In Office Versus Telemedicine Preoperative Visit: a Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 118
- Locations
- 1
- Primary Endpoint
- Patient Preoperative Preparedness
Study Overview
Brief Summary
This is a randomized controlled trial evaluating in office versus telemedicine preoperative counseling visits based on patient preparedness for surgery and patient satisfaction.
Detailed Description
PRIMARY OBJECTIVE To determine whether preoperative telemedicine appointments are non-inferior to in-office visits based on patient preoperative preparedness in women undergoing pelvic surgery as measured by a preoperative preparedness survey.
SECONDARY OBJECTIVES
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Evaluate patient satisfaction using the S-CAHPS survey
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Calculate the duration of visit for patient (minutes)
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Calculate the duration of visit for provider (minutes)
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Estimate round trip travel distance from patient home to clinic (miles)
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Evaluate the number of office contacts from date of preoperative counseling to 6 weeks postoperatively.
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Patient initiated calls
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Nurse initiated calls
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Scheduled office visits
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Add on office visits
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Evaluate canceled, no-show, and late visits
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Calculate value proposition metrics for Atrium Health System
PREOPERATIVE PERIOD All consecutive patients planning to undergo pelvic surgery who require a preoperative visit will be identified, screened, and approached for participation in the study. Participants who do not meet the inclusion and exclusion criteria will be considered screen failures. Screen failures will be captured and the cause for screen failure will be documented.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Other
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Females age 18 and greater
- •Visit location in North Carolina
- •Planning to undergo pelvic surgery at Mercy Hospital or One Day Surgery Center
- •Scheduled for enhanced recovery perioperative protocol
- •Require a preoperative visit
- •Access to internet and a virtual visit capable device
- •Telephone access
Exclusion Criteria
- •Non-English speaking
- •Inability to provide consent/decisionally impaired
- •Auditory impairment
- •Required preoperative in-office procedure such as endometrial biopsy
Arms & Interventions
In office
Patients will undergo our standard in office preoperative counseling.
Intervention: In office preoperative counseling (Other)
Virtual visit
Patients will undergo preoperative counseling using telemedicine virtual visits.
Intervention: Telemedicine preoperative counseling (Other)
Outcomes
Primary Outcomes
Patient Preoperative Preparedness
Time Frame: 1-7 days
To determine whether preoperative telemedicine appointments are non-inferior to in-office visits based on patient preoperative preparedness in women undergoing pelvic surgery as measured by a preoperative preparedness survey. Preoperative Preparedness Questionnaire ranges from 11 to 66 points with higher scores equaling greater patient preparedness.
Secondary Outcomes
- Patient Satisfaction(2 week postoperative visit)
- Round Trip Travel Distance(at preoperative visit (1-30 days prior to surgery))
- Postoperative Add on In-person Visits.(6 weeks postoperatively)
- Travel Time(1 day of a preoperative visit.)
- Office Contacts, Total Scheduled In-person Visits(perioperative time period, up to approximately 10 weeks)
- Postoperative Patient Initiated Phone Calls.(6 weeks postoperatively)
- Duration of Visit(at preoperative visit (1-30 days prior to surgery))