QR Code-Based Video-Supported Anesthesia Information and Preoperative Anxiety (QR-AID)

July 14, 2026 updated by: Elazıg Fethi Sekin Sehir Hastanesi

The Effect of QR Code-Based Video-Supported Anesthesia Information on Preoperative Anxiety, Comprehensibility of Information, and Patient Satisfaction: A Prospective Randomized Controlled Study

This study aims to evaluate the effects of QR code-based video-supported anesthesia information on preoperative anxiety, comprehensibility of information, and patient satisfaction in adult patients undergoing elective surgery.

Participants will be randomly assigned in a 1:1 ratio to either a control group receiving standard written informed consent and routine verbal anesthesia information or an intervention group receiving the same standard information plus a standardized video-based educational intervention accessed through a QR code.

The primary outcome is the change in the Amsterdam Preoperative Anxiety and Information Scale (APAIS) anxiety score before and after the information process. Secondary outcomes include comprehensibility of information and patient satisfaction assessed using a structured Likert-type questionnaire.

The findings may contribute to the standardization of patient information processes in anesthesia outpatient clinics through a low-cost and easily implementable digital educational approach.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Informed consent and preoperative patient education are essential components of perioperative care. However, written consent forms may be difficult for some patients to understand because of technical language, limited consultation time, and variability in verbal explanations. Digital educational tools may provide standardized and more comprehensible information before surgery.

This single-center, prospective, parallel-group randomized controlled trial will evaluate whether QR code-based video-supported anesthesia information improves preoperative patient education compared with standard written informed consent and routine verbal anesthesia information. Adult patients scheduled for elective surgery will be randomized in a 1:1 ratio to either standard information alone or standard information plus access to a standardized educational video via QR code.

The video-supported intervention is designed to provide clear visual and auditory information about the anesthesia process, preparation before surgery, perioperative care, potential complications, common temporary side effects, patient rights, and the importance of informed consent. The study will assess whether this approach reduces preoperative anxiety and improves patients' understanding of anesthesia-related information and satisfaction with the information process.

Study Type

Interventional

Enrollment (Actual)

284

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

  • Turkey (Türkiye)
    • Elâzığ
      • Elâzığ, Elâzığ, Turkey (Türkiye), 23100
        • Elazığ Fethi Sekin City Hospital

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:

  • Age 18 years or older
  • Scheduled for elective surgery
  • Evaluated in the anesthesia outpatient clinic
  • Able to understand the study information and questionnaires
  • Able to provide written informed consent

Exclusion Criteria:

  • Emergency surgery
  • Impaired consciousness
  • Advanced dementia
  • Severe psychiatric illness
  • Severe visual, hearing, or cognitive impairment
  • Inability to understand the digital educational content
  • Refusal to participate
  • Inability to read or understand Turkish

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: Other
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
No Intervention: Control Group
Participants receive standard written informed consent and routine verbal anesthesia information according to routine clinical practice.
Experimental: QR Video Group
Participants receive standard written informed consent and routine verbal anesthesia information plus a standardized QR code-based video-supported anesthesia education program.
Behavioral: QR Code-Based Video-Supported Anesthesia Information
Participants receive standard written informed consent and routine verbal anesthesia information plus a standardized QR code-based video-supported educational intervention. The video includes information regarding anesthesia types, fasting requirements, perioperative preparation, potential complications, common side effects, patient rights, and informed consent.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in APAIS Anxiety Score
Time Frame: Immediately before and immediately after completion of the information process (same study visit)
Change in the Amsterdam Preoperative Anxiety and Information Scale (APAIS) anxiety subscale score from before the information process (T1) to after completion of the information process (T2). The APAIS anxiety subscale ranges from 4 to 20, with higher scores indicating greater preoperative anxiety.
Immediately before and immediately after completion of the information process (same study visit)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Information Comprehensibility Score
Time Frame: Immediately after completion of the information process
Comprehensibility of anesthesia information assessed using a structured 10-item Likert-type questionnaire. Total scores range from 10 to 50, with higher scores indicating better understanding and comprehensibility of the information provided.
Immediately after completion of the information process
Patient Satisfaction Score
Time Frame: Immediately after completion of the information process
Patient satisfaction with the anesthesia information process assessed using a structured 10-item Likert-type questionnaire. Total scores range from 10 to 50, with higher scores indicating greater satisfaction with the information process.
Immediately after completion of the information process

Collaborators and Investigators

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

Sponsor

Elazıg Fethi Sekin Sehir Hastanesi

Investigators

  • Principal Investigator: Sevim Şenol Karataş, Elazıg Fethi Sekin Sehir Hastanesi

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)

June 10, 2026

Primary Completion (Actual)

July 10, 2026

Study Completion (Actual)

July 10, 2026

Study Registration Dates

First Submitted

June 9, 2026

First Submitted That Met QC Criteria

June 9, 2026

First Posted (Actual)

June 15, 2026

Study Record Updates

Last Update Posted (Actual)

July 15, 2026

Last Update Submitted That Met QC Criteria

July 14, 2026

Last Verified

July 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • QR Code-Based Video

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

Individual participant data will not be made publicly available because the study involves patient-level clinical information and no data-sharing plan has been established at the time of registration.

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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