Video Versus Verbal Preoperative Education in Elective Cesarean Delivery

NCT07647601 | Not Yet Recruiting

• 1 other identifier: QR Code-Cesarean
• Study Type: interventional
• Target: 140
• Locations: 1 country
• Sites: 1

Brief Summary

This prospective randomized controlled trial aims to evaluate the effects of verbal and video-based preoperative education on anxiety levels and serum cortisol response in women scheduled for elective cesarean delivery under spinal anesthesia. Eligible participants will be randomly assigned to receive either standard verbal education or a standardized video-based educational intervention before surgery. Anxiety levels will be assessed using the State-Trait Anxiety Inventory (STAI-S), and serum cortisol levels will be measured before and after the educational intervention. The primary objective is to compare the effectiveness of the two educational methods in reducing preoperative anxiety and physiological stress response.

Conditions

Preoperative Anxiety; Cesarean Delivery; Stress Response

Keywords

Preoperative Education; Video-Based Education; Verbal Education; Cesarean Section; Spinal Anesthesia; Anxiety; Serum Cortisol; STAI; Randomized Controlled Trial

Outcome Measures

Primary Outcomes (2)

• Change in STAI-S Score

  Change in State-Trait Anxiety Inventory-State (STAI-S) score from before to after preoperative education.

  Before education and immediately after education on the day of surgery

• Change in Serum Cortisol Level

  Change in serum cortisol concentration from before to after preoperative education.

  Before education and immediately after education on the day of surgery

Study Arms (2)

Video-Based Education

EXPERIMENTAL

Participants receive standardized video-based preoperative education before elective cesarean delivery.

Behavioral: Video-Based Preoperative Education

Verbal Education

ACTIVE COMPARATOR

Participants receive standard verbal preoperative education before elective cesarean delivery.

Behavioral: Verbal Preoperative Education

Interventions

Video-Based Preoperative Education BEHAVIORAL

Participants will watch a standardized preoperative educational video providing information about cesarean delivery, spinal anesthesia, the perioperative process, potential risks and complications, postoperative expectations, and recovery. The video is designed to improve patient understanding and reduce preoperative anxiety.

Video-Based Education

Verbal Preoperative Education BEHAVIORAL

Participants will receive standard face-to-face verbal preoperative education from an anesthesiologist regarding cesarean delivery, spinal anesthesia, the perioperative process, potential risks and complications, postoperative expectations, and recovery.

Verbal Education

Eligibility Criteria

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

You may qualify if:

• Female participants aged 18 years or older
• Scheduled for elective cesarean delivery
• Planned to undergo spinal anesthesia
• American Society of Anesthesiologists (ASA) physical status I or II
• Able to understand the study procedures and provide written informed consent

You may not qualify if:

• Emergency cesarean delivery
• History of psychiatric disease
• Current use of anxiolytic or antidepressant medications
• Endocrine disorders, including adrenal or thyroid disease
• Current corticosteroid therapy
• Previous surgery performed under spinal anesthesia
• Cognitive impairment or communication difficulties that may interfere with completion of anxiety assessments
• ASA physical status III, IV, or V

Sponsors & Collaborators

• Elazıg Fethi Sekin Sehir Hastanesi: lead

Study Sites (1)

Elazığ Fethi Sekin City Hospital

Elâzığ, Elâzığ, 23100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Fractures, Stress; Anxiety Disorders

Condition Hierarchy (Ancestors)

Fractures, Bone; Wounds and Injuries; Mental Disorders

Study Officials

• Sevim Şenol Karataş

  Elazıg Fethi Sekin Sehir Hastanesi

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Sevim Şenol Karataş, MD

CONTACT

+905325736611; drsevimkaratas@gmail.com

Sait F Öner, MD

CONTACT

+90 533 627 13 58; sfatihoner@gmail.com

Study Design

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

Model Details: Participants will be randomly assigned in a 1:1 ratio to receive either standard verbal preoperative education or a standardized video-based educational intervention before elective cesarean delivery. Outcomes will be compared between parallel groups.

Study Record Dates

• First Submitted: June 9, 2026
• First Posted: June 15, 2026
• Study Start: June 10, 2026
• Primary Completion (Estimated): July 10, 2026
• Study Completion (Estimated): July 20, 2026
• Last Updated: June 15, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)