Information Retention After Video (Augmented) Preoperative Anesthesiological Education

Patient education is continuously becoming more important to enable patients to participate in making decisions regarding their medical treatment. Specifically, this is also the case for preoperative education on anesthesia. 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 Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) 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.

Objective: To 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.

Study Overview

• Status: Completed
• Conditions: Anxiety; Anesthesia; Education; Informed Consent; Multimedia
• Intervention / Treatment: Device: Video education

Detailed Description

Participants will be randomized into 4 arms. A control group that will only take the knowledge test after the consultation by the anesthesiologist, a baseline group that will take the knowledge test before and after the consultation to investigate the added value of a knowledge test to knowledge retention. The intervention group is divided into 2 groups. One group will see the educational video and take a knowledge test afterwards. The other group will see the educational video and visit the anesthesiologist afterwards and take the knowledge test after the consultation.

After 2 and 6 weeks patients will be asked to take the knowledge test again, to investigate knowledge retention.

The knowledge test that will be used is the Rotterdam Anesthesia Knowledge Questionnaire currently under development in the Erasmus MC Rotterdam.

• Study Type: Interventional
• Enrollment (Actual): 677
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Jan-Wiebe Korstanje, MD, PhD; Phone Number: 0031107040704; Email: j.korstanje@erasmusmc.nl

Study Locations

• Netherlands
  • Zuid-Holland
    • Rotterdam, Zuid-Holland, Netherlands, 3000GD
      • Erasmus MC

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• adults visiting the preoperative anesthesia clinic
• elective surgery
• able to read, write and understand the Dutch language

Exclusion Criteria:

• cardiothoracic surgery

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Basic Science
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

4

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Control; No video education, only consultation by the anesthesiologist. No knowledge test before the consultation.
No Intervention: Baseline; No video education, only consultation by the anesthesiologist. Also a knowledge test before the consultation.
Experimental: Video; Video education and a knowledge test directly afterwards. Consultation by the anesthesiologist after the knowledge test.	Device: Video education; Participants will be shown a video educating them on anesthesia and perioperative instructions.
Experimental: Video Augmented; Video education and consultation by the anesthesiologist directly afterwards. The knowledge test is taken after the consultation.	Device: Video education; Participants will be shown a video educating them on anesthesia and perioperative instructions.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Information retention short-term	Score on the Rotterdam Anesthesia Knowledge Questionnaire (RAKQ). Results will be expressed as the percentage correct answers of the total number of questions. A higher score means a better knowledge level.	Immediately after the information is provided

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Information retention mid-term	Difference in score on the Rotterdam Anesthesia Knowledge Questionnaire (RAKQ). Results will be expressed as the percentage correct answers of the total number of questions. A higher score means a better knowledge level.	Two weeks after the information is provided compared to directly after the information is provided.
Anxiety	Difference in score on the APAIS (Amsterdam Preoperative Anxiety and Information Scale). Scores can be between 6 and 30 points, with a higher score meaning a more anxious patient, more in need for information about the surgery and anesthesia.	Immediately after the information is provided

Collaborators and Investigators

• Sponsor: Erasmus Medical Center
• Collaborators: Health Holland; NovaCair
• Investigators: Principal Investigator: Jan-Wiebe Korstanje, MD MSc PhD, Erasmus Medical Center

Study record dates

Study Major Dates

• Study Start (Actual): February 1, 2022
• Primary Completion (Actual): February 1, 2023
• Study Completion (Actual): April 1, 2023

Study Registration Dates

• First Submitted: December 7, 2021
• First Submitted That Met QC Criteria: January 11, 2022
• First Posted (Actual): January 12, 2022

Study Record Updates

• Last Update Posted (Actual): April 17, 2024
• Last Update Submitted That Met QC Criteria: April 16, 2024
• Last Verified: April 1, 2024

More Information

Terms related to this study

• Other Study ID Numbers: MEC-2021-0769

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: Individual participant data that underlie the results reported in this article, after deidentification.
• IPD Sharing Time Frame: Within one year after publication, for at least five years

IPD Sharing Access Criteria

Whom: Investigators whose proposed use of the data has been approved by the principal investigator or its research team.

What types of analyses: To achieve aims in the approved proposal What mechanism: Proposals can be filed at our website: https://www.digica-erasmusmc.nl. To gain access requestors will need to sign a data access agreement, data transfer agreement and any other agreement deemed necessary by our institution for safe data sharing.

• IPD Sharing Supporting Information Type: STUDY_PROTOCOL

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No