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Evaluating the Impact of Video Discharge Instructions for Mohs Surgery Post-Operative Care

Not Applicable
Terminated
Conditions
Linear Closure
Surgery
Interventions
Behavioral: Standard of Care
Behavioral: Video Discharge Instructions
Behavioral: Telecommunication Reminders
Registration Number
NCT02970435
Lead Sponsor
Case Comprehensive Cancer Center
Brief Summary

The purpose of this research is to look at how educational videos provided by doctors might affect patients knowledge, satisfaction, confidence, and anxiety with post-operative Mohs surgery care. Patients will be randomized to either: 1) a group that receives educational videos in addition to standard-of-care written and verbal instructions or 2) a group that receives only standard-of-care written and verbal instructions.

Detailed Description

The Primary Objective of this study is to determine if video discharge instructions, when added to standard of care written and verbal instructions, lead to a decrease in unnecessary phone calls from patients in a Mohs dermatology clinic.

The Secondary Objectives of this study are to determine if video discharge instructions, when added to standard of care written and verbal instructions, help to improve patients' satisfaction with education materials provided by the clinic, improve patients' knowledge of post-operative management, improve patients' confidence in taking care of their suture site post-operatively, and reduce post-operative anxiety about their suture site.

This study will be a randomized controlled trial in which the impact of video discharge instructions on patient calls, anxiety, and confidence will be evaluated. Patients will be randomized using a permuted block model generated through SAS.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
14
Inclusion Criteria
  • Patients who underwent a linear closure on the face at UH Mohs clinic
  • Fluent English speakers
Exclusion Criteria

● Non-fluent English speakers

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Verbal and Written Discharge InstructionsStandard of CareNursing and medical staff will provide verbal and written discharge instructions as is standard of care post surgery
Video Discharge InstructionsTelecommunication RemindersThese videos contain the same instructions that a patient receives via the standard-of-care verbal and written discharge instructions. These instructions will be delivered by the same nursing and medical staff that also regularly provides verbal and written discharge instructions to patients. There will be no difference in the content between the standard-of-care verbal and written instructions and the video discharge instructions. Patients in this group will receive telecommunication reminders on how to access discharge videos.
Video Discharge InstructionsVideo Discharge InstructionsThese videos contain the same instructions that a patient receives via the standard-of-care verbal and written discharge instructions. These instructions will be delivered by the same nursing and medical staff that also regularly provides verbal and written discharge instructions to patients. There will be no difference in the content between the standard-of-care verbal and written instructions and the video discharge instructions. Patients in this group will receive telecommunication reminders on how to access discharge videos.
Video Discharge InstructionsStandard of CareThese videos contain the same instructions that a patient receives via the standard-of-care verbal and written discharge instructions. These instructions will be delivered by the same nursing and medical staff that also regularly provides verbal and written discharge instructions to patients. There will be no difference in the content between the standard-of-care verbal and written instructions and the video discharge instructions. Patients in this group will receive telecommunication reminders on how to access discharge videos.
Primary Outcome Measures
NameTimeMethod
Ratio of patients in the intervention group who call the clinic compared to percentage of patients in the control group who call the clinicUp to 8 weeks after discharge

Researchers will record when each participant calls the clinic. The number of people who call in the intervention group will be compared to the number of people who call in the control group. This will give an efficacy measure of the video discharge instructions

Secondary Outcome Measures
NameTimeMethod
Difference in satisfaction in intervention group versus control groupUp to 8 weeks after discharge

A survey investigating patient satisfaction about Mohs surgery post-operative care will be used in this study. This survey will be quantified using the Likert scale.

Difference in self reported anxiety levels in intervention group versus control groupUp to 8 weeks after discharge

A survey investigating anxiety about Mohs surgery post-operative care will be used in this study. This survey will be quantified using the Likert scale.

Difference in knowledge of discharge instructions in intervention group versus control groupUp to 8 weeks after discharge

Answers to survey questions investigating knowledge of discharge instruction will be compared between the control and intervention groups.

Difference in confidence in intervention group versus control groupUp to 8 weeks after discharge

A survey investigating confidence about Mohs surgery post-operative care will be used in this study. This survey will be quantified using the Likert scale.

Trial Locations

Locations (1)

University Hospitals at Cleveland Medical Center, Seidman Cancer Center, Case Comprehensive Cancer Center

🇺🇸

Cleveland, Ohio, United States

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