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
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Descrição detalhada
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.
Tipo de estudo
Inscrição (Real)
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
-
-
Amman Governorate
-
Amman, Amman Governorate, Jordânia, 11118
- University of Jordan
-
-
Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
- Adulto
- Adulto mais velho
Aceita Voluntários Saudáveis
Descrição
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
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Cuidados de suporte
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Dobro
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
|
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. |
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 |
|
Sem intervenção: 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. |
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Incidence of ICU Delirium
Prazo: 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
|
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Length of ICU Stay
Prazo: 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)
Prazo: 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
Prazo: 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.
|
Colaboradores e Investigadores
Patrocinador
Colaboradores
Investigadores
- Diretor de estudo: Jafar A AL-SHRAIDEH, PROFESSOR, the university of Jordan
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Real)
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Outros números de identificação do estudo
- JU-NUR-2026-01
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Descrição do plano IPD
Prazo de Compartilhamento de IPD
Critérios de acesso de compartilhamento IPD
Tipo de informação de suporte de compartilhamento de IPD
- PROTOCOLO DE ESTUDO
- SEIVA
- CSR
Informações sobre medicamentos e dispositivos, documentos de estudo
Estuda um medicamento regulamentado pela FDA dos EUA
Estuda um produto de dispositivo regulamentado pela FDA dos EUA
Essas informações foram obtidas diretamente do site clinicaltrials.gov sem nenhuma alteração. Se você tiver alguma solicitação para alterar, remover ou atualizar os detalhes do seu estudo, entre em contato com register@clinicaltrials.gov. Assim que uma alteração for implementada em clinicaltrials.gov, ela também será atualizada automaticamente em nosso site .