Anxiety, Surgery
Conditions
Brief summary
To determine if in-office pre-operative consultation has a significant effect on the anxiety level and overall post-operative satisfaction of patients undergoing first time Mohs surgery
Detailed description
This study is designed to determine if having a seperate in-office pre-operative consultation with the dermatologist before having a dermatologic procedure has any effect on patient anxiety levels and satisfaction following the procedure. The goal of the study is to help us understand if pre-operative consultation is beneficial to patients to reduce anxiety and increase satisfaction following the procedure.
Interventions
BEHAVIORALPre-operative Consultation
Pre-operative consultation will be given before Mohs surgery
Sponsors
University of California, Davis
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Adults 18 years old or older * Able to provide consent for participation * Fluency in English * Presenting for first-time Mohs surgery for treatment of a cutaneous malignancy
Exclusion criteria
* • Patients under 18 years old * Prisoners * Patients unable to provide consent * History of prior Mohs surgery * Patients requiring multi-disciplinary care (i.e. Involvement of other surgical specialties such as Plastic Surgery or Ophthalmology for reconstruction)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The score on the PSQ-18 survey following the Mohs procedure | 2 years | The PSQ-18 (aka patient satisfaction questionaire-18) is a validated assessment tool developed to measure holistic patient satisfaction with the aspects of clinical care (assessing six domains of patient satisfaction: technical quality, interpersonal manner, communication, financial aspects of care, accessibility of care and time spent with the physician), and by virtue of its brevity (18 questions taking an average of 3-4 minutes to complete) has great utility for measuring patient satisfaction in the clinical setting. Each question ranges from 1-5. Lower scores are better. The primary null hypothesis for this study is that mean PSQ-18 survey scores do not differ between patients receiving pre-operative consultation versus those not receiving this intervention. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient anxiety as measured on the 10-point VAS scale for anxiety | 2 years | The VAS is a horizontal line with a scale ranging from no anxiety at all to extremely anxious. By measuring the position of the patient's response on the line, a score out of 10 will be generated. The VAS for anxiety will be administered to enrolled patients at three time points: randomization (consent visit), pre-operatively on day of Mohs surgery and post-operatively on the day of the Mohs surgical procedure. |
Countries
United States
Outcome results
None listed