Impact of Interactive Video Health Intervention on Quality of Life After Bowel Obstruction Surgery

NCT07258017 | Completed

• 1 other identifier: CSSDSYY-YXLL-SC-2024-02-20
• Study Type: interventional
• Target: 462
• Locations: 1 country
• Sites: 1

Brief Summary

Objective: To investigate the multidimensional effects of an interactive video health intervention on the quality of life and clinical rehabilitation indicators of patients with early postoperative bowel obstruction. Methods: The study consists of two phases. Phase 1 (January 2019-December 2020) involves the development and psychometric validation of a Postoperative Quality of Life Assessment Scale for Early Intestinal Obstruction, with approximately 150 patients. Phase 2 (January 2021-January 2025) is a randomized controlled trial enrolling about 310 eligible patients (aged 18-75 years, with basic cognitive ability, diagnosed with early postoperative bowel obstruction after abdominal surgery). Participants are randomly assigned to either a control group (conventional care, including condition monitoring, basic treatment, and non-structured health education) or a study group (conventional care plus an interactive video health intervention consisting of five modular videos covering disease knowledge, rehabilitation, and diet, initiated 24 hours post-surgery). Primary and secondary outcomes will include quality of life (assessed with the validated scale), clinical rehabilitation indicators (such as obstruction relief time and hospitalization duration), electrogastrogram parameters, and gut microbiota diversity (16S rRNA sequencing).

Conditions

Intestinal Obstruction; Postoperative Complications

Outcome Measures

Primary Outcomes (1)

• Quality of Life (QoL) Score

  Scale consists of multiple domains assessing physical, psychological, and social functioning. Scores range from 0 to 100, with higher scores indicating better quality of life.

  Baseline (pre-intervention, within 24 hours after surgery) and at hospital discharge (average 8-10 days after randomization).

Secondary Outcomes (5)

• Time to Relief of Intestinal Obstruction

  From randomization to hospital discharge (daily assessment, average 8-10 days)

• Duration of Hospitalization

  From the day of surgery through hospital discharge (an average of 7-10 days)

• Electrogastrogram (EGG) Parameters - Gastric Antrum Slow-Wave Amplitude

  24 hours post-intervention initiati

• Electrogastrogram (EGG) Parameters - Gastric Slow-Wave Frequency

  24 hours post-intervention initiation and

• Title: Gut Microbiota Diversity (Shannon Index)

  First postoperative defecation (typically 3-5 days post-surgery)

Other Outcomes (3)

• Postoperative Quality of Life Assessment Scale Validation - Reliability Metrics

  At postoperative day 7 (single assessment after intervention)

• Postoperative Quality of Life Assessment Scale Validation - Construct Validity Metrics

  At postoperative day 7 (single assessment after intervention)

• Expert Consensus Agreement on Questionnaire Items

  During the pre-intervention development phase (single assessment prior to participant enrollment)

Study Arms (2)

Conventional Care Control Group

ACTIVE COMPARATOR

Behavioral: Conventional care

Interactive Video Health Intervention Group

EXPERIMENTAL

Behavioral: Interactive Video Health Intervention

Interventions

Conventional care BEHAVIORAL

Standard conventional care including condition monitoring, basic medical treatment (gastrointestinal decompression, fluid replacement, correction of water-electrolyte disorders), and non-structured health education. Represents the current standard of care for postoperative bowel obstruction patients without the additional video-based intervention component.

Conventional Care Control Group

Interactive Video Health Intervention BEHAVIORAL

A structured interactive video intervention consisting of 5 modular videos covering disease knowledge, rehabilitation exercises, and dietary guidance. The videos use animation demonstrations, case analyses, and expert explanations, with interactive elements such as Q\&A sessions and polls. Initiated 24 hours post-surgery, patients can self-paced viewing using tablet devices with researcher support.

Interactive Video Health Intervention Group

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients diagnosed with early postoperative intestinal obstruction after abdominal surgery based on clinical symptoms, physical examination and imaging
• Aged between 18 and 75 years
• With basic cognitive ability and comprehension
• Informed consent obtained directly from patients; family members provided supplementary consent

You may not qualify if:

• Serious underlying diseases
• Serious mental diseases
• Audio-visual impairment that prevents normal reception of interactive video information
• Poor compliance

Sponsors & Collaborators

• Changsha Fourth Hospital: lead

Study Sites (1)

The Fourth Hospital of Changsha

Changsha, Hunan, 410006, China

Location

Related Publications (1)

• Yao L, Wu D, Liu J, Zhang X, Zhang L. Multidimensional impact analysis of interactive video health intervention on quality of life and clinical rehabilitation indicators in patients with early postoperative bowel obstruction: a randomized controlled trial. Int J Colorectal Dis. 2026 Jan 8;41(1):19. doi: 10.1007/s00384-025-05051-0.

  PMID: 41507597 DERIVED

MeSH Terms

Conditions

Intestinal Obstruction; Postoperative Complications

Condition Hierarchy (Ancestors)

Intestinal Diseases; Gastrointestinal Diseases; Digestive System Diseases; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: September 24, 2025
• First Posted: December 2, 2025
• Study Start: January 10, 2019
• Primary Completion: January 13, 2025
• Study Completion: January 24, 2025
• Last Updated: December 2, 2025

Record last verified: 2025-01

Locations

CN (1)