Effect of a Preoperative Educational Video on Anxiety Levels (PEVA)

June 29, 2026 updated by: Gülencan Yumuşak Ergin, Aksaray University Training and Research Hospital

Effect of QR Code-Based and Tablet-Based Preoperative Educational Video Interventions on Preoperative Anxiety

Preoperative anxiety is common among patients undergoing elective surgery and may negatively affect perioperative outcomes. This randomized controlled trial aims to evaluate the effectiveness of a short educational video in reducing preoperative anxiety. Participants will be assigned to one of three groups: a QR code-based video group, a tablet-based video group, or a control group receiving standard preoperative information. Anxiety levels will be assessed using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). The secondary objective is to evaluate the utilization of QR code-based video education.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

Preoperative anxiety is associated with adverse psychological and physiological responses and may negatively influence the perioperative experience. Educational interventions have been proposed as a practical strategy to improve patient understanding and reduce anxiety before surgery. Video-based education offers a standardized and accessible method for delivering information regarding anesthesia and surgical procedures.

Recent advances in digital health technologies have facilitated the use of mobile devices and QR code-based educational tools in routine clinical practice. However, evidence regarding the effectiveness of different modes of video delivery on preoperative anxiety remains limited.

This study will evaluate whether a brief educational video delivered through a QR code before the day of surgery or viewed on a tablet device immediately before surgery can reduce preoperative anxiety compared with standard care. In addition, the study will assess the feasibility and utilization of QR code-based patient education in the perioperative setting. The findings may contribute to the development of accessible and scalable patient education strategies aimed at improving the surgical experience and patient-centered care.

Study Type

Interventional

Enrollment (Estimated)

360

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 Contact

Study Contact Backup

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 under anesthesia.
  • Able to understand Turkish.
  • Able to provide written informed consent.

Exclusion Criteria:

  • Emergency surgery.
  • Visual or hearing impairment preventing video viewing.
  • Cognitive impairment.
  • Neurological or psychiatric disorders that may interfere with communication or completion of study questionnaires.

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: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: QR Code Video Group
Participants will receive a QR code during the preoperative anesthesia clinic visit, allowing access to a brief educational video about anesthesia and surgery. Participants may view the video on their own devices before the day of surgery.
Behavioral: QR Code Video
Participants received a QR code providing access to the standardized preoperative educational video. They were instructed to watch the video before surgery using their own smartphone or another internet-enabled device.
Experimental: Tablet Video Group
Participants will watch the same educational video on a tablet device in the preoperative waiting area immediately before surgery.
Behavioral: Tablet Video
Participants viewed the standardized preoperative educational video on a tablet device provided by the study staff in the preoperative waiting area before surgery.
No Intervention: Control Group
Participants will receive standard preoperative information and routine care without exposure to the educational video.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Amsterdam Preoperative Anxiety and Information Scale ( APAIS)
Time Frame: On the day of surgery, immediately before induction of anesthesia
The Amsterdam Preoperative Anxiety and Information Scale (APAIS) will be used to assess preoperative anxiety and information requirement. Scores range from 6 to 26, with higher scores indicating greater preoperative anxiety and information requirement (worse outcome).
On the day of surgery, immediately before induction of anesthesia

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
QR Code Utilization Rate
Time Frame: From enrollment until immediately before anesthesia induction on the day of surgery, assessed up to 1 month
The proportion of participants who accessed the educational video through the provided QR code before surgery.
From enrollment until immediately before anesthesia induction on the day of surgery, assessed up to 1 month

Collaborators and Investigators

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

Sponsor

Aksaray University Training and Research Hospital

Investigators

  • Principal Investigator: Gülencan Yumuşak Ergin, MD, Aksaray University Training and Research Hospital

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

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 (Estimated)

July 1, 2026

Primary Completion (Estimated)

November 1, 2026

Study Completion (Estimated)

December 1, 2026

Study Registration Dates

First Submitted

June 4, 2026

First Submitted That Met QC Criteria

June 29, 2026

First Posted (Actual)

July 1, 2026

Study Record Updates

Last Update Posted (Actual)

July 1, 2026

Last Update Submitted That Met QC Criteria

June 29, 2026

Last Verified

June 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • SAGETİK 2026-82

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

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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