Lung Cancer Patients
Conditions
Keywords
Shared decision making, Patient education, Augmented reality
Brief summary
This randomized clinical trial evaluates the effectiveness of Mobile Augmented Reality (MAR) counseling compared to traditional verbal counseling for patients undergoing thoracic surgery. MAR counseling integrates patient-specific 3D anatomical models to enhance understanding of surgical procedures and risks. The study assesses patient and caregiver satisfaction, decision-making confidence, and communication quality. Health care providers' perspectives on the counseling methods are also examined. Participants will be assigned to one of the two counseling groups and asked to complete a questionnaire immediately after the counseling session.
Interventions
BEHAVIORALTraditional Counseling → MAR Counseling
A single session begins with mobile augmented-reality counseling using interactive 3D models, followed by a standard verbal counseling with printed diagrams and CT images.
BEHAVIORALMAR Counseling → Traditional Counseling
A single session begins with mobile augmented-reality counseling using interactive 3D models, followed by a standard verbal counseling with printed diagrams and CT images.
Sponsors
Tri-Service General Hospital
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
This study employs a 2-period, 2-sequence crossover design in which all participants receive both interventions (traditional counseling and mobile augmented reality \[MAR\] counseling) in different sequences. Participants are randomly assigned to either the traditional-then-MAR group (T-M group) or the MAR-then-traditional group (M-T group). This design allows within-subject comparison of counseling effectiveness, minimizing individual variability.
Eligibility
Sex/Gender
ALL
Age
20 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Adults aged 20 years and older * Scheduled for elective thoracic surgery * Able to understand written and spoken Mandarin * Willing and able to provide informed consent * Capable of completing questionnaires independently or with minimal assistance
Exclusion criteria
* Emergency surgery cases * Severe cognitive impairment or psychiatric illness interfering with participation * Visual or hearing impairments that prevent interaction with mobile devices * Previous participation in a similar counseling trial * Inability to complete follow-up procedures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Shared decision-making score | Immediately after counseling session (single timepoint) | Shared decision-making was evaluated using a validated questionnaire assessing patient perceptions of decision support, preparedness, and engagement. The total score ranges from 0 to 50, with higher scores indicating better shared decision-making. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient counseling preference | Immediately after both counseling sessions | Participants indicated their preference for either traditional counseling or MAR-based counseling after experiencing both, using a structured post-intervention questionnaire. The results were reported as percentages per group. |
Countries
Taiwan
Outcome results
None listed