Do Patient Educational Videos Improve Pain and Recovery After Laparoscopic Hysterectomy?

A Single-site Randomized Controlled Trial of an Patient Educational Video to Improve Postoperative Pain and Overall Recovery Satisfaction After Laparoscopic Hysterectomy Benign Indication

The use of multi-model patient education has been used in a variety of medical specialties to educate patients on expectations for various medical procedures and improve patients' understanding of their own health care. However, it is unknown what type of audio and/or visual materials work best in a given clinical setting. By surveying overall pain/post-operative recovery satisfaction we can measure how well our video intervention educates and reinforces post-operative management at home when compared to the current method of education that patients receive at the pre-operative visit prior to laparoscopic hysterectomy at this institution.

Study Overview

• Status: Completed
• Conditions: Pain, Postoperative
• Intervention / Treatment: Behavioral: Educational Video

• Study Type: Interventional
• Enrollment (Actual): 94
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Washington
    • Seattle, Washington, United States, 98101
      • Virginia Mason Medical Center

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• 18y/o or older
• planned for a laparoscopic hysterectomy for benign indications

Exclusion Criteria:

• inability to consent
• language other than English
• conversion to laparotomy, vNOTES (a type of laparoscopic assisted vaginal hysteroectomy)
• vaginal hysterectomy
• chronic opioid use prior to surgery

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Educational Video Intervention; Participants have been randomly selected into this arm to receive intervention via the educational video in addition to regular treatment and recovery options.	Behavioral: Educational Video; A recorded educational video will be presented to the patient prior to meeting with the provider at the presurgical meeting
No Intervention: No Intervention; Participants have been randomly selected into this arm to not receive intervention and continue with regular treatment and recovery options.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Overall satisfaction score (5 point Likert scale) with post operative pain control after laparoscopic hysterectomy	To determine if video education on post-operative pain management and expectations can improve patients' overall satisfaction with post operative pain control after laparoscopic hysterectomy	Within 10 days post surgery

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain score at the time of survey completion (0=no pain 10=worst pain	To determine if video education on post-operative pain management and expectations improves patient post operative pain scores at the time of post-op phone call	Within 10 days post surgery
Average pain score for the first 7 days as perceived by the patients (likert scale)	To determine if video education on post-operative pain management and expectations improves patient perceived post operative pain control throughout the first 7 day post-op	Within 10 days post surgery
Number of post-op phone calls received	To determine if video education on post-operative pain management and expectations decreases the number of post- operative phone calls received by providers during the first week post-op	Within 10 days post surgery
Number of post-op emergency room visits	To determine if video education on post-operative pain management and expectations decreases the number of post- operative emergency room visits by patients during the first week post-op	Within 10 days post surgery
Number of readmissions	To determine if video education on post-operative pain management and expectations decreases the number of postoperative readmissions by patients during the first week post-op	Within 10 days post surgery
Number of patients with steri-strips still in place	To determine if video education on post-operative pain management and expectations decreases the number of patients who have not removed their steri-strips by day 7	Within 10 days post surgery
Number opioids taken since surgery	To determine if video education on post-operative pain management and expectations decreased the number of narcotics used post-operatively	Within 10 days post surgery
Overall satisfaction with pre-operative education regarding surgery (5 point Likert scale)	To determine if video education on post-operative pain management and expectations improves overall satisfaction with pre-operative education regarding surgery	Within 10 days post surgery
ding surgery (5 point likert scale) Overall satisfaction with educations regarding what to expect post-operatively (5 point Likert scale)	To determine if video education on post-operative pain management and expectations improves overall satisfaction with educations regarding what to expect post-operatively	Within 10 days post surgery

Collaborators and Investigators

• Sponsor: Benaroya Research Institute
• Investigators: Principal Investigator: Megan Loring, MD, Virginia Mason Medical Center

Study record dates

Study Major Dates

• Study Start (Actual): March 13, 2023
• Primary Completion (Actual): April 28, 2024
• Study Completion (Actual): April 28, 2024

Study Registration Dates

• First Submitted: January 4, 2024
• First Submitted That Met QC Criteria: February 10, 2024
• First Posted (Actual): February 20, 2024

Study Record Updates

• Last Update Posted (Actual): August 23, 2024
• Last Update Submitted That Met QC Criteria: August 22, 2024
• Last Verified: August 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Postoperative Complications; Pain; Neurologic Manifestations; Pain, Postoperative
• Other Study ID Numbers: IRB22-046

Drug and device information, study documents

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