- ICH GCP
- Реестр клинических исследований США
- Клиническое испытание NCT07602374
Efficacy of Written Versus Video Patient Education Materials for Postmastectomy Breast Reconstruction
Evaluating the Efficacy of Written Versus Video Patient Education Materials for Postmastectomy Breast Reconstruction Patients: Knowledge, Confidence, and Anxiety
Обзор исследования
Статус
Условия
Подробное описание
PRIMARY OBJECTIVES:
- Assess baseline knowledge, procedural confidence, and anxiety in patients presenting for breast reconstruction consultation.
- Compare post-intervention outcomes between patients receiving written, video, or combined educational materials relative to no supplemental education.
SECONDARY OBJECTIVES
1. Examine whether the relative efficacy of each modality differs across patient subgroups defined by age, area deprivation index score, and prior health literacy.
OUTLINE:
Participants will be randomized into 1 of 4 groups:
- Written educational intervention
- Video educational intervention
- Combined written and video educational intervention
- No additional educational intervention
Outcome measures are assessed at a single timepoint following participant review of assigned materials and prior to the clinical consultation. Enrolled participants who do not review their assigned educational materials prior to the clinical consultation will be excluded from primary analysis but will be included in secondary intent-to-treat analysis
Тип исследования
Регистрация (Оцененный)
Фаза
- Непригодный
Контакты и местонахождение
Контакты исследования
- Имя: Reta Behman, BA
- Номер телефона: 877-827-3222
- Электронная почта: Reta.Behman@ucsf.edu
Места учебы
-
-
California
-
San Francisco, California, Соединенные Штаты, 94143
- Рекрутинг
- University of California, San Francisco
-
Контакт:
- Reta Behnam-Hanona, BA
- Номер телефона: 877-827-3222
- Электронная почта: Reta.Behnam@ucsf.edu
-
-
Критерии участия
Критерии приемлемости
Возраст, подходящий для обучения
- Взрослый
- Пожилой взрослый
Принимает здоровых добровольцев
Описание
Inclusion Criteria:
- Adults aged 18 or older
- Presenting as a new patient to the UCSF plastic surgery breast reconstruction clinic
- Considering mastectomy, including:
- - Therapeutic mastectomy in the setting of a breast cancer diagnosis
- - Prophylactic mastectomy in the setting of a confirmed high-risk genetic variant
- - Staged procedures, including delayed mastectomy with initial reduction
- Participants who are undecided between lumpectomy and mastectomy
Exclusion Criteria:
- Established patients returning for follow-up, in order to minimize confounding variables of individual surgeon education style on outcome measures
- Participants who are primarily considering lumpectomy or oncoplastic reduction at the time of their visit
- Non-English speakers, as educational materials are currently available in English only
Учебный план
Как устроено исследование?
Детали дизайна
- Основная цель: Поддерживающая терапия
- Распределение: Рандомизированный
- Интервенционная модель: Параллельное назначение
- Маскировка: Нет (открытая этикетка)
Оружие и интервенции
Группа участников / Армия |
Вмешательство/лечение |
|---|---|
|
Экспериментальный: Written Educational Intervention
On the day of consultation prior to meeting with the plastic surgeon, participants will receive a 20-page illustrated brochure covering the full range of reconstructive options and be asked to complete surveys.
Following the appointment, a medical chart review will be conducted.
|
Participants will complete health related questionnaires.
Другие имена:
20-page illustrated brochure
Другие имена:
Participants may have data collected from the medical record.
Другие имена:
|
|
Экспериментальный: Video Educational Intervention
On the day of consultation prior to meeting with the plastic surgeon, participants will receive a five-module video series totaling approximately 20 minutes featuring the senior author and will be asked to complete surveys; expected to take no longer than 10 minutes to complete.
Following the appointment, a medical chart review will be conducted.
|
Participants will complete health related questionnaires.
Другие имена:
Participants may have data collected from the medical record.
Другие имена:
Five-module video series
Другие имена:
|
|
Экспериментальный: Combined Educational Intervention
On the day of consultation prior to meeting with the plastic surgeon, participants in the combined arm will receive both written and video materials and will be asked to complete surveys.
Following the appointment, a medical chart review will be conducted.
|
Participants will complete health related questionnaires.
Другие имена:
20-page illustrated brochure
Другие имена:
Participants may have data collected from the medical record.
Другие имена:
Five-module video series
Другие имена:
|
|
Другой: No Supplemental Education / Control Arm
On the day of consultation prior to meeting with the plastic surgeon, participants will be asked to complete surveys.
Following the appointment, a medical chart review will be conducted.
|
Participants will complete health related questionnaires.
