Breast Cancer
Conditions
Keywords
Pre-operative anxiety, Patient understanding, Breast reconstruction, DIEP flap
Brief summary
Patients will complete a survey before and after watching the WashU DIEP Flap Video at their pre-operative standard of care visit, and a third survey at their post-operative standard of care visit. These surveys will use questions from SILS, APAIS, PEMAT, and AIM/IAM to assess the patient's health literacy, demographics questions, and questions concerning patient understanding and anxiety surrounding the procedure. The purpose of the post-op survey will be to assess how well the video set expectations of the procedure and recovery process and will repeat questions asked pre-operatively. Survey responses will be analyzed to determine if there are beneficial trends and improvement in patient understanding and anxiety due to adjunct video usage. Primary Objective: The primary aim of the study is to determine if our animated video affects understanding and anxiety survey scores in patients undergoing DIEP breast reconstruction.
Interventions
OTHERWashU DIEP Flap Video
Video uses visual cues and graphics to help explain complex procedures in a simplified, comprehensible fashion to patients.
Sponsors
Washington University School of Medicine
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Scheduled to have DIEP-flap breast reconstruction at Barnes Jewish Hospital * Speak English * ≥ 18 years of age
Exclusion criteria
* Non-English speaking are excluded as the consent, questionnaires, and video are only available in English.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in understanding as measured by the Comprehension Assessment | Before video at pre-operative visit, after video at pre-operative visit, and at post-operative visit (estimated to be 3 months) | The pre-op, pre-video survey includes a 10-question comprehension assessment. The pre-op, post-video survey repeats the comprehension assessment. Scores of the comprehension assessment will be compared before and after video watching per patient to determine change in understanding due to the video. It will be scored on a 10-point scale based on correct answers with a higher score meaning greater understanding of the procedure. |
| Change in anxiety as measured by the Amsterdam Preoperative Anxiety and Information Scale (APAIS) | Before video at pre-operative visit, after video at pre-operative visit, and at post-operative visit (estimated to be 3 months) | Scores of the APAIS will be compared before and after video watching per patient to determine change in anxiety due to the video. Scoring of APAIS will be per the literature (6-30 with higher score meaning greater anxiety). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Appropriate expectation setting as measured by The Patient Education Materials Assessment Tool (PEMAT) | Before video at pre-operative visit and at post-operative visit (estimated to be 3 months) | Will be used to assess video quality. Validated scoring will be used (0-12 with higher score meaning better quality). |
| Appropriate expectation setting as measured by the Acceptability of Intervention Measure (AIM) | At post-operative visit (estimated to be at 3 months) | Validated survey which will be used per published scoring guidelines (8-40 with higher score meaning greater acceptability. |
| Appropriate expectation setting as measured by the Intervention Appropriateness Measure (IAM) | At post-operative visit (estimated to be at 3 months) | Validated survey which will be used per published scoring guidelines (8-40 with higher score meaning greater appropriateness. |
Countries
United States
Contacts
Primary ContactJustin M Sacks, M.D., MBA, FACS
Outcome results
None listed