Patient Engagement
Conditions
Keywords
Patient Preparedness, Total Laparoscopic Hysterectomy, Pre-operative Education, Virtual Visits/Counseling
Brief summary
Compare preparedness for total laparoscopic hysterectomies between patients who undergo virtual visits and those who undergo in-office visits for pre-operative counseling.
Detailed description
The proposed research study looks to evaluate the effectiveness of combination of video counseling and virtual visits for pre-operative counseling as compared to in-office pre-operative counseling visits ahead of total laparoscopic hysterectomy surgery. Comparison of the two cohorts will be based on responses to surveys regarding patient preparedness on the day of surgery and information obtained from the electronic medical record.
Interventions
OTHERCombination of Video and Virtual Pre-operative Counseling
Intervention will be a pre-operative counseling video followed by a virtual visit with a gynecologic surgery provider, using standard and secure communications.
Sponsors
The Cleveland Clinic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Patients undergoing a laparoscopic hysterectomy for benign gynecologic etiologies with Drs. Arnolds, Frazzini Padilla, or Sprague at Cleveland Clinic Florida Section of Minimally Invasive Gynecologic Surgery will be recruited at the visit where decision is made to proceed with surgery. Enrolled subjects will be randomized using a computer generator into either the control group or the study group. Subjects will be notified of which group they have been selected to at the time of scheduling for their pre-operative visit. The control group will undergo standard in-office pre-operative counseling visit. The study group will receive pre-operative counseling via video followed by a virtual visit with a gynecologic surgery provider, using standard and secure communications that are currently approved by Cleveland Clinic. The link to the video and instructions for the virtual visit will be sent to the subject either via email and/or through a message on the electronic medical record platform.
Eligibility
Sex/Gender
FEMALE
Age
20 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patient undergoing laparoscopic hysterectomy for benign gynecologic etiologies. * Age of 20 years or older * Understand English language (written and spoken) without difficulty
Exclusion criteria
* Age less than 20 years old * Diagnosis of malignancy * No access to technology that would allow for watching counseling video and/or completion of virtual visit
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Differences in patient preparedness | Up to time of surgery | Assess differences in patient preparedness at the time of the surgery between patients who received video and virtual pre-operative counseling versus those who received in-person counseling. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Unplanned office or emergency department visit | Up to 6 weeks after surgery | Observe how many patients from each cohort require an unplanned visit to the office or visit to the emergency department. |
| Same-day discharge versus admission rates | Up to 1 day after surgery | Note differences in same-day discharges or admission rates following surgery between each cohort |
| Readmission rates | Up to 6 weeks after surgery | Record differences in readmission rates in the 6 week post-operative period between each cohort. |
Countries
United States
Outcome results
None listed