Educational Video for Laparoscopic Hysterectomy

Not currently recruiting at 12 trial locations

Overseen By Yuelin Li, PhD

Age: 18+

Sex: Female

Trial Phase: Academic

Sponsor: Memorial Sloan Kettering Cancer Center

Disqualifiers: Not speak and read English

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 1

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether an educational video can help women recover faster after a minimally invasive hysterectomy (a surgery to remove the uterus using small cuts). The goal is to determine if the video can shorten hospital stays by easing patients' concerns about surgery and recovery. Women scheduled for this type of surgery, expected to leave the hospital within 23 hours, might be suitable candidates. Participants may receive standard care or standard care plus the video and will share their thoughts in surveys. As an unphased trial, this study offers participants the opportunity to contribute to innovative research that could enhance recovery experiences for future patients.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that this educational video is safe for patients undergoing laparoscopic hysterectomy?

Research shows that educational videos for laparoscopic hysterectomy are generally safe. No reports indicate negative effects from watching these videos. The goal is to help patients understand the procedure better and feel more at ease. Although studies have found that many online videos lack high educational quality, this does not affect their safety. The main concern is ensuring the video content is clear and useful. Overall, using videos as a learning tool poses no risk to patients undergoing surgery. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores how an educational video could enhance the standard pre-operative counseling for laparoscopic hysterectomy. Unlike traditional counseling, which relies solely on in-person discussions, the video provides a consistent, visual learning experience that patients can revisit as needed. This approach may improve patient understanding and comfort, potentially leading to better surgical outcomes and higher patient satisfaction. By adding an engaging and accessible educational tool, the trial aims to see if this method can make a significant difference in patient preparedness and recovery.

What evidence suggests that this educational video is effective for improving the perioperative experience for patients undergoing laparoscopic hysterectomy?

Research has shown that educational videos can significantly enhance patients' understanding of their medical procedures and increase their satisfaction. In this trial, participants will be randomized to receive either standard pre-operative counseling or standard counseling plus an educational video. One study found that patients who watched a video alongside standard counseling better understood the informed consent process for laparoscopic surgery. These videos help patients know what to expect before, during, and after surgery, making them feel more prepared. Although specific data on how these videos affect discharge timing for hysterectomy patients is lacking, better understanding and preparation might lead to quicker recoveries and earlier discharges. Overall, incorporating an educational video into pre-surgery care has improved patient experiences and outcomes. ^{1 3 6 7 8}

Who Is on the Research Team?

Elizabeth Jewell, MD

Principal Investigator

Memorial Sloan Kettering Cancer Center

Are You a Good Fit for This Trial?

This trial is for women aged 18 or older who are scheduled to have, or have had within the last month, a minimally invasive hysterectomy by a gynecologic oncologist. They should be candidates for rapid discharge post-surgery and must speak and read English.

Inclusion Criteria

I am considered suitable for the AXR program or will be discharged within 23 hours post-surgery.

I am scheduled for or have had a minimally invasive hysterectomy at MSK within the last month.

I am a woman aged 18 or older.

Exclusion Criteria

Not able to speak and read English.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Phase I

A sample of patients will complete a qualitative interview prior to or after surgery

Completed by 3/31/2021

1 visit (in-person or phone)

Phase II

Participants complete discrete-choice surveys to assess preferences and priorities

Ongoing

Phase III

Participants are randomized to receive usual care with or without an educational video

Ongoing

Follow-up

Participants are monitored for satisfaction and outcomes post-surgery

2 years

What Are the Treatments Tested in This Trial?

Interventions

• Educational video

Trial Overview The study aims to see if an educational video about what to expect before, during, and after surgery can help patients get discharged from the hospital sooner. It will also help create a questionnaire on patient experiences.

How Is the Trial Designed?

Group I: Usual care and usual care plus video Experimental Treatment 2 Interventions

Phase I (completed 3/31/2021): A sample of patients in phase I will complete a qualitative interview prior to or after surgery. Twenty-five evaluable patients (15 pre-operatively and a separate 10 post-operatively) will be selected to participate in an in-person/phone interview. Phase II: A separate group of women will compose phase II. All patients (N = 100) in phase II will complete discrete-choice surveys. Patients in phase III of the study will be randomized evenly to usual care plus video or usual care only. Phase III: One hundred participants will be randomized via CRDB to receive standard pre-operative counseling or standard pre-operative counseling with the additional of an educational video. Those randomized to view the video will also complete the post-video survey. All patients will complete the post-op survey.

