Will a preoperative video on anaesthesia better stick than a consultation with an anesthesiologist?

ISRCTN ISRCTN13174388
DOI https://doi.org/10.1186/ISRCTN13174388
Secondary identifying numbers rakq_pilot
Submission date
16/08/2022
Registration date
17/08/2022
Last edited
17/08/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Worldwide, there are many initiatives to improve preoperative patient education and subsequent level of knowledge of anesthesia, for example by using digital aids. The demand for such aids has increased significantly since the start of the COVID-19 pandemic to facilitate remote preoperative anesthesiological screening. Although many videos to educate patients on anesthesia have been developed and circulate on the internet, there has been little effort to compare this method of educating patients with the traditional one-on-one conversation between the anesthesiologist and the patient. The aim of this study is to establish if it is feasible to use video education in a larger trial, how large of an effect video eduction might have on participants remembering specific details of the video over time, and if participants are willing to keep participating over time.

Who can participate?
Adults visiting the preoperative anesthesia clinic who are scheduled for elective surgery

What does the study involve?
The study involves participants watching a video about general anaesthesia and filling out a questionnaire specifically directly after watching the video and after 14 and 42 days.

What are the possible benefits and risks of participating?
The positive benefits of participating are a possible better understanding of what anesthesia is and what its associated risks are. There are no risks involved in this study.

Where is the study run from?
Erasmus MC (Netherlands)

When is the study starting and how long is it expected to run for?
June 2020 to October 2021

Who is funding the study?
Health-Holland (Netherlands)

Who is the main contact?
Dr J.-W.H. Korstanje, j.korstanje@erasmusmc.nl

Contact information

Dr Jan-Wiebe Korstanje
Principal Investigator

Dr. Molenwaterplein 40
Rotterdam
3015 GD
Netherlands

ORCiD logoORCID ID 0000-0002-6269-9860
Phone +31 (0)107040704
Email j.korstanje@erasmusmc.nl

Study information

Study designSingle-center interventional single-blinded randomized controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeOther
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleInformation retention after video (augmented) preoperative anesthesiological education: a pilot study
Study objectivesTo compare short, mid-and long term retention of knowledge after education on anesthesia by watching a video to the traditional one-on-one explanation by the anaesthesiologist. However, effects size and loss-to-follow up remain unknown and need to be addressed before proceeding to a sufficiently powered large-scale randomized controlled trial (RCT).
Ethics approval(s)Approved 16/11/2020, Erasmus MC Medical Ethical Committee (Erasmus Medical Center Rotterdam, Dr.Molewaterplein 40, 3015 GD Rotterdam, Netherlands; +31 (0)10 7033625, metc@erasmusmc.nl), ref: MEC-2020-0839
Health condition(s) or problem(s) studiedInformation retention after preoperative assessment by anaesthesiologist or video education in patients scheduled for surgery
InterventionParticipants will be allocated by simple randomization (1:1:1:1) embedded in the trial software (E+POS by NovaCair) to one of four arms:

1. A control group that will only fill out the Rotterdam Anesthesia Knowledge Questionnaire (RAKQ) after the consultation by the anesthesiologist.
2. A baseline group that will fill out the RAKQ before and after the consultation to investigate the added value of a knowledge test to knowledge retention.

The intervention group is divided into two groups:
1. One group will see the educational video and fill out the RAKQ afterwards.
2. The other group will see the educational video and visit the anesthesiologist afterwards and take the knowledge test after the consultation.

All participants were presented with questionnaires on level of education, satisfaction, subjective knowledge and preoperative anxiety (APAIS) after filling out the RAKQ for the first time. Intermediate and long-term knowledge retention was measured by repeating the RAKQ in all groups except the baseline group, after 14 and 42 days.
Intervention typeBehavioural
Primary outcome measureThe effect size (Cohen's d) of video (augmented) preoperative anesthesiological education measured using the RAKQ at baseline, 14 and 42 days
Secondary outcome measures1. Recruitment rate measured as the number of participants recruited per month of the study
2. Loss to follow-up measured as the number of participants lost at baseline, 14 and 42 days
Overall study start date01/06/2020
Completion date28/10/2021

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants150
Total final enrolment146
Key inclusion criteria1. Adults visiting the preoperative anesthesia clinic
2. Scheduled for elective surgery
3. Able to read, write and understand the Dutch language
Key exclusion criteria1. Cardiothoracic surgery
2. Caesarian sections
Date of first enrolment01/04/2021
Date of final enrolment16/09/2021

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Erasmus MC
Dr.Molewaterplein 40
Rotterdam
3015 GD
Netherlands

Sponsor information

Erasmus MC
Hospital/treatment centre

Dr Molenwaterplein 40
Rotterdam
3015 GD
Netherlands

Phone +31 (0)107040704
Email info@erasmusmc.nl
Website http://www.erasmusmc.nl/
ROR logo "ROR" https://ror.org/018906e22

Funders

Funder type

Charity

Health~Holland
Private sector organisation / Trusts, charities, foundations (both public and private)
Alternative name(s)
Top Sector Life Sciences & Health, Dutch Life Sciences & Health, Dutch LSH, Top Sector LSH, LSH
Location
Netherlands

Results and Publications

Intention to publish date01/06/2023
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryStored in publicly available repository
Publication and dissemination planPlanned publication in a high-impact peer-reviewed journal
IPD sharing planThe generated datasheet will most likely be made available through KNAW-DANS (Royal Dutch Academy of Sciences - Data Archiving and Network Services) accessible through https://dans.knaw.nl/ after verification both with KNAW-DANS and the principal investigator.

Editorial Notes

17/08/2022: Trial's existence confirmed by Erasmus MC Medical Ethical Committee.