Effectiveness of Audiovisual Versus Written Postoperative Instructions for Patients Undergoing Minor Hand Procedures: a Prospective Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 120
- 主要终点
- patient satisfaction with the operative experience
研究概览
简要总结
The utility and effectiveness of video-based instructions (VBI) versus standard written instructions was not previously investigated in hand surgery; thus, the objective of this study is to evaluate the effectiveness of audiovisual instruction as compared to regular verbal instructions given to patients undergoing common hand procedures, including instruction recall and compliance, patient education, patient satisfaction with the information given, patient satisfaction with operative experience.
详细描述
Outcomes of hand surgery are greatly dependent on factors outside the operating theater as well. These include patient compliance to preoperative instructions that consist of proper surgical site care, proper positioning, and following occupational therapy protocols. Previous studies have shown that video-based information provide greater patient satisfaction than verbal instructions. Visual information was also reported to decrease patient anxiety regarding the procedure and increases patient education in terms of procedure risks and benefits(1-5). The utility and effectiveness of video-based instructions (VBI) versus standard written instructions was not previously investigated in hand surgery; thus, the objective of this study is to evaluate the effectiveness of audiovisual instruction as compared to regular verbal instructions given to patients undergoing common hand procedures, including instruction recall and compliance, patient education, patient satisfaction with the information given, patient satisfaction with operative experience. The secondary objective is to evaluate if VBI result in better outcomes than standard written instructions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Please ensure that ALL items below are satisfied to be included in the study.
- •Patient undergoing hand and/or upper extremity surgery with Dr. Thibaudeau
- •Patient ≥ 18 years old
- •Patient who comprehends instructions provided in English and/or French
- •Patient who can navigate the internet to complete an online post-operative questionnaire
排除标准
- •Please ensure that NONE of the following items are selected to be included in the study.
- •Patient presenting with intra-articular, open, or pathological fractures
- •Patient presenting with associated tendon or nerve injuries
- •Patient receiving definitive surgery ≥21 days after injury
- •Patient with previous surgeries/deformity in the hand
- •Patient with pre-existing severe joint disease (rheumatoid arthritis, finger joint stiffness, or non-union)
- •Patient with medical contraindications to surgery
- •Patient who is unable to comply with rehabilitation
- •Patient who is unwilling to be followed up
- •Patient with dementia
- •Patient with significant mental illness
- •Patient who is unable to provide informed consent
结局指标
主要结局
patient satisfaction with the operative experience
时间窗: within 1 week
Questionnaire to assess patient satisfaction with the operative experience will be distributed within a week in post operative visit
patient instruction recall
时间窗: within 1 week
Questionnaire to assess patient instruction recall will be distributed within a week in post operative visit. It consists of 9 questions, the maximum score is 9 and indicates excellent recall.
patient satisfaction with the information given
时间窗: within 1 week
Questionnaire to assess patient satisfaction with the information givenwill be distributed within a week in post operative visit Overall, are you satisfied with the provided post-operative instructions for your hand surgery? Likert-scale 1-10 (with smile face) Overall, were the provided post-operative instructions for your hand surgery easy to understand? Likert-scale 1-10 (with smile face) Overall, did the provided post-operative instructions for your hand surgery had the appropriate amount of information? Likert-scale 1-10 (with smile face)
patient compliance
时间窗: within 1 week
Questionnaire to assess patient instruction compliance will be distributed within a week in post operative visit. It consists of 13 questions, each with a score, with 13 being thre maximum patient compliance.
次要结局
- Nursing staff patient experience(within 3 months)
- Dash Scores(within 1 week)
研究者
Stephanie Thibaudeau
Assistant Professor of Plastic Surgery
McGill University Health Centre/Research Institute of the McGill University Health Centre