Who Is Running the Clinical Trial?

Memorial Sloan Kettering Cancer Center

Lead Sponsor

Trials

1,998

Recruited

602,000+

Published Research Related to This Trial

A study involving 40 medical students found that using a low-cost simulated pelvic model for kinesthetic learning significantly reduced unnecessary movements during laparoscopic hysterectomy maneuvers, especially among first-year students.

While kinesthetic practice improved perceived preparedness for the procedure, the interactive video module alone was sufficient for learning the necessary skills, indicating that hands-on practice may be more beneficial for novice learners.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Interactive video module and simulated model for uterine manipulation during laparoscopic hysterectomy. Shafa, A., Cope, AG., Burnett, TL., et al.[2023]

The use of an interactive computer-based Laparoscopic Hysterectomy Trainer significantly improved the cognitive knowledge of laparoscopic hysterectomy among PGY 1 and 2 gynecology residents, with posttest scores showing a significant increase compared to the control group (p < 0.001).

In a multicenter study involving 128 residents, the intervention group scored an average of 343 on the posttest, while the control group scored 297, demonstrating the efficacy of the training tool in enhancing surgical knowledge.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A Randomized Multicenter Study Assessing the Educational Impact of a Computerized Interactive Hysterectomy Trainer on Gynecology Residents. Lichtman, AS., Parker, W., Goff, B., et al.[2019]

A study evaluating laparoscopic hysterectomy videos on YouTube found that the educational quality is low, highlighting the need for better peer-reviewed resources for surgical trainees, especially during the pandemic.

Using the LAP-VEGaS Video Assessment Tool, the study confirmed that YouTube videos do not conform well to established educational guidelines, indicating a gap in quality that could impact the training of future surgeons.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Evaluation of YouTube laparoscopic hysterectomy videos as educational materials during the COVID-19 era using the LAParoscopic surgery Video Educational GuidelineS (LAP-VEGaS) and LAP-VEGaS video assessment tool. Unal, F., Atakul, N., Turan, H., et al.[2022]

A surgical teaching video significantly improved junior residents' knowledge and confidence regarding pelvic anatomy, with knowledge scores increasing from 7.11 to 8.42 out of 10 (p=0.01).

However, the video did not lead to better surgical performance in laparoscopic salpingo-oophorectomy, as measured by OSATS and LSO-specific tool scores, indicating that while videos enhance theoretical understanding, they may not directly improve practical skills.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effect of a Surgical Teaching Video on Resident Performance of a Laparoscopic Salpingo-oophorectomy: A Randomized Controlled Trial. Norris, S., Papillon-Smith, J., Gagnon, LH., et al.[2021]

Self-guided learning through video-based self-assessment significantly improved surgical skills in laparoscopic hysterectomy for gynecology residents, as evidenced by higher OSATS scores in the self-assessment group compared to the control group after multiple practice sessions.

The study involved 24 gynecology residents who performed simulated laparoscopic hysterectomies, showing that structured self-assessment can be more effective than simply watching expert demonstrations in enhancing procedural skills.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Video-based self-assessment enhances laparoscopic skills on a virtual reality simulator: a randomized controlled trial. Netter, A., Schmitt, A., Agostini, A., et al.[2022]

A new low-cost method for recording laparoscopic surgery videos with synchronized audio was successfully tested in 209 cases, demonstrating its feasibility and safety without causing any disruption to the surgical team or procedures.

The study found no significant differences in operating times between surgeries recorded with this method and those without, indicating that the recording process does not negatively impact surgical efficiency.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A Novel Method for Real-Time Audio Recording With Intraoperative Video. Sugamoto, Y., Hamamoto, Y., Kimura, M., et al.[2015]

A systematic review of 20 studies found that using surgical videos in training significantly improved resident knowledge (100% improvement), operative performance (81.3% improvement), and participant satisfaction (100% improvement) compared to non-video training.

To enhance surgical education, it is recommended that training programs incorporate schematics, use audio, and supplement videos with other educational tools, while encouraging both preoperative and postoperative video reviews for residents.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The Utilization of Video Technology in Surgical Education: A Systematic Review. Green, JL., Suresh, V., Bittar, P., et al.[2019]

A systematic search identified 182 laparoscopic right hemicolectomy videos across 31 websites, showing a significant increase in video availability since 2009, which could enhance training for surgical trainees.

