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The effect of an internet based patient education on informed consent for elective orthopaedic surgery: A randomized controlled trial

The effect of an internet based patient education on knowledge, satisfaction and anxiety relating to informed consent in patients for elective orthopaedic procedures.

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12614001058662
Enrollment
200
Registered
2014-10-03
Start date
2013-09-13
Completion date
2014-05-31
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The research question Does exposing patients to a website containing accurate, free and easily accessible information related to the operation to be performed as part of the consent process improve the informed consent attained? This will be measured by accessing 3 end points: comprehension satisfaction anxiety Hypothesis: The use of the Orthoanswer website, as an adjunct to standard consent procedures, significantly improves the satisfaction and comprehension of informed consent whilst decreasing anxiety levels concerning the operation.

Interventions

Both control and intervention arms received the standard consent discussion as carried out by their treating surgeon. The experiment arm were facilitated to read the relevant section of the website, after having spoken to their surgeon about their planned operation. They were then directed to complete surveys relating to the outcome measures of this study. The orthopaedic units’ website (www.orthoanswer.org) was utilised as the patient education tool. The website was built employing best pract

Both control and intervention arms received the standard consent discussion as carried out by their treating surgeon. The experiment arm were facilitated to read the relevant section of the website, after having spoken to their surgeon about their planned operation. They were then directed to complete surveys relating to the outcome measures of this study. The orthopaedic units’ website (www.orthoanswer.org) was utilised as the patient education tool. The website was built employing best practice principles for design of medical education websites. It is written at a basic English reading level catering for patients with a reading level of grade 5 or above. It is designed as a walkthrough overview of each procedure along the lines of diagnosis and indications for surgery, complications, pre-operative, intra-operative and post operative care. It has been formulated with multidisciplinary input taking 3 years to design and implement. The website takes approximately 10 - 15 mins to read the relevant section.

Sponsors

Dr Andrew Fraval
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to 90 Years
Healthy volunteers
No

Inclusion criteria

All patients that were booked for five common orthopaedic procedures were eligible to participate in the trial. The operations included were total knee arthroplasty, total hip arthroplasty, knee arthroscopy, shoulder arthroscopy and ACL reconstruction.

Exclusion criteria

Patients with an English reading level of grade 5 or below were excluded from participating. A patient’s reading level was assessed using the Rapid Estimate of Adult Literacy in Medicine (REALM) screening tool

Outcome results

None listed

Source: ANZCTR · Data processed: Mar 18, 2026