The Impact of a Patient Education Tool on Parental Productivity and Anxiety: A Non-Randomized Control Trail
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 101
- 试验地点
- 2
- 主要终点
- Parental Anxiety
研究概览
简要总结
Hypothesis/Study question (brief introduction of the question studied; about 5 lines)
Appendicitis is the most common acute surgical admission to the pediatric surgery service at the MCH. The need for surgery can provoke anxieties for patients. Patient education materials are meant to improve knowledge, set expectations, and improve the overall hospital experience for patients and their families, and are already being widely implemented for elective surgeries in the context of ERAS pathways. This study aims to develop an effective patient and family education tool, with the goal of improving patient education and satisfaction with care in the emergency surgery setting.
Study objectives
- Utilize evidence-based methods to evaluate the success of implementation of a patient and family-centered education tool for appendicitis.
- Develop and validate a pre- and post- education patient satisfaction and experience survey in the realm of pediatric surgery.
- Inform the development of the education tool and survey through multidisciplinary and patient/family input.
- Implement a patient/family-centered education tool in an emergency surgical setting.
详细描述
Methodology / Study design
- Pilot phase Convenience sample of 10 patients diagnosed with acute appendicitis and their families will be selected to provide input on the patient and family experience survey tool. A convenience sample of 5 surgeons and 5 surgical nurses will also be solicited to provide feedback. The survey tool will be adapted based on the responses.
- Pre-implementation phase All patients and their families with acute appendicitis who present to clinic for their routine follow-up appointment or are called for their phone-call follow up will be eligible to take a survey. All responses are voluntary and anonymous. The survey swill be available on an online platform so invited participants may conveniently participate in the study.
- Post-implementation phase After the education pamphlet has been finalized and its distribution to families has begun, all patients and their families with simple or perforated appendicitis who had their initial presentation after the education pamphlet was available will be eligible to take a survey. All responses are voluntary and anonymous. The surveys will be available on an online platform so invited participants may conveniently and anonymously participate in the study.
Qualitative and descriptive statistics will be used to detect a difference in patient experience and satisfaction between the those who received the education tool and those who did not.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 1 Year 至 17 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Primary caregivers of all pediatric patients (0-17 years old) with acute appendicitis, including both perforated and non-perforated appendicitis cases, who have undergone an urgent appendectomy.
排除标准
- •Patient or family does not understand English or French (education material available in only these two languages).
- •Patient presenting for an elective interval appendectomy.
结局指标
主要结局
Parental Anxiety
时间窗: 1 hour - during surgery
Scores from the anxiety scale from both phases - adapted from Parental Anxiety Scale based on Amsterdam Preoperative Anxiety and Information Scale (APAIS) - 9 questions. The Parental Anxiety score is a Likert scale with 6 questions (each 1-5). The cutoff for anxiety is 13 points, anything over it is High anxiety.
次要结局
- Parental Productivity(10 & 14 days postoperatively)
研究者
Sherif Emil
Professor of Pediatric Surgery, Surgery, and Pediatrics, McGill University
McGill University Health Centre/Research Institute of the McGill University Health Centre