Examining the Effects of Patient Information Forms, Exercise Forms and Video Recordings

Examining the Effects of Patient Information Forms, Exercise Forms and Video Recordings on Clinical and Functional Results in Patients With Hand and Forearm Injuries.

The investigators believe that these information forms, exercise forms and video recordings that provide patient education will contribute to the collaborative approach of the patient and the clinician, the patient's participation in the treatment, the expectation of treatment and results, and their autonomy. The contribution of patient information forms, exercise forms and video recordings, which have become very important in recent years, to different degrees of results will be questioned.

Study Overview

• Status: Recruiting
• Conditions: Hand Injuries; Work-related Injury
• Intervention / Treatment: Other: hand rehabilitation with verbal explanation; Other: hand rehabilitation with patient information and exercise forms; Other: hand rehabilitation with video recording

Detailed Description

Written and visual information can affect outcome measurements in health care. In addition to verbal information and guidance, written and visual information is also frequently recommended. This information increases patients' clinical knowledge, communication, and satisfaction and reduces potential anxiety.

Forms have been created in various medical fields to inform the patient about medications, applications, and possible risks, and there are many studies on these instruction forms. The effectiveness of patient information forms and exercise forms in physiotherapy and occupational therapy has gained importance in recent years. It is used in areas such as athlete rehabilitation, impingement syndrome, and osteoarthritis.

However, only one study was found, especially in the field of hand rehabilitation.

The aim of planning this study is to examine the contribution of patient information forms, exercise forms, and video recordings to the clinical and functional results of patients who suffered hand and forearm injuries as a result of a work accident.

• Study Type: Interventional
• Enrollment (Estimated): 20
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Hande Usta, PhD; Phone Number: +905068209000; Email: husta@pau.edu.tr
• Study Contact Backup: Name: Umut Eraslan, PhD; Phone Number: +905444126520; Email: ueraslan@pau.edu.tr

Study Locations

• Turkey
  • Deni̇zli̇
    • Merkez, Deni̇zli̇, Turkey
      • Recruiting
      • Pamukkale University
      • Contact: Hande Usta, PhD; Phone Number: +905068209000; Email: husta@pau.edu.tr
      • Contact: Umut Eraslan, PhD; Phone Number: +905444126520; Email: ueraslan@pau.edu.tr
      • Principal Investigator: Ahmet Fahir Demirkan, Professor
      • Principal Investigator: Ali Kitis, Professor

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• who have a hand or forearm injury as a result of a work-related injury
• who has undergone primary surgery/conservative treatment related to the injury
• who is literate
• who has and can use technological equipment to use visual and audio communication materials (video)

Exclusion Criteria:

• who miss the evaluations
• who wants to leave the study

Study Plan

How is the study designed?

Design Details

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

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: verbal explanation group; The treatment by the diagnosis will be explained under the guidance of the therapist and will be repeated at each appointment to the first group.	Other: hand rehabilitation with verbal explanation; Patients in all groups will undergo a 12-week hand rehabilitation process that includes the use of appropriate orthoses if necessary, approaches to edema and pain, restoration of joint range of motion, strengthening, and functional return to work or activities. The application of the rehabilitation process will change according to the assigned group.
Experimental: patient information and exercise forms group; Treatment by the diagnosis will be provided with patient information and exercise forms containing visual and written information in addition to an explanation under the guidance of the therapist for the second group.	Other: hand rehabilitation with patient information and exercise forms; hand rehabilitation with patient information and exercise forms
Experimental: video recording group; Treatment by diagnosis will be provided with patient information containing visual and written information, exercise forms, and video recording, in addition to narration under the guidance of the therapist for the third group.	Other: hand rehabilitation with video recording; hand rehabilitation with video recording

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Impact of Event Scale-Revised	This scale is a 22-item self-report measure that assesses subjective distress caused by traumatic events. Items are rated on a 5-point scale ranging from 0 ("not at all") to 4 ("extremely"). The total score ranges from 0 to 88. A higher score indicates more affection for the traumatic event.	The evaluation were completed in the first session when the patient applied to the hand rehabilitation unit, and it was also repeated at 3th months after the surgery or conservative treatment.
State-trait Anxiety Inventory	This inventory was developed by Spielberger et al. (1970) to measure anxiety from the perspective of states vs. traits. The state measurement assesses how the individual feels "right now" or at this moment. The range of possible scores is from a minimum score of 20 to a maximum score of 80. Scores are commonly classified as "no or low anxiety" (20-37), "moderate anxiety" (38-44), and "high anxiety" (45-80).	The evaluation were completed in the first session when the patient applied to the hand rehabilitation unit, and it was also repeated at 3th months after the surgery or conservative treatment.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Grip and Pinch Strength	Grip and Pinch Strength strength is measured in pounds, kilograms by squeezing a dynamometer and a pinchmeter about three times in each hand.	The evaluation were completed in the first session when the patient applied to the hand rehabilitation unit, and it was also repeated at 3th months after the surgery or conservative treatment.
Michigan Hand Outcomes Questionnaire	This Questionnaire is a tool used to assess patients with hand disorders through the measurement of 6 health domains: overall hand function, activities of daily living, pain, work performance, aesthetics, and patient satisfaction. An overall score can be obtained by summing the scores for all six scales after reversing the pain scale (pain=100-pain score) and then dividing by six. On the pain scale, high scores indicate greater pain, while on the other five scales, high scores denote better hand performance.	The evaluation were completed in the first session when the patient applied to the hand rehabilitation unit, and it was also repeated at 3th months after the surgery or conservative treatment.

Collaborators and Investigators

• Sponsor: Pamukkale University
• Investigators: Study Director: ALI KITIS, Professor, Pamukkale University Faculty of Physiotherapy and Rehabilitation; Study Director: AHMET FAHİR DEMIRKAN, Professor, Pamukkale University Faculty of Medicine

Publications and helpful links

General Publications

• Abu Abed M, Himmel W, Vormfelde S, Koschack J. Video-assisted patient education to modify behavior: a systematic review. Patient Educ Couns. 2014 Oct;97(1):16-22. doi: 10.1016/j.pec.2014.06.015. Epub 2014 Jul 5.
• Barton CJ, Rathleff MS. 'Managing My Patellofemoral Pain': the creation of an education leaflet for patients. BMJ Open Sport Exerc Med. 2016 Mar 31;2(1):e000086. doi: 10.1136/bmjsem-2015-000086. eCollection 2016.
• Snyder-Ramos SA, Seintsch H, Bottiger BW, Motsch J, Martin E, Bauer M. Patient satisfaction and information gain after the preanesthetic visit: a comparison of face-to-face interview, brochure, and video. Anesth Analg. 2005 Jun;100(6):1753-1758. doi: 10.1213/01.ANE.0000153010.49776.E5.

Study record dates

Study Major Dates

• Study Start (Actual): January 8, 2024
• Primary Completion (Estimated): May 8, 2024
• Study Completion (Estimated): June 8, 2024

Study Registration Dates

• First Submitted: January 9, 2024
• First Submitted That Met QC Criteria: January 26, 2024
• First Posted (Actual): January 29, 2024

Study Record Updates

• Last Update Posted (Actual): January 29, 2024
• Last Update Submitted That Met QC Criteria: January 26, 2024
• Last Verified: January 1, 2024

More Information

Terms related to this study

• Keywords: functional outcome; hand injuries; leaflet
• Additional Relevant MeSH Terms: Wounds and Injuries; Hand Injuries
• Other Study ID Numbers: E-60116787-020-468698

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

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