Preoperative Optimization of Patient's Expectations by the Use of an Online-Tool - a Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Patients Undergoing Surgery
- Sponsor
- Philipps University Marburg Medical Center
- Enrollment
- 29
- Locations
- 1
- Primary Endpoint
- Change in Pain Disability Index (PDI) from Baseline to two days pre-surgery to one week post-surgery to three months post-surgery
- Status
- Terminated
- Last Updated
- last year
Overview
Brief Summary
Recovery after the surgery depends on psychological factors such as preoperative information, expectations, and surgery-associated anxiety. Prior studies have shown that even short preoperative psychological interventions can improve postoperative outcomes. However, the content of these interventions needs further examination. This study aims to examine if the developed preoperative intervention (i) reduces preoperative anxiety, (ii) increases positive expectations, and (iii) improves the long-term outcome and postoperative recovery. Therefore an online-tool has been developed. Using an online-approach makes it possible to reach many patients taking as little time and cost as possible.
Patients who undergo surgery in the next two weeks and want to participate in the study will be asked for the planned surgical procedure. There will be a filter (stratum) for surgery. Patients with the same kind of surgery are randomized into two groups (Control vs. intervention group) after they've filled some questionnaires at the baseline assessment. Following this, the intervention group will participate in the psychological online intervention (around 30 minutes). The intervention will focus on the treatment outcome expectations and personal control expectations to increase patients' positive expectations. The control group will receive no psychological intervention. Both groups will fill out questionnaires again in the evening, two days before the surgery, around one week after the surgery, and three months after the surgery.
Investigators
Winfried Rief
Professor, Dr.
Philipps University Marburg Medical Center
Eligibility Criteria
Inclusion Criteria
- •In-patient operation under general anesthetic
- •Age 18 or above
- •Fluency in German
- •Informed consent
Exclusion Criteria
- •Participation in other research programs: in agreement with Coordinating Investigator patient can participate substudies, if this do not interfere with the main study
- •Emergency surgery
Outcomes
Primary Outcomes
Change in Pain Disability Index (PDI) from Baseline to two days pre-surgery to one week post-surgery to three months post-surgery
Time Frame: Baseline, up to one week post-surgery, up to three months post-surgery
Items range from 0 (no disability at all) - 10 (total disability). Consequently higher scores mean a worse outcome.
Secondary Outcomes
- Change in Health Related Quality of Life (Short Form 12, SF-12) from Baseline to one week post-surgery to three months post-surgery(Baseline, up to one week post-surgery, up to three months post-surgery)
- Change in The Control Attitudes Scale-Revised (CAS-R) from Baseline to one week post-surgery(Baseline, up to one week post-surgery)
- Change in Patient health questionnaire screener (PHQ) from Baseline to one week post-surgery to three months post-surgery(Baseline, two days pre-surgery, up to one week post-surgery, up to three months post-surgery)
- Change in The Primary Appraisal Secondary Appraisal questionnaire (PASA) from Baseline to two days pre-surgery to one week post-surgery(Baseline, two days pre-surgery, up to one week post-surgery, up to three months post-surgery)
- Change in The Amsterdam Preoperative Anxiety and Information Scale (APAIS) from Baseline to two days pre-surgery(Baseline, two days pre-surgery)