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Animated Video Education for Retinal Surgery

Multilingual Animated Video Education for Retinal Detachment Surgery: A Randomized Controlled Trial

Status
Not yet recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07184255
Enrollment
600
Registered
2025-09-19
Start date
2026-01-01
Completion date
2026-12-31
Last updated
2025-09-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Retinal Detachment

Keywords

Retinal Detachment, Patient Education, Multilingual Video Intervention, Health Literacy, Eye surgery, Knowledge translation

Brief summary

Retinal detachment is a vision-threatening condition that requires urgent surgical repair. Understanding the condition, the surgery, and post-operative instructions is difficult for many patients, particularly in multilingual and multicultural populations. This study will evaluate whether short, animated educational videos, available in 25 languages and designed with accessibility features for patients with low vision, improve patient knowledge, reduce anxiety, and support adherence to post-operative instructions when added to standard counselling. Patients will be randomized to standard counselling alone versus counselling plus video in their preferred language. Outcomes will be measured with validated questionnaires at baseline, immediately after counselling, and one week post-surgery.

Detailed description

Retinal detachment is a surgical emergency that can result in irreversible vision loss if untreated. Surgical options include pneumatic retinopexy, pars plana vitrectomy, and scleral buckle. Successful outcomes depend not only on timely surgery but also on patient understanding of their condition, the procedure, and critical post-operative instructions, especially positioning requirements. Traditional verbal counselling can be difficult for patients to absorb, particularly in multicultural populations where language barriers and variable health literacy are common. This trial will evaluate a multilingual, animated educational video intervention designed to address these challenges. Each video is five minutes in length and includes simplified explanations of retinal detachment, key surgical steps, and post-operative positioning. Accessibility features such as high-contrast visuals, bold graphics, and audio narration allow use by patients with varying levels of vision and literacy. The videos are available in 25 languages, selected to reflect the most commonly spoken languages in Canada and globally. Participants will be randomized to receive either standard counselling alone or counselling plus video in their preferred language. Outcomes include knowledge acquisition, anxiety reduction, and adherence to positioning instructions, measured with validated questionnaires. Findings will inform scalable strategies to improve patient education, promote equity in ophthalmic care, and reduce preventable complications.

Interventions

OTHERPatient Education Video Intervention

Animated video with high-contrast visuals and audio narration in the patient's preferred language, covering diagnosis, surgical steps, and post-operative positioning.

Sponsors

University of Toronto
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Caregiver, Outcomes Assessor)

Intervention model description

Parallel Assignment, 1:1 randomization, stratified by surgical procedure (PnR, PPV, SB) and language proficiency (English vs non-English).

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

Inclusion criteria

* Adults ≥18 years. * Diagnosis of primary rhegmatogenous retinal detachment. * Planned repair with pneumatic retinopexy (PnR), pars plana vitrectomy (PPV), or scleral buckle (SB). * Able to provide informed consent. * Preferred language available among study videos.

Exclusion criteria

* Repeat retinal detachment surgery in study eye. * Combined complex procedures (e.g., PPV + corneal transplant). * Severe cognitive impairment precluding consent. * Hearing impairment preventing use of audio track (without aid).

Design outcomes

Primary

MeasureTime frameDescription
Knowledge1 weekChange in knowledge score (0-10 scale) from baseline (pre-surgery) to post-intervention and procedure.

Secondary

MeasureTime frameDescription
Anxiety1 weekChange in anxiety score (0-10 visual analog scale) from baseline to post-intervention and 1 week post-surgery.
Understanding1 weekChange in self-reported understanding and self-efficacy (0-10 scale).
Adherence1 weekAdherence to post-operative positioning (self-reported hours/day, categorical scale) at 1 week.
Patient Satisfaction1 weekPatient satisfaction with information received (Likert 5-point scale) at 1 week

Countries

Canada

Contacts

Primary ContactTina Felfeli, MD, PhD
tina.felfeli@mail.utoronto.ca(416) 603-5418

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026