Patient Directed Care After Carpal Tunnel Release Using Video Integration and Digital Education After Operations (VIDEO)
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 84
- 试验地点
- 2
- 主要终点
- Patient-Reported Outcome Measurement Information System (PROMIS) / Upper Extremity Computer Adaptive Test (UE CAT) / 5-Point Likert Scale
研究概览
简要总结
The goal of this clinical trial is to learn if a patient-directed postoperative care program, using short educational videos, can improve patient satisfaction and reduce healthcare resource utilization in patients undergoing carpal tunnel release (CTR). The main questions it aims to answer are:
Will patients in the video-based care program be more satisfied with their postoperative care? Will this approach reduce healthcare resource use and the burden on patients without increasing complication rates? Researchers will compare the video-based patient-directed care group to the standard in-person follow-up group to see if patient satisfaction and resource use differ while maintaining similar outcomes and complication rates.
Participants will:
Watch three short educational videos (< 60 seconds each) on postoperative care. Schedule a suture removal appointment with a nurse at their convenience if needed.
Continue to have access to their provider through traditional methods such as phone, EMR, or urgent in-person visits.
详细描述
Carpal tunnel release (CTR) is a commonly performed procedure with predictable outcomes and a low complication rate. Traditionally, patients are scheduled for two postoperative follow-up visits-one at two weeks and another at six weeks. However, these routine visits rarely lead to a change in patient management and often impose logistical and financial burdens on patients, particularly for those living in rural areas who must travel long distances to their healthcare provider's clinic.
This study proposes an alternative postoperative care model for CTR patients that leverages short educational videos and allows patients to manage their recovery more independently. The experimental group in the study will receive three brief (< 60 seconds each) educational videos after surgery. These videos will cover key aspects of postoperative care, including wound management and when to seek medical attention. Unlike the traditional model, patients in this group will not have scheduled in-person or virtual follow-up visits unless they require them. All patients in the experimental group will still have access to their healthcare provider through standard communication channels, such as:
Calling the office for advice or concerns. Sending secure messages through the electronic medical record (EMR) system. Attending urgent in-person visits if necessary. If nonabsorbable sutures are used during surgery, patients in the experimental group will schedule an appointment for suture removal with a nurse at their convenience, usually 10-14 days post-surgery.
The primary goal of the study is to determine whether this patient-directed care model, which utilizes educational videos, can improve patient satisfaction and reduce the use of healthcare resources without compromising care quality or increasing complication rates.
Specific Aim: The study aims to evaluate whether a patient-directed postoperative care program for CTR can:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 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
- •Patients undergoing either endoscopic (CPT 29848) or open CTR (CPT 64721)
- •Access to a smartphone, tablet, or computer to view educational videos
- •Access to internet to download or view postoperative education videos
- •Age 18 or older
排除标准
- •Patients undergoing any additional procedures
- •Worker's compensation status
- •Revision procedures
- •Patients unable to utilize technology to view videos or follow instructions
- •Patients with no access to internet
- •Inability to provide informed consent for the study
- •Patients unable to speak English fluently
结局指标
主要结局
Patient-Reported Outcome Measurement Information System (PROMIS) / Upper Extremity Computer Adaptive Test (UE CAT) / 5-Point Likert Scale
时间窗: 2 and 6 weeks postoperatively
All patient reported outcome measures will be reported at 2 and 6 weeks postoperatively. All responses will be recorded within the study's REDCap data base.
次要结局
- Time Taken Off Work(Baseline to 6 week follow up)
- Travel time.(Baseline to 6 week follow up)
- Number of Unplanned Visits(Baseline to 6 week follow up.)
- Patient Satisfaction Questionnaire(Baseline to 6 week follow up.)
- Wound Complications(Baseline to 6 week follow up.)
- Total In Person Postoperative Visits(Baseline to 6 week follow up.)
研究者
Cesar J Bravo
Orthopedic Hand and Upper Extremity Surgeon
Carilion Clinic