

Addressing brain health and cognitive impairment (CI) in the aging population is important, especially in those undergoing surgery. While certain adverse outcomes are beyond control due to various factors, some may be preventable, such as delirium. It is crucial for patients and their families to be fully aware of the heightened risks associated with CI. By discussing the implications for individuals and their families, patients can make informed decisions about their health. Additionally, patients can be better prepared for their post-operative care and informed about post-operative complications. Education is a practical and viable solution to promote awareness and empower individuals to manage their cognitive health, especially in the context of surgery. Also, it can act as an early intervention. Thus, there is a need to proactively educate older adults about brain health. The objective of the Web-Based Brain Health Education Study is to determine the impact of preoperative education on the knowledge of cognitive health of older surgical patients. Specifically, our study will examine the changes in knowledge scores after patients participate in a web-based education program on promoting brain health during their surgical journey. We hypothesize that a web-based education program will increase patient knowledge and empower them proactively about their brain health during the surgical journey.

Conditions

Dementia; Cognitive

Keywords

Educational Program; Cognitive Impairment; Postoperative Delirium

Outcome Measures

Primary Outcomes (1)

• Change in knowledge scores

  A knowledge questionnaire was developed to assess patient's knowledge of brain health during their surgical journey based on our education e-module. Our questionnaire contains 20 True/False questions. Each correct answer is worth one point, giving a minimum value/score of 0 and maximum value/score of 20. Higher values/scores indicate greater knowledge of brain health. The pre- and post-education questionnaires are identical.

  At pre-surgery

Secondary Outcomes (1)

• Participant satisfaction

  At pre-surgery

Study Arms (1)

web-based education program

EXPERIMENTAL

Older surgical participants will receive a web-based educational program in promoting brain health (intervention). Participants will complete pre- and post-education questionnaires and a post-education satisfaction survey.

Behavioral: Web based education program

Interventions

Web based education program BEHAVIORAL

In a pre-operative assessment, 1-30 days prior to their scheduled surgery, patients will be asked to participate in our web-based educational program. The content of our e-module included: introduction to brain health, surgery, and delirium, causes and risk factors, modifiable risk factors, and delirium prevention. The program will be delivered on a research laptop/iPad at the clinic. The entire program, including pre- and post-education questionnaires and satisfaction survey should take about 20 minutes to complete.

web-based education program

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• patients ≥60 years old
• undergoing elective non-cardiac surgery
• competent to provide informed consent in English and
• possess some computer skills

You may not qualify if:

• previous major neurocognitive disorder
• uncontrolled psychiatric disorders
• hearing and/or vision impairment

Sponsors & Collaborators

• University Health Network, Toronto: lead
• Mount Sinai Hospital, Canada: collaborator

Study Sites (2)

399 Bathurst St. Toronto Western Hospital, Preadmission Clinic, Dept. of Anesthesia

Toronto, Ontario, M5T2S8, Canada

RECRUITING

Mount Sinai Hospital

Toronto, Ontario, Canada

RECRUITING

MeSH Terms

Conditions

Dementia; Cognitive Dysfunction; Emergence Delirium

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurocognitive Disorders; Mental Disorders; Cognition Disorders; Delirium; Confusion; Neurobehavioral Manifestations; Neurologic Manifestations; Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Signs and Symptoms

Study Officials

• Frances Chung, MBBS, FRCPC

  University Health Network, Toronto

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Sazzadul Islam, M.Sc.

CONTACT

4166035800; sazzadul.islam@uhn.ca

Aparna Saripella, M.Sc.

CONTACT

4166035800; aparna.saripella@uhn.ca

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Single Group Assignment In a pre-operative assessment 1-30 days prior to their scheduled surgery, patients will be asked to participate in our web-based educational program. The program will be delivered on a research laptop/iPad at the clinic. The entire program, including pre- and post-education questionnaires and satisfaction survey should take about 20 minutes to complete.

Study Record Dates

• First Submitted: August 2, 2024
• First Posted: August 6, 2024
• Study Start: August 12, 2024
• Primary Completion: August 1, 2025
• Study Completion: August 30, 2025
• Last Updated: July 8, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share

Locations

CA (2)