Improving Patient Understanding of the Surgical Hospital Experience: Use of YouTube Video Playlist

NCT ID: NCT02546180

Last Updated: 2015-09-10

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 65 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2014-02-28
• Study Completion Date: 2014-05-31

Brief Summary

This prospective randomized pilot clinical trial studied the effect on preoperative anxiety of watching a series of YouTube videos designed to create a virtual hospital experience for patients undergoing primary total hip and knee arthroplasty as compared to routine preoperative education.

Hypothesis: Preoperative anxiety related to hip and knee replacement surgeries can be reduced by patient exposure to a virtual hospital inpatient experience delivered by a series of YouTube videos.

Detailed Description

As high patient anxiety prior to surgery has been linked to more severe and persistent pain after joint replacement surgery, the Orthopedic Surgery Department at Mayo Clinic in Florida created a playlist of 16 YouTube videos aimed at creating a virtual hospital experience for primary total hip and knee joint replacement patients. A pilot study was then performed to evaluate the potential impact of viewing this playlist on preoperative anxiety.

Methods: Each patient completed a Generalized Anxiety Disorder Score (GAD) assessment at the time of the routine preoperative clinic visit and were then randomized based on their gender, type of surgery, and initial GAD score to either the control group of standard education (education at face-to-face clinical visits as well as printed educational materials) or the treatment group of standard education plus access to the YouTube playlist. On the morning of the patient's surgery the same survey was repeated.

Conditions

Anxiety

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

YouTube Video Viewers

Subjects in this arm were randomized to viewing YouTube videos.

Group Type: EXPERIMENTAL

Viewing YouTube videos

Intervention Type: OTHER

The on-line patient education program will highlight postoperative care.

Standard Education

Subjects in this arm were randomized to standard preoperative education.

Group Type: ACTIVE_COMPARATOR

Standard preoperative education

Intervention Type: OTHER

Standard preoperative education will be provided by the surgeon, physician extender and paramedical staff in the clinic.

Interventions

Viewing YouTube videos

The on-line patient education program will highlight postoperative care.

Intervention Type: OTHER

Standard preoperative education

Standard preoperative education will be provided by the surgeon, physician extender and paramedical staff in the clinic.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients undergoing primary total hip or total knee arthroplasty at Mayo Clinic in Florida
• Patients must be able to give consent to the study
• Patients must agree to watch the videos prior to scheduled surgery
• Patients must agree to complete the questionnaire in the office and again prior to surgery on the day of surgery

Exclusion Criteria

• No internet access at home
• Visual or auditory conditions which limit a patient's ability to view the You Tube videos at home

• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Mayo Clinic

OTHER

Sponsor Role: lead

Responsible Party

Mary O'Connor

PI

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Mary O'Connor, MD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

References

O'Connor MI, Brennan K, Kazmerchak S, Pratt J. YouTube Videos to Create a "Virtual Hospital Experience" for Hip and Knee Replacement Patients to Decrease Preoperative Anxiety: A Randomized Trial. Interact J Med Res. 2016 Apr 18;5(2):e10. doi: 10.2196/ijmr.4295.

Reference Type: DERIVED

PMID: 27091674 (View on PubMed)

Other Identifiers

IRB # 14-000084

Identifier Type: -

Identifier Source: org_study_id