Effect of a Preoperative Video Education Program on ICU Delirium After CABG (VIDEO-CABG Trial) (VIDEO-CABG)
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
調査の概要
詳細な説明
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.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
-
-
Amman Governorate
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Amman、Amman Governorate、ヨルダン、11118
- University of Jordan
-
-
参加基準
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
Inclusion Criteria: Participants must meet all of the following criteria:
- Adult patients aged 18 years or older
- Scheduled for first-time, elective Coronary Artery Bypass Graft (CABG) surgery
- Able to read and understand Arabic
- 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:
- Undergoing emergency or urgent CABG surgery
- Previous CABG (redo surgery)
- Cognitive impairment (e.g., diagnosed dementia, severe cognitive deficits, or Alzheimer's disease)
- Severe communication barriers (e.g., inability to understand Arabic, or severe hearing/visual impairment preventing comprehension of the educational video)
- Critical preoperative condition that prevents participation in the intervention
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：支持療法
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：ダブル
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：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. |
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 |
|
介入なし：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. |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Incidence of ICU Delirium
時間枠：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
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Length of ICU Stay
時間枠：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
|
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Length of Hospital Stay (LOS)
時間枠：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.
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From date of surgery until hospital discharge, expected average up to 30 days.
|
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Time to First Postoperative Ambulation Within 72 Hours After ICU Admission
時間枠：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.
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From ICU admission (postoperative day 0) through 72 hours after surgery.
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協力者と研究者
スポンサー
捜査官
- スタディディレクター：Jafar A AL-SHRAIDEH, PROFESSOR、the university of Jordan
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
キーワード
その他の研究ID番号
- JU-NUR-2026-01
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
IPD 共有時間枠
IPD 共有アクセス基準
IPD 共有サポート情報タイプ
- STUDY_PROTOCOL
- SAP
- CSR
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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