Evaluation of a Preoperative Education Class for Colorectal Surgery Patients

Withdrawn

Interventions: Behavioral: Pedometer
Behavioral: Preoperative education class

Brief Summary: The purpose of the study is to evaluate the value and effectiveness of a newly-implemented preoperative education class for patients undergoing colorectal surgery.

Detailed Description: This is a non-randomized study to be conducted in a cohort of patients who are scheduled to undergo colorectal surgical procedures at Carolinas Medical Center (CMC)-Main. The primary objective of this study is to determine the effect of preoperative education classes on postoperative compliance with mobilization guidelines. Secondary objectives of this study are to evaluate the effect of the preoperative education class on patient knowledge, anxiety, and satisfaction, and postoperative outcomes such as inpatient length of stay, postoperative complications, and 30-day readmission rates. Data will be compared between patients who are scheduled to attend the class and attend and those who are scheduled to attend the class and do not.

Recruitment & Eligibility

Inclusion Criteria

Scheduled to undergo surgical operations of the colon or rectum at Carolinas Medical Center Main

Exclusion Criteria

A medical condition, laboratory finding, or physical exam finding that precludes participation
Develop a significant intra- or postoperative complication that precludes or delays participation for longer than 4 weeks; or
Have anything that would place the individual at increased risk or preclude the individual's full compliance with or completion of the study.

Arm && Interventions

Group	Intervention	Description
Class non-attendees	Pedometer	A cohort of patients who are scheduled to undergo colorectal surgical procedures and do not attend the scheduled preoperative education class. Patients will be affixed with a pedometer in the postoperative period until discharge.
Class attendees	Pedometer	A cohort of patients who are scheduled to undergo colorectal surgical procedures and attend the preoperative education class. Patients will be affixed with a pedometer in the postoperative period until discharge.
Class attendees	Preoperative education class	A cohort of patients who are scheduled to undergo colorectal surgical procedures and attend the preoperative education class. Patients will be affixed with a pedometer in the postoperative period until discharge.

Primary Outcome Measures

Name	Time	Method
Mean number of steps	from time of surgery until the time of discharge, up to 90 days	mean number of steps taken daily as measured by pedometer
Time to ambulation	from time of surgery until the time of first documented ambulation, assessed up to 90 days	time to first ambulation following surgery measured by pedometer and notations made by nursing staff in the patient records prior to patient discharge.

Secondary Outcome Measures

Name	Time	Method
Patient satisfaction score	date of first postoperative follow-up appointment, up to 90 days following surgery	Patient satisfaction score assessed by satisfaction survey administered to patients
Knowledge level	date of preoperative education class (up to 2 weeks prior to time of surgery) and date of first postoperative follow-up appointment (up to 90 days following surgery)	Knowledge level assessed by knowledge survey administered to patients
Patient anxiety level	date of enrollment and date of discharge, up to 90 days following surgery	Patient anxiety level assessed by anxiety survey administered to patients
30-day readmission rate	30 days following surgery
Inpatient length of stay	from date of surgery until the date of discharge, up to 90 days	Inpatient length of stay measured in number of days

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