Cognitive, Dementia
Conditions
Keywords
Educational Program, Cognitive Impairment, Postoperative Delirium
Brief summary
Addressing brain health and cognitive impairment (CI) in the aging population is important, especially in those undergoing surgery. While certain adverse outcomes are beyond control due to various factors, some may be preventable, such as delirium. It is crucial for patients and their families to be fully aware of the heightened risks associated with CI. By discussing the implications for individuals and their families, patients can make informed decisions about their health. Additionally, patients can be better prepared for their post-operative care and informed about post-operative complications. Education is a practical and viable solution to promote awareness and empower individuals to manage their cognitive health, especially in the context of surgery. Also, it can act as an early intervention. Thus, there is a need to proactively educate older adults about brain health. The objective of the Web-Based Brain Health Education Study is to determine the impact of preoperative education on the knowledge of cognitive health of older surgical patients. Specifically, our study will examine the changes in knowledge scores after patients participate in a web-based education program on promoting brain health during their surgical journey. We hypothesize that a web-based education program will increase patient knowledge and empower them proactively about their brain health during the surgical journey.
Detailed description
The primary objective of this study is to determine the impact of a web-based educational program in promoting brain health in older surgical patients by changes in their knowledge score after education. For the secondary objectives, we aim to 1) determine participant satisfaction with the educational program, and 2) gain insights regarding perceived benefits and drawbacks of the brain health program. This multicenter study will target older patients from pre-admission clinics at Toronto Western (TWH) and Mount Sinai Hospitals (MSH). Written informed consent to participate in the study will be obtained from all patients in person during the visit. In a pre-operative assessment 1-30 days prior to their scheduled surgery, patients will be asked to participate in our web-based educational program. The program will be delivered on a research laptop/iPad/ paper version at the clinic. The entire program, including pre- and post-education questionnaires and satisfaction survey should take about 20 minutes to complete.
Interventions
BEHAVIORALWeb based education program
In a pre-operative assessment, 1-30 days prior to their scheduled surgery, patients will be asked to participate in our web-based educational program. The content of our e-module included: introduction to brain health, surgery, and delirium, causes and risk factors, modifiable risk factors, and delirium prevention. The program will be delivered on a research laptop/iPad at the clinic. The entire program, including pre- and post-education questionnaires and satisfaction survey should take about 20 minutes to complete.
Sponsors
University Health Network, Toronto
Mount Sinai Hospital, Canada
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
Single Group Assignment In a pre-operative assessment 1-30 days prior to their scheduled surgery, patients will be asked to participate in our web-based educational program. The program will be delivered on a research laptop/iPad at the clinic. The entire program, including pre- and post-education questionnaires and satisfaction survey should take about 20 minutes to complete.
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients ≥60 years old * undergoing elective non-cardiac surgery * competent to provide informed consent in English and * possess some computer skills
Exclusion criteria
* previous major neurocognitive disorder * uncontrolled psychiatric disorders * hearing and/or vision impairment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in knowledge scores | At pre-surgery | A knowledge questionnaire was developed to assess patient's knowledge of brain health during their surgical journey based on our education e-module. Our questionnaire contains 20 True/False questions. Each correct answer is worth one point, giving a minimum value/score of 0 and maximum value/score of 20. Higher values/scores indicate greater knowledge of brain health. The pre- and post-education questionnaires are identical. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Participant satisfaction | At pre-surgery | Participants will be asked to rate their level of satisfaction with the educational program. |
Countries
Canada
Contacts
PRINCIPAL_INVESTIGATORFrances Chung, MBBS, FRCPC
University Health Network, Toronto
Outcome results
None listed