Preprocedural Video Education for Bronchoscopy Anxiety

Preprocedural Video Education for Anxiety Reduction in Patients Undergoing Bronchoscopy Under General Anesthesia: A Randomized Clinical Trial

The goal of this clinical trial is to learn whether preprocedural video education can reduce anxiety in adult patients who are scheduled to undergo bronchoscopy under general anesthesia. It will compare video-based education with standard verbal education.

The main questions it aims to answer are:

Does video education reduce preprocedural anxiety, as measured by the Amsterdam Preoperative Anxiety and Information Scale (APAIS), in patients undergoing bronchoscopy under general anesthesia?

Researchers will compare patients who receive audiovisual education with those who receive standard verbal education to see whether video education provides greater anxiety reduction before bronchoscopy under general anesthesia.

Participants will:

1. Complete an APAIS questionnaire before receiving preprocedural education
2. Receive either video-based education using a tablet or standard verbal education with a question-and-answer session
3. Complete another APAIS questionnaire immediately after the education session

Study Overview

• Status: Completed
• Conditions: General Anesthesia; Bronchoscopy
• Intervention / Treatment: Behavioral: Verbal only; Behavioral: Verbal + Audiovisual educational video

• Study Type: Interventional
• Enrollment (Actual): 58
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Indonesia
  • Jakarta Special Capital Region
    • Jakarta, Jakarta Special Capital Region, Indonesia, 13230
      • RSUP Persahabatan

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

1. Adult patients aged ≥18 years who are scheduled to undergo bronchoscopy under general anesthesia.
2. Patients with no previous history of medical procedures performed under general anesthesia.
3. Patients with an American Society of Anesthesiologists (ASA) physical status classification of I-III.
4. Patients who are willing to participate in the study and have provided written informed consent.

Exclusion Criteria:

1. Patients who are unable to read and write.
2. Patients with significant hearing and/or visual impairment.
3. Patients with cognitive or mental disorders identified from the patient's medical record.
4. Patients with a history of antipsychotic or benzodiazepine use.

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: control group; Participants in the control group received standard preprocedural education through verbal explanation and a question-and-answer session delivered by the anesthesiologist. The education was based on the standard anesthesia education materials used at RSUP Persahabatan. APAIS scores were assessed before and immediately after the education session.	Behavioral: Verbal only; Participants received standard preprocedural education through verbal explanation and a question-and-answer session delivered by the anesthesiologist. The education was based on the standard anesthesia education materials used at RSUP Persahabatan and provided information about bronchoscopy under general anesthesia. The APAIS questionnaire was completed before and immediately after the verbal education session.
Experimental: intervention group; Participants in the intervention group received standard preprocedural verbal education and a question-and-answer session delivered by the anesthesiologist. In addition, they received audiovisual education through a video presented on a tablet. The video provided information about bronchoscopy under general anesthesia. APAIS scores were assessed before and immediately after the education session.	Behavioral: Verbal + Audiovisual educational video; Participants received standard preprocedural verbal education and a question-and-answer session delivered by the anesthesiologist. In addition, participants watched an audiovisual educational video about bronchoscopy under general anesthesia on a tablet. The video was designed to provide consistent information about the procedure and anesthesia process, improve patient understanding, and reduce preprocedural anxiety. The APAIS questionnaire was completed before and immediately after the education session.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pre-education total APAIS score	The pre-education total APAIS score was assessed before any educational intervention was delivered, using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). The APAIS consists of six items scored on a 5-point Likert scale, ranging from 1 ("not at all") to 5 ("extremely"), with higher total scores indicating greater preprocedural anxiety and information need.	single time point immediately before education
Post-education total APAIS score	The pre-education total APAIS score was assessed before any educational intervention was delivered, using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). The APAIS consists of six items scored on a 5-point Likert scale, ranging from 1 ("not at all") to 5 ("extremely"), with higher total scores indicating greater preprocedural anxiety and information need.	single time point immediately after education

Collaborators and Investigators

• Sponsor: RSUP Persahabatan

Study record dates

Study Major Dates

• Study Start (Actual): July 1, 2025
• Primary Completion (Actual): October 30, 2025
• Study Completion (Actual): October 30, 2025

Study Registration Dates

• First Submitted: June 5, 2026
• First Submitted That Met QC Criteria: June 5, 2026
• First Posted (Actual): June 10, 2026

Study Record Updates

• Last Update Posted (Actual): June 10, 2026
• Last Update Submitted That Met QC Criteria: June 5, 2026
• Last Verified: June 1, 2026

More Information

Terms related to this study

• Other Study ID Numbers: 0045/KEPK-RSUPP/03/2025

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

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