Effect of a Preoperative Video Education Program on ICU Delirium After CABG (VIDEO-CABG Trial) (VIDEO-CABG)

April 29, 2026 updated by: Jafar Alshraideh, University of Jordan

The Effect of Preoperative Video-Based Educational Program on Patient's Incidence of ICU Delirium, Length of Stay, and Ambulation Post Coronary Artery Bypass Graft Surgery. A Randomized Controlled Trial

The goal of this clinical trial is to evaluate the effect of a preoperative video-based educational program on postoperative outcomes in adult patients undergoing coronary artery bypass graft (CABG) surgery.

The main questions it aims to answer are:

Does the video-based educational program reduce the incidence of ICU delirium after CABG surgery? Does the program improve recovery outcomes, including length of ICU stay, hospital stay, and time to early ambulation?

Researchers will compare patients receiving the video-based educational program (intervention group) with those receiving standard care (control group) to determine whether the intervention improves postoperative outcomes.

Participants will:

Be randomly assigned to either the intervention or control group Receive either a structured preoperative video-based education program or standard verbal education Be assessed for ICU delirium using the CAM-ICU tool during ICU stay Have their length of ICU stay and hospital stay recorded from medical records Be monitored for early ambulation within the first 72 hours after surgery

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

This randomized controlled trial evaluates the effect of a structured preoperative video-based educational program on postoperative recovery outcomes in adult patients undergoing elective coronary artery bypass graft (CABG) surgery. Postoperative delirium remains a common complication after cardiac surgery and is associated with prolonged intensive care unit (ICU) and hospital stays, delayed recovery, and increased healthcare burden. In addition, delayed mobilization after surgery can further contribute to adverse outcomes.

Traditional preoperative education, typically delivered verbally or through written materials, may be insufficient for patients experiencing stress and anxiety prior to major surgery, leading to poor information retention. Video-based education offers a standardized, accessible, and engaging approach that may enhance patient understanding, improve adherence to recovery protocols, and support better clinical outcomes.

In this study, participants will be randomly assigned to receive either a brief preoperative video-based educational intervention or standard care. The intervention is designed to prepare patients for the postoperative period by providing clear, structured information on recovery expectations, delirium prevention strategies, and the importance of early mobilization.

The primary outcome of interest is the incidence of ICU delirium during the postoperative period. Secondary outcomes include length of ICU stay, length of hospital stay, and timing of early ambulation following surgery. These outcomes will be assessed using standardized clinical measures and hospital records.

By evaluating the effectiveness of a digital educational intervention in a cardiac surgery population, this study aims to contribute evidence on practical, scalable strategies to improve postoperative recovery and reduce complications in patients undergoing CABG surgery.

Study Type

Interventional

Enrollment (Actual)

220

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Jordan
    • Amman Governorate
      • Amman, Amman Governorate, Jordan, 11118
        • University of Jordan

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria: Participants must meet all of the following criteria:

  1. Adult patients aged 18 years or older
  2. Scheduled for first-time, elective Coronary Artery Bypass Graft (CABG) surgery
  3. Able to read and understand Arabic
  4. Admitted preoperatively with sufficient time to receive the intervention (at least 24 hours before surgery)

Exclusion Criteria: Participants will be excluded if they meet any of the following criteria:

  1. Undergoing emergency or urgent CABG surgery
  2. Previous CABG (redo surgery)
  3. Cognitive impairment (e.g., diagnosed dementia, severe cognitive deficits, or Alzheimer's disease)
  4. Severe communication barriers (e.g., inability to understand Arabic, or severe hearing/visual impairment preventing comprehension of the educational video)
  5. Critical preoperative condition that prevents participation in the intervention

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Experimental - Video-Based Educational Program

Participants will receive a structured preoperative video-based educational program in addition to standard care. The intervention consists of a 5-10 minute video delivered one day before CABG surgery in Arabic.

The video includes:

Overview of CABG surgery and ICU environment Education on ICU delirium (definition, signs, and prevention) Explanation of the ABCDE delirium prevention bundle Instructions on early ambulation and breathing exercises Postoperative recovery expectations

The video will be presented via tablet in a quiet setting, with a trained nurse available to clarify questions. Participants may replay the video if needed.
Behavioral: Video-Based Educational Program

The video includes:

Overview of CABG surgery and ICU environment Education on ICU delirium (definition, signs, and prevention) Explanation of the ABCDE delirium prevention bundle Instructions on early ambulation and breathing exercises Postoperative recovery expectations
No Intervention: Active Comparator - Standard Care

Participants will receive routine preoperative education as provided in the hospital setting. This typically includes:

Verbal instructions from nurses and healthcare staff Basic guidance on postoperative care (wound care, medications, activity restrictions, and warning signs)

No structured or standardized video-based educational intervention will be provided.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Incidence of ICU Delirium
Time Frame: Assessed twice daily (6 AM and 6 PM) during ICU stay, up to discharge from ICU. for three months
Occurrence of postoperative delirium among patients admitted to the ICU following CABG surgery.
Assessed twice daily (6 AM and 6 PM) during ICU stay, up to discharge from ICU. for three months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Length of ICU Stay
Time Frame: From ICU admission post-surgery until transfer to ward. for three months
Duration of time spent in the ICU after surgery.
From ICU admission post-surgery until transfer to ward. for three months
Length of Hospital Stay (LOS)
Time Frame: From date of surgery until hospital discharge, expected average up to 30 days.
Hospital length of stay will be calculated from the date and hour of the index CABG surgery until the date and hour of hospital discharge, expressed in days to one decimal place.
From date of surgery until hospital discharge, expected average up to 30 days.
Time to First Postoperative Ambulation Within 72 Hours After ICU Admission
Time Frame: From ICU admission (postoperative day 0) through 72 hours after surgery.
Time to first walk will be measured in hours from ICU admission after CABG surgery (T0) until the start of the first qualifying walking episode. Transfers from bed to chair will not be counted as ambulation. If no walking occurs within 72 hours, it will be recorded as "72+" with the clinical reason documented.
From ICU admission (postoperative day 0) through 72 hours after surgery.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Jordan

Collaborators

Jordanian Royal Medical Services

Investigators

  • Study Director: Jafar A AL-SHRAIDEH, PROFESSOR, The University of Jordan

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

January 3, 2026

Primary Completion (Actual)

April 10, 2026

Study Completion (Actual)

April 17, 2026

Study Registration Dates

First Submitted

April 20, 2026

First Submitted That Met QC Criteria

April 29, 2026

First Posted (Actual)

May 6, 2026

Study Record Updates

Last Update Posted (Actual)

May 6, 2026

Last Update Submitted That Met QC Criteria

April 29, 2026

Last Verified

April 1, 2026

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • JU-NUR-2026-01

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

YES

IPD Plan Description

De-identified data will be uploaded to selected repository

IPD Sharing Time Frame

3 months after completion

IPD Sharing Access Criteria

on request

IPD Sharing Supporting Information Type

  • STUDY_PROTOCOL
  • SAP
  • CSR

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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