Effect of Mobile Augmented Reality Counseling on Improving Shared Decision-Making in Thoracic Surgery: A Randomized Clinical Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 47
- 试验地点
- 2
- 主要终点
- Shared decision-making score
研究概览
简要总结
This randomized clinical trial evaluates the effectiveness of Mobile Augmented Reality (MAR) counseling compared to traditional verbal counseling for patients undergoing thoracic surgery. MAR counseling integrates patient-specific 3D anatomical models to enhance understanding of surgical procedures and risks. The study assesses patient and caregiver satisfaction, decision-making confidence, and communication quality. Health care providers' perspectives on the counseling methods are also examined. Participants will be assigned to one of the two counseling groups and asked to complete a questionnaire immediately after the counseling session.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults aged 20 years and older
- •Scheduled for elective thoracic surgery
- •Able to understand written and spoken Mandarin
- •Willing and able to provide informed consent
- •Capable of completing questionnaires independently or with minimal assistance
排除标准
- •Emergency surgery cases
- •Severe cognitive impairment or psychiatric illness interfering with participation
- •Visual or hearing impairments that prevent interaction with mobile devices
- •Previous participation in a similar counseling trial
- •Inability to complete follow-up procedures
研究组 & 干预措施
Traditional First, Then MAR Counseling (T-M group)
Participants receive traditional counseling first, followed by MAR counseling using a 3D mobile application.
干预措施: Traditional Counseling → MAR Counseling (Behavioral)
MAR First, Then Traditional Counseling (M-T group)
Participants receive MAR counseling first using a mobile 3D model app, followed by traditional counseling with CT images and verbal explanations.
干预措施: MAR Counseling → Traditional Counseling (Behavioral)
结局指标
主要结局
Shared decision-making score
时间窗: Immediately after counseling session (single timepoint)
Shared decision-making was evaluated using a validated questionnaire assessing patient perceptions of decision support, preparedness, and engagement. The total score ranges from 0 to 50, with higher scores indicating better shared decision-making.
次要结局
- Patient counseling preference(Immediately after both counseling sessions)
- Patient counseling preference(Immediately after both counseling sessions)
研究者
Chen Ying-Shian
MD
Tri-Service General Hospital