Education of Patients, Thyroid Cancer, Thyroid Nodule, TSH
Conditions
Brief summary
The researchers aim to evaluate the performance of two groups of participants after receiving traditional education-one group supplemented with video-based education and the other without. This study will explore the feasibility of using guideline-based public education videos on postoperative TSH suppression therapy for differentiated thyroid cancer in the context of public education regarding thyroid surgery.
Interventions
OTHERThyroid Surgery Educational Video
Accepting educational video on postoperative TSH suppression therapy for differentiated thyroid cancer created by researchers based on guidelines
Sponsors
West China Hospital
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Intervention model description
Accepting educational videos on thyroid health produced by researchers in accordance with guidelines
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients scheduled for thyroid surgery, aged between 18 and 60 years old
Exclusion criteria
* Unable to read and write, pregnant, or with a history of thyroid surgery; * suffering from other malignant tumors or mental disorders; * unable to complete the questionnaire independently or requiring assistance from others.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| TSH Compliance Rate | Postoperative Month 1, Postoperative Month 3, Postoperative Month 6, and Postoperative Month 12 | The criteria for determining the TSH target achievement rate are based on a combination of three factors: the patient's postoperative recurrence risk stratification, the follow-up time point, and the current TSH test result. Within one year postoperatively, the TSH suppression targets are \< 0.1 mU/L for the high-risk group, 0.1-0.5 mU/L for the moderate-risk group, and 0.1-0.5 mU/L (low Tg) or 0.5-2 mU/L (undetectable Tg, lobectomy) for the low-risk group. In statistical analysis, the TSH target range attainment rate = (number of patients with TSH levels within the target range at each follow-up time point / total number of patients followed up at that time point) × 100% |
| Patient satisfaction | Immediately after the educational presentation (post-intervention) | Patient satisfaction following different educational approaches was assessed using a 5-point Likert scale (1-5 scale; the higher the score, the higher the satisfaction). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Level of knowledge dissemination | Postoperative Month 1, Postoperative Month 3, Postoperative Month 6, and Postoperative Month 12 | Knowledge assessment consists of 6 multiple-choice questions, 2 true/false questions, and 2 fill-in-the-blank questions to evaluate patients' understanding and awareness of educational topic. |
| Patient anxiety level | Baseline (before the educational outreach) and immediately after the educational outreach; two assessments total | Anxiety scale, thereby assessing the patient's level of anxiety. A 5-point Likert scale was used, with each item scored on a scale of 1 to 5, ranging from "not at all" to "very severe." |
| Patient's Level of Regret After Surgery | Baseline (before the educational outreach) and immediately after the educational outreach | Regret Scale, thereby recording the patient's degree of postoperative regret. 1. This was the right decision. 2\. I regret making this choice. 3. If I had the chance to do it over, I would make the same choice. 4. This choice caused me a lot of pain. 5. This was a wise decision. A 5-point Likert scale was used, with each item scored on a scale of 1 to 5; the lower the score, the less regret the respondent felt. |
| Incidence of adverse events in patients | Postoperative Month 1, Postoperative Month 3, and Postoperative Month 6 | Whether the patient has forgotten to take medication or mistakenly recorded the follow-up appointment time, etc. |
Outcome results
None listed