Postoperative Care After Carpal Tunnel Release Using Short Educational Videos
NCT ID: NCT06647719
Last Updated: 2024-10-18
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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ACTIVE_NOT_RECRUITING
NA
84 participants
INTERVENTIONAL
2022-06-01
2024-12-31
Brief Summary
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Will patients in the video-based care program be more satisfied with their postoperative care? Will this approach reduce healthcare resource use and the burden on patients without increasing complication rates? Researchers will compare the video-based patient-directed care group to the standard in-person follow-up group to see if patient satisfaction and resource use differ while maintaining similar outcomes and complication rates.
Participants will:
Watch three short educational videos (\< 60 seconds each) on postoperative care. Schedule a suture removal appointment with a nurse at their convenience if needed.
Continue to have access to their provider through traditional methods such as phone, EMR, or urgent in-person visits.
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Detailed Description
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This study proposes an alternative postoperative care model for CTR patients that leverages short educational videos and allows patients to manage their recovery more independently. The experimental group in the study will receive three brief (\< 60 seconds each) educational videos after surgery. These videos will cover key aspects of postoperative care, including wound management and when to seek medical attention. Unlike the traditional model, patients in this group will not have scheduled in-person or virtual follow-up visits unless they require them. All patients in the experimental group will still have access to their healthcare provider through standard communication channels, such as:
Calling the office for advice or concerns. Sending secure messages through the electronic medical record (EMR) system. Attending urgent in-person visits if necessary. If nonabsorbable sutures are used during surgery, patients in the experimental group will schedule an appointment for suture removal with a nurse at their convenience, usually 10-14 days post-surgery.
The primary goal of the study is to determine whether this patient-directed care model, which utilizes educational videos, can improve patient satisfaction and reduce the use of healthcare resources without compromising care quality or increasing complication rates.
Specific Aim: The study aims to evaluate whether a patient-directed postoperative care program for CTR can:
Improve patient satisfaction. Reduce healthcare resource utilization. Lessen the burden of care (e.g., fewer missed workdays and less time spent on healthcare-related activities).
Maintain comparable patient-reported outcomes, complication rates, and the number of urgent visits as those observed in traditional in-person follow-up care.
Hypotheses:
Patients who receive the educational videos will report higher satisfaction with their care.
These patients will miss fewer days of work and spend less time on health-related activities.
The experimental group will consume fewer healthcare resources (e.g., fewer clinic visits).
Patient-reported outcomes, complication rates, and urgent visits will be similar between the experimental and standard in-person care groups.
Significance: The results of this study have the potential to transform and enhance postoperative care for patients undergoing CTR and other minor surgical procedures. By reducing the need for routine in-person visits, the proposed care model can help alleviate the burden on patients, particularly those from rural areas. Additionally, reducing clinic utilization for straightforward postoperative cases could increase the availability of clinic appointments for more complex cases, thereby improving overall healthcare system efficiency. This patient-directed model could also be expanded to other surgical and nonsurgical conditions, empowering patients to take a more active role in their recovery while maintaining high standards of care.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Standard of Care
In-person group will be followed with standard -of-care postoperative clinic visits with a hand \& upper extremity orthopaedic surgeon at Carilion Clinic Institute for Orthopaedics and Neurosciences at 2 weeks and 6 weeks from date of service.
No interventions assigned to this group
Video Management
Postoperative education will be provided with 3 short videos that will be accessible to patients on all social media platforms and through MyChart with no scheduled in person postoperative visits. Patients will have a one time visit with either nurse or orthopaedic technician for suture removal 10-14 days from surgery if the participant has nonabsorbable sutures placed during surgery.
Educational Videos
Subjects in the experimental group will be provided with 3 links to videos to be watched after CTR surgery. These videos will be available through YouTube, Twitter, Facebook, Instagram, TikTok, or MyChart. Videos will be available to watch multiple times at the subjects choice.
Interventions
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Educational Videos
Subjects in the experimental group will be provided with 3 links to videos to be watched after CTR surgery. These videos will be available through YouTube, Twitter, Facebook, Instagram, TikTok, or MyChart. Videos will be available to watch multiple times at the subjects choice.
Eligibility Criteria
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Inclusion Criteria
* Access to a smartphone, tablet, or computer to view educational videos
* Access to internet to download or view postoperative education videos
* Age 18 or older
Exclusion Criteria
* Worker's compensation status
* Revision procedures
* Patients unable to utilize technology to view videos or follow instructions
* Patients with no access to internet
* Inability to provide informed consent for the study
* Patients unable to speak English fluently
18 Years
ALL
No
Sponsors
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Virginia Tech Carilion School of Medicine and Research Institute
OTHER
Carilion Clinic
OTHER
Responsible Party
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Cesar J Bravo
Orthopedic Hand and Upper Extremity Surgeon
Principal Investigators
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Cesar Bravo, M.D.
Role: PRINCIPAL_INVESTIGATOR
Carilion Clinic
Locations
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Carilion Clinic Orthopaedic Surgery
Roanoke, Virginia, United States
Countries
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References
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Other Identifiers
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IRB-21-1469
Identifier Type: -
Identifier Source: org_study_id
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