Другие имена:
Participants may have data collected from the medical record.
Другие имена:
|
Что измеряет исследование?
Первичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
|
Mean scores on the Spielberger State-Trait Anxiety Inventory (STAI), State Form
Временное ограничение: 1 day, during appointment immediately prior to meeting with surgeon
|
STAI is a 20 items instrument for assessing trait anxiety and 20 for state anxiety for a total of 40 items.
State anxiety items include: "I am tense; I am worried" and "I feel calm; I feel secure."
Trait anxiety items include: "I worry too much over something that really doesn't matter" and "I am content; I am a steady person."
All items are rated on a 4-point scale (e.g., from "1=Almost Never" to 4="Almost Always") with a maximum score range of 40-160 when all 40 items are administered.
Higher scores indicate greater anxiety.
Participants will complete STAI at baseline and during clinic visit with surgeon.
Means, standard deviation, and group differences of the scores with confidence intervals will be reported.
|
1 day, during appointment immediately prior to meeting with surgeon
|
|
Mean scores on the Preparation for Decision Making (PrepDM) Scale -
Временное ограничение: 1 day, during appointment immediately prior to meeting with surgeon
|
The PrepDM is a validated 10-item tool that assesses a patient's perception of how well a decision aid or intervention, such as a decision aid, educational material, or clinical consultation, helps a patient feel prepared to make a health decision and discuss it with their practitioner.
It evaluates a patient's perceived readiness across several aspects of decision-making, including understanding available options, recognizing benefits and risks, clarifying personal values, and feeling confident about communicating with healthcare providers.
It uses a 5-point Likert scale (1=Not at all, 5=A great deal), with higher score reflecting greater perceived preparation for decision-making.
Participants will complete PrepDM at baseline and during clinic visit with surgeon.
Means, standard deviation, and group differences of the scores with confidence intervals will be reported.
|
1 day, during appointment immediately prior to meeting with surgeon
|
|
Mean scores on Reconstruction-Specific Knowledge Quiz
Временное ограничение: 1 day, during appointment immediately prior to meeting with surgeon
|
Reconstruction-specific knowledge quiz is a 7-item quiz.
It is an author-developed instrument assessing knowledge of the reconstructive options covered in the educational materials, including implant-based reconstruction, autologous reconstruction, Goldilocks reconstruction, and the option of going flat.
Participants will complete Reconstruction-Specific Knowledge Quiz at baseline and during clinic visit with surgeon.
Means, standard deviation, and group differences of the scores with confidence intervals will be reported.
|
1 day, during appointment immediately prior to meeting with surgeon
|
Соавторы и исследователи
Следователи
- Главный следователь: Merisa Piper, MD, University of California, San Francisco
Даты записи исследования
Изучение основных дат
Начало исследования (Действительный)
Первичное завершение (Оцененный)
Завершение исследования (Оцененный)
Даты регистрации исследования
Первый отправленный
Впервые представлено, что соответствует критериям контроля качества
Первый опубликованный (Действительный)
Обновления учебных записей
Последнее опубликованное обновление (Действительный)
Последнее отправленное обновление, отвечающее критериям контроля качества
Последняя проверка
Дополнительная информация
Термины, связанные с этим исследованием
Ключевые слова
Дополнительные соответствующие термины MeSH
- Поведение
- Приверженность и соблюдение режима лечения
- Поведение в отношении здоровья
- Соблюдение пациентом
- Принятие пациентом медицинской помощи
- Вмешательства приверженности
- Приверженность к лечению
- Санитарное просвещение
- Качество, доступ и оценка здравоохранения
- Следственные методы
- Эпидемиологические методы
- Сбор данных
- Механизмы оценки здравоохранения
- Качество здравоохранения
- Общественное здравоохранение
- Окружающая среда и общественное здравоохранение
- Обследования и анкеты
Другие идентификационные номера исследования
- 26754
- NCI-2026-03675 (Идентификатор реестра: NCI Clinical Trials Reporting Program (CTRP))
Планирование данных отдельных участников (IPD)
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Информация о лекарствах и устройствах, исследовательские документы
Изучает лекарственный продукт, регулируемый FDA США.
Изучает продукт устройства, регулируемый Управлением по санитарному надзору за качеством пищевых продуктов и медикаментов США.
Эта информация была получена непосредственно с веб-сайта clinicaltrials.gov без каких-либо изменений. Если у вас есть запросы на изменение, удаление или обновление сведений об исследовании, обращайтесь по адресу register@clinicaltrials.gov. Как только изменение будет реализовано на clinicaltrials.gov, оно будет автоматически обновлено и на нашем веб-сайте. .