Anesthesia, Informed Consent, Patient Education, Preoperative Anxiety
Conditions
Keywords
QR Code, Video-Supported Education, Amsterdam Preoperative Anxiety and Information Scale, APAIS, Anesthesia Information, Patient Satisfaction, Informed Consent, Randomized Controlled Trial, Digital Health, Preoperative Anxiety
Brief summary
This study aims to evaluate the effects of QR code-based video-supported anesthesia information on preoperative anxiety, comprehensibility of information, and patient satisfaction in adult patients undergoing elective surgery. Participants will be randomly assigned in a 1:1 ratio to either a control group receiving standard written informed consent and routine verbal anesthesia information or an intervention group receiving the same standard information plus a standardized video-based educational intervention accessed through a QR code. The primary outcome is the change in the Amsterdam Preoperative Anxiety and Information Scale (APAIS) anxiety score before and after the information process. Secondary outcomes include comprehensibility of information and patient satisfaction assessed using a structured Likert-type questionnaire. The findings may contribute to the standardization of patient information processes in anesthesia outpatient clinics through a low-cost and easily implementable digital educational approach.
Detailed description
Informed consent and preoperative patient education are essential components of perioperative care. However, written consent forms may be difficult for some patients to understand because of technical language, limited consultation time, and variability in verbal explanations. Digital educational tools may provide standardized and more comprehensible information before surgery. This single-center, prospective, parallel-group randomized controlled trial will evaluate whether QR code-based video-supported anesthesia information improves preoperative patient education compared with standard written informed consent and routine verbal anesthesia information. Adult patients scheduled for elective surgery will be randomized in a 1:1 ratio to either standard information alone or standard information plus access to a standardized educational video via QR code. The video-supported intervention is designed to provide clear visual and auditory information about the anesthesia process, preparation before surgery, perioperative care, potential complications, common temporary side effects, patient rights, and the importance of informed consent. The study will assess whether this approach reduces preoperative anxiety and improves patients' understanding of anesthesia-related information and satisfaction with the information process.
Interventions
BEHAVIORALQR Code-Based Video-Supported Anesthesia Information
Participants receive standard written informed consent and routine verbal anesthesia information plus a standardized QR code-based video-supported educational intervention. The video includes information regarding anesthesia types, fasting requirements, perioperative preparation, potential complications, common side effects, patient rights, and informed consent.
Sponsors
Elazıg Fethi Sekin Sehir Hastanesi
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Masking description
This is an open-label study. Participants and investigators are aware of group assignment because the intervention consists of a visible QR code-based video education program in addition to standard anesthesia information.
Intervention model description
Participants will be randomized in a 1:1 ratio to either a control group receiving standard written informed consent and routine verbal anesthesia information or an intervention group receiving standard information plus QR code-based video-supported anesthesia education.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age 18 years or older * Scheduled for elective surgery * Evaluated in the anesthesia outpatient clinic * Able to understand the study information and questionnaires * Able to provide written informed consent
Exclusion criteria
* Emergency surgery * Impaired consciousness * Advanced dementia * Severe psychiatric illness * Severe visual, hearing, or cognitive impairment * Inability to understand the digital educational content * Refusal to participate * Inability to read or understand Turkish
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in APAIS Anxiety Score | Immediately before and immediately after completion of the information process (same study visit) | Change in the Amsterdam Preoperative Anxiety and Information Scale (APAIS) anxiety subscale score from before the information process (T1) to after completion of the information process (T2). The APAIS anxiety subscale ranges from 4 to 20, with higher scores indicating greater preoperative anxiety. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Information Comprehensibility Score | Immediately after completion of the information process | Comprehensibility of anesthesia information assessed using a structured 10-item Likert-type questionnaire. Total scores range from 10 to 50, with higher scores indicating better understanding and comprehensibility of the information provided. |
| Patient Satisfaction Score | Immediately after completion of the information process | Patient satisfaction with the anesthesia information process assessed using a structured 10-item Likert-type questionnaire. Total scores range from 10 to 50, with higher scores indicating greater satisfaction with the information process. |
Countries
Turkey (Türkiye)
Contacts
PRINCIPAL_INVESTIGATORSevim Şenol Karataş
Elazıg Fethi Sekin Sehir Hastanesi
Outcome results
None listed