Impact of Immersive Video Education on Cardiothoracic Surgery Anxiety and Outcomes

NCT07222839 | Enrolling By Invitation

• 1 other identifier: 2359886
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this quasi-experimental study is to examine the effect of visually immersive preoperative education on levels of anxiety and patient outcomes in patients undergoing cardiothoracic (open heart) surgery

Conditions

Anxiety

Outcome Measures

Primary Outcomes (2)

• Anxiety relief (self-report measure 1 - State-Trait Anxiety Inventory)

  Patient's anxiety will be measured using the 20-item State-Trait Anxiety Inventory (STAI) (state scale only) (higher scores indicate higher anxiety), taken before and after preoperative education is received.

  30 minutes

• Anxiety relief (self-report measure 2 - Visual Analog Scale for Anxiety)

  Patient's anxiety will be measured using the Visual Analog Scale for Anxiety (VAS-A), a slider scale of 0 - 100 is used to self-report anxiety (0 = not anxious and 100 = extremely anxious), taken before and after preoperative education is received.

  30 minutes

Secondary Outcomes (7)

• Anxiety relief (physiological measure 1 - blood pressure)

  30 minutes

• Anxiety relief (physiological measure 2 - heart rate)

  30 minutes

• Anxiety relief (physiological measure 3 - respiratory rate)

  30 minutes

• Postoperative CVICU Outcome 1 - Length of Stay

  Within 30 days after the patient is discharged from CVICU

• Postoperative CVICU Outcome 2 - Intubation Time

  Within 30 days after the patient is discharged from CVICU

Study Arms (2)

Intervention - Visually Immersive Video Education

EXPERIMENTAL

Participants receive visually immersive (virtual reality-designed) preoperative video education shown on a tablet that orients patients to the postoperative CVICU environment, equipment, and expected recovery processes. After viewing the video, the open-heart trained CVICU nurse provides opportunity for discussion, clarification, and questions. Assignment to this arm occurs during intervention weeks (Weeks 1-2 of each month, per protocol).

Behavioral: Visually Immersive Video

Control - Standard Preoperative Education

ACTIVE COMPARATOR

Participants receive standard preoperative education consisting of a basic verbal explanation of what to expect postoperatively on arrival to the CVICU, followed by opportunity for questions. Assignment to this arm occurs during control weeks (Weeks 3-4 of each month, per protocol).

Behavioral: Standard of Care

Interventions

Visually Immersive Video BEHAVIORAL

The patients watch a 5-minute visually immersive education video on what to expect postoperatively on arrival to the cardiovascular intensive care unit (CVICU) followed by the opportunity for discussion/explanation and questions.

Intervention - Visually Immersive Video Education

Standard of Care BEHAVIORAL

The patient receives a basic verbal explanation of what to expect postoperatively on arrival to CVICU followed by the opportunity for questions.

Control - Standard Preoperative Education

Eligibility Criteria

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

You may qualify if:

• Inpatients and outpatients scheduled for elective cardiothoracic (open heart) surgery

You may not qualify if:

• Patients undergoing emergent cardiothoracic (open heart) surgery
• Patients with altered mental status
• History of mental health disorders (schizophrenia and bipolar disorder)
• Legally blind/complete blindness and hearing impaired (without hearing aids)

Sponsors & Collaborators

• Baptist Health South Florida: lead

Study Sites (1)

South Miami Hospital

Miami, Florida, 33143, United States

Location

MeSH Terms

Conditions

Anxiety Disorders

Interventions

Standard of Care

Condition Hierarchy (Ancestors)

Mental Disorders

Intervention Hierarchy (Ancestors)

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

Study Officials

• Natalie Bermudez, PhD, RN, EBP-C

  Baptist Health | Nursing & Health Sciences Research

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 23, 2025
• First Posted: October 30, 2025
• Study Start: January 15, 2026
• Primary Completion (Estimated): January 15, 2027
• Study Completion (Estimated): January 15, 2027
• Last Updated: March 4, 2026

Record last verified: 2025-10

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)