Effect of a Preoperative Video Education Program on ICU Delirium After CABG (VIDEO-CABG Trial)

NCT07570420 | Completed DMC

• 1 other identifier: JU-NUR-2026-01
• Study Type: interventional
• Target: 220
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to evaluate the effect of a preoperative video-based educational program on postoperative outcomes in adult patients undergoing coronary artery bypass graft (CABG) surgery. The main questions it aims to answer are: Does the video-based educational program reduce the incidence of ICU delirium after CABG surgery? Does the program improve recovery outcomes, including length of ICU stay, hospital stay, and time to early ambulation? Researchers will compare patients receiving the video-based educational program (intervention group) with those receiving standard care (control group) to determine whether the intervention improves postoperative outcomes. Participants will: Be randomly assigned to either the intervention or control group Receive either a structured preoperative video-based education program or standard verbal education Be assessed for ICU delirium using the CAM-ICU tool during ICU stay Have their length of ICU stay and hospital stay recorded from medical records Be monitored for early ambulation within the first 72 hours after surgery

Conditions

CABG

Keywords

ICU Delirium; Video-Based Education; Preoperative Education; Early Ambulation; Length of Stay

Outcome Measures

Primary Outcomes (1)

• Incidence of ICU Delirium

  Occurrence of postoperative delirium among patients admitted to the ICU following CABG surgery.

  Assessed twice daily (6 AM and 6 PM) during ICU stay, up to discharge from ICU. for three months

Secondary Outcomes (3)

• Length of ICU Stay

  From ICU admission post-surgery until transfer to ward. for three months

• Length of Hospital Stay (LOS)

  From date of surgery until hospital discharge, expected average up to 30 days.

• Time to First Postoperative Ambulation Within 72 Hours After ICU Admission

  From ICU admission (postoperative day 0) through 72 hours after surgery.

Study Arms (2)

Experimental - Video-Based Educational Program

EXPERIMENTAL

Participants will receive a structured preoperative video-based educational program in addition to standard care. The intervention consists of a 5-10 minute video delivered one day before CABG surgery in Arabic. The video includes: Overview of CABG surgery and ICU environment Education on ICU delirium (definition, signs, and prevention) Explanation of the ABCDE delirium prevention bundle Instructions on early ambulation and breathing exercises Postoperative recovery expectations The video will be presented via tablet in a quiet setting, with a trained nurse available to clarify questions. Participants may replay the video if needed.

Behavioral: Video-Based Educational Program

Active Comparator - Standard Care

NO INTERVENTION

Participants will receive routine preoperative education as provided in the hospital setting. This typically includes: Verbal instructions from nurses and healthcare staff Basic guidance on postoperative care (wound care, medications, activity restrictions, and warning signs) No structured or standardized video-based educational intervention will be provided.

Interventions

Video-Based Educational Program BEHAVIORAL

The video includes: Overview of CABG surgery and ICU environment Education on ICU delirium (definition, signs, and prevention) Explanation of the ABCDE delirium prevention bundle Instructions on early ambulation and breathing exercises Postoperative recovery expectations

Experimental - Video-Based Educational Program

Eligibility Criteria

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

You may qualify if:

• Adult patients aged 18 years or older
• Scheduled for first-time, elective Coronary Artery Bypass Graft (CABG) surgery
• Able to read and understand Arabic
• Admitted preoperatively with sufficient time to receive the intervention (at least 24 hours before surgery)

You may not qualify if:

• Undergoing emergency or urgent CABG surgery
• Previous CABG (redo surgery)
• Cognitive impairment (e.g., diagnosed dementia, severe cognitive deficits, or Alzheimer's disease)
• Severe communication barriers (e.g., inability to understand Arabic, or severe hearing/visual impairment preventing comprehension of the educational video)
• Critical preoperative condition that prevents participation in the intervention

Sponsors & Collaborators

• University of Jordan: lead
• Jordanian Royal Medical Services: collaborator

Study Sites (1)

University of Jordan

Amman, Amman Governorate, 11118, Jordan

Location

Study Officials

• Jafar A AL-SHRAIDEH, PROFESSOR

  The University of Jordan

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: CARE PROVIDER, OUTCOMES ASSESSOR
• Masking Details: This study is conducted as an open-label randomized controlled trial; therefore, participants and care providers are not blinded due to the nature of the intervention (video-based education). However, to reduce bias: Outcome assessors (ICU nurses) responsible for evaluating delirium using the CAM-ICU will be blinded to group allocation whenever feasible.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: prof. School of Nursing, The University of Jordan

Model Details: This study is a two-arm, parallel-group randomized controlled trial. Eligible participants will be randomly assigned in a 1:1 ratio to either the experimental group (video-based educational program) or the control group (standard care). Randomization will be conducted using a computer-generated block randomization method with variable block sizes to ensure balanced group allocation. Allocation concealment will be maintained using sequentially numbered, opaque, sealed envelopes prepared by an independent statistician. Participants in the experimental group will receive a structured preoperative video-based educational intervention in addition to standard care, while participants in the control group will receive standard care only. Outcomes will be assessed postoperatively, with the incidence of ICU delirium as the primary outcome, and early ambulation, ICU length of stay, and hospital length of stay as secondary outcomes.

Study Record Dates

• First Submitted: April 20, 2026
• First Posted: May 6, 2026
• Study Start: January 3, 2026
• Primary Completion: April 10, 2026
• Study Completion: April 17, 2026
• Last Updated: May 6, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, CSR
• Time Frame: 3 months after completion
• Access Criteria: on request

Locations

JO (1)