Multimedia Education to Reduce Anxiety and Improve Care Awareness in Cataract Surgery Patients

NCT07030946 | Recruiting

• 1 other identifier: 202500170B0C5001
• Study Type: interventional
• Target: 118
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to examine the effectiveness of multimedia health education in reducing preoperative anxiety and enhancing self-care awareness among patients undergoing outpatient cataract surgery. A randomized group design will be employed, in which participants will receive either standard preoperative education or a multimedia-based intervention covering surgical procedures, precautions, and postoperative care. Primary outcomes include levels of surgical anxiety, assessed using validated anxiety scales, and self-care knowledge evaluated through structured questionnaires. Findings are expected to inform the development of patient-centered educational strategies and enhance perioperative care quality in cataract surgery settings.

Conditions

Cataract; Anxiety

Keywords

Self-Care Awareness; Multimedia Health Education; Cataract Surgery; Preoperative Anxiety; Patient Education as Topic; Nursing Intervention; Randomized Controlled Trial

Outcome Measures

Primary Outcomes (2)

• Change in anxiety levels measured by the Beck Anxiety Inventory (BAI)

  Participants will complete the Beck Anxiety Inventory (BAI), a 21-item self-report questionnaire used to assess the severity of anxiety symptoms. The total score ranges from 0 to 63, with higher scores indicating greater levels of anxiety. Specifically, scores from 0-7 suggest minimal anxiety, 8-15 mild anxiety, 16-25 moderate anxiety, and 26-63 severe anxiety. The BAI will be administered at baseline and at three follow-up points.

  Time Frame: Day 0 (baseline, preoperative clinic visit), Day of Surgery, 1 Week Postoperative, 1 Month Postoperative

• Change in self-care knowledge related to cataract surgery

  Participants will complete a structured questionnaire designed to evaluate their knowledge of postoperative cataract care. Scores will be compared across time points to determine the impact of multimedia education.

  Time Frame: Day 0 (baseline, preoperative clinic visit), Day of Surgery, 1 Week Postoperative, 1 Month Postoperative

Secondary Outcomes (3)

• Change in heart rate

  Time Frame: Day 0 (baseline, preoperative clinic visit), Day of Surgery

• Change in visual acuity following cataract surgery

  Time Frame: Day 0 (baseline, preoperative clinic visit), 1 Week Postoperative, 1 Month Postoperative

• Change in blood pressure

  Day 0 (baseline, preoperative clinic visit), Day of Surgery

Study Arms (2)

Control Group

NO INTERVENTION

Participants in the control group will receive standard preoperative education, including verbal explanation and printed materials about cataract surgery and postoperative care, provided by the ophthalmologist during the final clinic visit before surgery.

Multimedia Education Group

EXPERIMENTAL

Participants in the multimedia education group will receive the same standard preoperative education as the control group, plus a 10-minute multimedia video covering the surgical procedure, preoperative instructions, postoperative care guidelines, and common patient concerns. The video includes both visual animations and spoken explanations.

Behavioral: Multimedia Health Education

Interventions

Multimedia Health Education BEHAVIORAL

A 10-minute multimedia video is provided to the intervention group during their final preoperative clinic visit. All participants receive standard verbal and printed education from the ophthalmologist. The video includes visual and auditory content on cataract surgery, preoperative instructions, postoperative care, and common concerns. Baseline data (T0) are collected before the intervention, including demographics, visual acuity, physiological indicators, BAI, and self-care knowledge. Follow-ups occur at T1 (surgery day), T2 (1 week postop), and T3 (1 month postop), assessing anxiety, physiology, vision, and self-care.

Multimedia Education Group

Eligibility Criteria

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

You may qualify if:

• Aged 18 years or older
• Diagnosed with cataract and scheduled for elective phacoemulsification with intraocular lens implantation (first-time surgery)
• Able to communicate in Mandarin or Taiwanese
• Blood glucose \<250 mg/dL and HbA1c \<8% if diabetic (assessed by attending physician)

You may not qualify if:

• Diagnosed with dementia or psychiatric disorders
• History of previous cataract surgery
• Severe hearing impairment (certified disability without hearing aid)
• Systolic blood pressure \>160 mmHg on the day of surgery
• Preoperative visual acuity less than 0.05
• Undergoing combined ocular procedures (e.g., vitrectomy) during cataract surgery
• Unable to use digital devices required for the intervention

Sponsors & Collaborators

• Chang Gung Memorial Hospital: lead
• National Taipei University of Nursing and Health Sciences: collaborator

Study Sites (1)

Keelung Chang Gung Memorial Hospital, Operating Room

Keelung, Keelung, 204, Taiwan

RECRUITING

Related Publications (2)

• Yu X, Vargas J, Green PHR, Bhagat G. Innate Lymphoid Cells and Celiac Disease: Current Perspective. Cell Mol Gastroenterol Hepatol. 2021;11(3):803-814. doi: 10.1016/j.jcmgh.2020.12.002. Epub 2020 Dec 10.

  PMID: 33309944 BACKGROUND

• Jafarzadeh M, Saatchi M, Jafarnejadi P, Gooran M. Digital Radiographic Evaluation of the Quality of Different Root Canal Obturation Techniques in Deciduous Mandibular Molars after Preparation with Rotary Technique. J Dent (Shiraz). 2019 Sep;20(3):152-158. doi: 10.30476/DENTJODS.2019.44902.

  PMID: 31579688 BACKGROUND

MeSH Terms

Conditions

Cataract; Anxiety Disorders

Condition Hierarchy (Ancestors)

Lens Diseases; Eye Diseases; Mental Disorders

Central Study Contacts

Tsen-Yu Tu, RN, BSN

CONTACT

886-2-24313131; doris820902@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: This study adopts a randomized experimental research design with two-group repeated measures. A single-blind procedure is implemented, in which patients are blinded to group allocation (patient blinding).
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Two-arm parallel group trial comparing standard education vs. multimedia education

Study Record Dates

• First Submitted: June 3, 2025
• First Posted: June 22, 2025
• Study Start: August 4, 2025
• Primary Completion (Estimated): December 31, 2026
• Study Completion (Estimated): March 31, 2027
• Last Updated: January 8, 2026

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)