Despite the abundance of videos, only a small percentage provided critical safety data, such as operating time and 30-day morbidity, highlighting the need for better regulation and standardization in educational content for surgical training.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Training value of laparoscopic colorectal videos on the World Wide Web: a pilot study on the educational quality of laparoscopic right hemicolectomy videos. Celentano, V., Browning, M., Hitchins, C., et al.[2018]

The study analyzed the 150 most viewed YouTube videos on robotic myomectomy, finding that videos from medical groups were more informative and had been available longer than those from nonmedical sources.

Patients should focus on high-quality videos from medical professionals, as low-quality videos often have less engagement and may provide misleading information about robotic myomectomy.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Evaluation of the Quality and Influence of YouTube as a Source of Information on Robotic Myomectomy. Cho, HY., Park, SH.[2023]

A 6-minute educational video significantly improved laparoscopic suturing skills among 12 surgical candidates, with a 20% reduction in total median time to complete tasks after viewing the video (p = .009).

Specific tasks such as introducing a needle through a trocar, continuous suturing, and extracorporeal knot tying showed notable improvements in performance times, indicating the video's effectiveness in teaching these skills.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The efficacy of viewing an educational video as a method for the acquisition of basic laparoscopic suturing skills. Akl, MN., Giles, DL., Long, JB., et al.[2008]

WebSurg provided higher quality laparoscopic hysterectomy videos compared to YouTube, as indicated by better LAP-VEGaS scores in areas like patient positioning and intraoperative findings, with a total score of 13 versus YouTube's 10 (p = 0.001).

YouTube videos had a higher view/day ratio (8.8) but a lower like/view ratio (0.006) compared to WebSurg, suggesting that while they are more frequently viewed, they may not be as well-received or educationally valuable.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Comparison of laparoscopic hysterectomy videos on YouTube and WebSurg platforms in terms of educational reliability and quality. Aktoz, F., Tercan, C., Dagdeviren, E., et al.[2022]

Citations

1. pubmed.ncbi.nlm.nih.gov pubmed.ncbi.nlm.nih.gov/34704513/

Evaluation of YouTube laparoscopic hysterectomy videos ... Our study revealed the low educational quality of YouTube laparoscopic hysterectomy videos. The LAP-VEGaS VAT seems to be a valid and practical tool.

2. sciencedirect.com sciencedirect.com/science/article/abs/pii/S0301211524005323

The evaluation of surgical content in laparoscopic radical ... This study aimed to evaluate the quality of surgical content in laparoscopic radical hysterectomy (LRH) videos on YouTube.

3. sciencedirect.com sciencedirect.com/science/article/abs/pii/S155346502500175X

A Randomized Controlled Trial Evaluating the Use of a ... Our study demonstrates that the use of a supplementary multimedia video improves informed consent for patients planned to undergo a total laparoscopic ...

4. withpower.com withpower.com/trial/phase-6-2020-97508

Educational Video for Laparoscopic Hysterectomy Research shows that educational videos can help improve surgical skills, as seen in studies where videos enhanced the performance of medical trainees in similar ...

5. obgyn.onlinelibrary.wiley.com obgyn.onlinelibrary.wiley.com/doi/full/10.1002/ijgo.15490

Introducing surgical intelligence in gynecology: Automated ... The dataset for this study included 277 videos of laparoscopic hysterectomy procedures from five medical centers, which took place between ...

6. liebertpub.com liebertpub.com/doi/10.1089/gyn.2022.0129

Content Assessment of Surgical-Education Videos on ... This study assessed the content of online videos as educational supplements for gynecology trainees for total laparoscopic hysterectomy (TLH).

7. researchgate.net researchgate.net/publication/371682341_Analyzing_the_quality_and_reliability_of_educational_content_in_laparoscopic_hysterectomy_videos_on_Youtube

Analyzing the quality and reliability of educational content ... Conclusion: Only 20.1 % of laparoscopıc hysterectomy videos on YouTube are of good and excellent quality, indicating that a significant portion of videos ...

8. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC12560362/

The perioperative education time-out and its impact on ... We aimed to assess the impact of the ETO on patient safety outcomes during and after gynecologic surgery. Methods. From April to June 2022, we ...