Effectiveness of Audiovisual Versus Written Postoperative Instructions for Patients Undergoing Minor Hand Procedures

NCT ID: NCT06582550

Last Updated: 2024-09-03

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 120 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-09-19
• Study Completion Date: 2026-01-02

Brief Summary

The utility and effectiveness of video-based instructions (VBI) versus standard written instructions was not previously investigated in hand surgery; thus, the objective of this study is to evaluate the effectiveness of audiovisual instruction as compared to regular verbal instructions given to patients undergoing common hand procedures, including instruction recall and compliance, patient education, patient satisfaction with the information given, patient satisfaction with operative experience.

Detailed Description

Outcomes of hand surgery are greatly dependent on factors outside the operating theater as well. These include patient compliance to preoperative instructions that consist of proper surgical site care, proper positioning, and following occupational therapy protocols. Previous studies have shown that video-based information provide greater patient satisfaction than verbal instructions. Visual information was also reported to decrease patient anxiety regarding the procedure and increases patient education in terms of procedure risks and benefits(1-5). The utility and effectiveness of video-based instructions (VBI) versus standard written instructions was not previously investigated in hand surgery; thus, the objective of this study is to evaluate the effectiveness of audiovisual instruction as compared to regular verbal instructions given to patients undergoing common hand procedures, including instruction recall and compliance, patient education, patient satisfaction with the information given, patient satisfaction with operative experience. The secondary objective is to evaluate if VBI result in better outcomes than standard written instructions.

Conditions

Carpal Tunnel Syndrome; Hand Cyst Ganglion; Trigger Finger

Study Design

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

Study Groups

Audiovisual Instruction Group

Patients who require a hand surgery presenting to the clinic will be divided randomly; each participant is assigned by opening a prepared envelope with a dedicated group randomly, if the patient is assigned to group 1, they will receive standard printed instructions regarding their expected postoperative care, but if the patient is assigned to group 2, they will be provided with a barcode to scan to view audiovisual instructions regarding their post-operative course

Group Type: EXPERIMENTAL

Minor Hand Procedure

Intervention Type: PROCEDURE

Unilateral minor hand procedure (carpal tunnel release, trigger finger A1 pulley release, lesion excision)

Written Instruction Group

Patients who require a hand surgery presenting to the clinic will be divided randomly; each participant is assigned by opening a prepared envelope with a dedicated group randomly, if the patient is assigned to group 1, they will receive standard printed instructions regarding their expected postoperative care, but if the patient is assigned to group 2, they will be provided with a barcode to scan to view audiovisual instructions regarding their post-operative course

Group Type: ACTIVE_COMPARATOR

Minor Hand Procedure

Intervention Type: PROCEDURE

Unilateral minor hand procedure (carpal tunnel release, trigger finger A1 pulley release, lesion excision)

Interventions

Minor Hand Procedure

Unilateral minor hand procedure (carpal tunnel release, trigger finger A1 pulley release, lesion excision)

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

Please ensure that ALL items below are satisfied to be included in the study.

• Patient undergoing hand and/or upper extremity surgery with Dr. Thibaudeau
• Patient ≥ 18 years old
• Patient who comprehends instructions provided in English and/or French
• Patient who can navigate the internet to complete an online post-operative questionnaire

Exclusion Criteria

Please ensure that NONE of the following items are selected to be included in the study.

• Patient presenting with intra-articular, open, or pathological fractures
• Patient presenting with associated tendon or nerve injuries
• Patient receiving definitive surgery ≥21 days after injury
• Patient with previous surgeries/deformity in the hand
• Patient with pre-existing severe joint disease (rheumatoid arthritis, finger joint stiffness, or non-union)
• Patient with medical contraindications to surgery
• Patient who is unable to comply with rehabilitation
• Patient who is unwilling to be followed up
• Patient with dementia
• Patient with significant mental illness
• Patient who is unable to provide informed consent

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

McGill University Health Centre/Research Institute of the McGill University Health Centre

OTHER

Sponsor Role: lead

Responsible Party

Stephanie Thibaudeau

Assistant Professor of Plastic Surgery

Responsibility Role: PRINCIPAL_INVESTIGATOR

Central Contacts

Rawan ElAbd, MD MSc

Role: CONTACT

plastic.surgery@muhc.mcgill.ca

514-934-8025

Other Identifiers

2025-10990

Identifier Type: -

Identifier Source: org_study_id