Educational Video for Pre-Operative Anxiety

Overseen By Rachel C Hill, BS

Age: 18+

Sex: Any

Trial Phase: Academic

Sponsor: Weill Medical College of Cornell University

Disqualifiers: Age less than 18

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

Compensation: Varies

Number of Visits: 2

30 Participants Needed

Trial Summary

Do I have to stop taking my current medications for this trial?

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

What data supports the effectiveness of the treatment Educational Nail Biopsy Video for reducing pre-operative anxiety?

Research shows that educational videos can help reduce anxiety before medical procedures. Studies on similar treatments, like videos for oral biopsies and other surgeries, have found that they improve understanding and lower stress levels. ^{1 2 3 4 5}

Is it safe to use educational videos to reduce pre-operative anxiety?

Research shows that using educational videos before medical procedures is generally safe and can help reduce anxiety and improve patient understanding. These videos have been used in various procedures like skin, liver, and oral biopsies without any reported safety concerns. ^{1 6 7 8 9}

How does the Educational Nail Biopsy Video treatment differ from other treatments for pre-operative anxiety?

The Educational Nail Biopsy Video treatment is unique because it uses an educational video to help reduce anxiety before surgery. Unlike other treatments that might involve medication or counseling, this approach provides patients with information about the procedure in a visual format, which has been shown to improve understanding and decrease anxiety. ^{1 8 10 11 12}

What is the purpose of this trial?

The investigators are interested in studying the effect of an animated video depicting a nail biopsy procedure on the anxiety, health literacy, and satisfaction of participants recommended to undergo a nail biopsy procedure. The investigators hypothesize that the animated video will reduce preoperative anxiety, increase health literacy, and increase patient satisfaction in relation to nail biopsy procedures.

Research Team

Shari Lipner, MD,PhD

Principal Investigator

Weill Cornell Medicine, Department of Dermatology

Eligibility Criteria

This trial is for patients recommended to undergo a nail biopsy procedure at a specialty nail clinic. It's open to adults over the age of 18.

Inclusion Criteria

I am advised to get a nail biopsy in the specialty clinic.

Exclusion Criteria

I am under 18 years old.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Pre-operative Consultation

Participants receive verbal information about the procedure and pre-operative handouts. The intervention group also watches an educational video.

1 day

1 visit (in-person)

Post-operative Follow-up

Participants complete surveys on anxiety, health literacy, and satisfaction immediately following the nail biopsy consultation.

Immediately following consultation

1 visit (in-person)

Treatment Details

Interventions

• Educational Nail Biopsy Video

Trial Overview The study is testing whether an animated educational video about the nail biopsy process can help reduce anxiety, improve understanding of the procedure (health literacy), and increase patient satisfaction.

Participant Groups

Group I: Educational Video Group Experimental Treatment 1 Intervention

Group A (intervention group), which will be shown an educational video about the nail biopsy procedure in addition to standard of care, which includes verbal information about the procedure and pre-operative and post-operative handouts with instructions provided via quick-response (QR) code.

Group II: Standard of Care Group Active Control 1 Intervention

Standard of care only, which includes verbal information about the procedure and pre-operative and post-operative handouts with instructions provided via quick-response (QR) code.

Who Is Running the Clinical Trial?

Weill Medical College of Cornell University

Lead Sponsor

Trials

1,103

Recruited

1,157,000+

Findings from Research

In a study of 120 patients undergoing oral biopsy, those who received information via video experienced significantly lower anxiety levels compared to those who received standard verbal information, as measured by the Modified Dental Anxiety Scale (MDAS) and the State-Trait Anxiety Inventory (STAI).

The audiovisual intervention was effective in reducing anxiety without affecting hemodynamic parameters, indicating that it is a safe and beneficial tool for improving patient experience during surgical procedures.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The Effect of an Informative Video upon Anxiety and Stress in Patients Requiring an Oral Biopsy: A Randomized Controlled Study. Toralla, O., Lopez Jornet, P., Pons-Fuster, E.[2022]

In a study of 246 patients undergoing transrectal prostate biopsy, those who received video-based education (Group 1) experienced a significant reduction in anxiety levels before the procedure compared to those who only received written instructions (Group 2).

Despite both groups reporting high anxiety levels initially, the video education led to a notable decrease in state anxiety scores after the information was provided, highlighting the effectiveness of video-based education in alleviating patient anxiety during stressful medical procedures.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The effect of video-based education on patient anxiety in men undergoing transrectal prostate biopsy. Tarhan, H., Cakmak, O., Unal, E., et al.[2020]

A study involving 200 patients showed that watching a patient-information video significantly reduced preoperative anxiety levels for those undergoing first-eye elective cataract surgery, with mean anxiety scores dropping from 45.5 mm in the control group to 11.2 mm in the intervention group (P < .001).

The video intervention also led to a notable decrease in worry about the procedure, as indicated by a Likert scale response where the control group had a mode score of 3 (worried) compared to a mode score of 1 (not worried) in the intervention group (P < .001).

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effect of a patient-information video on the preoperative anxiety levels of cataract surgery patients. Ahmed, KJ., Pilling, JD., Ahmed, K., et al.[2020]

In a study of 109 patients undergoing percutaneous nephrolithotomy (PCNL) for kidney stones, those who watched an informative video about the procedure experienced a significant reduction in preoperative anxiety compared to those who did not watch the video.

The video group showed a notable decrease in anxiety levels after receiving information, while the no-video group did not experience any change, suggesting that video-based education is an effective and low-cost strategy to help alleviate patient anxiety before surgery.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The effect of an information video on preoperative anxiety level before percutaneous nephrolithotomy procedure: A prospective, randomized trial. Bozkurt, M., Erkoc, M., Can, O., et al.[2023]

Women who received video-based multimedia information (MMI) before undergoing dilatation and curettage (D&C) experienced significantly lower anxiety levels compared to those who received conventional written information, indicating that MMI is effective in reducing preoperative anxiety.

Patients who viewed the MMI reported higher satisfaction rates (75%) compared to those who received written information (50%), and they also experienced less severe postoperative pain, suggesting that MMI enhances the overall patient experience during D&C procedures.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The role of video-based multimedia information in reduction of anxiety before dilatation and curettage. Yilmaz, G., Akca, A., Ay, N., et al.[2021]

A study involving 48 patients undergoing nail surgery and 50 patients undergoing skin punch biopsy found no significant difference in anxiety levels between the two groups, suggesting that nail surgery does not cause more anxiety than skin biopsies.

Demographic factors such as sex, education level, and previous surgical experiences did not significantly affect anxiety levels in patients, indicating that anxiety related to these procedures may be more universally experienced.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Anxiety Among Patients Undergoing Nail Surgery and Skin Punch Biopsy: Effects of Age, Gender, Educational Status, and Previous Experience. Göktay, F., Altan, ZM., Talas, A., et al.[2017]

Patients who received video-based information before a skin biopsy experienced significantly lower anxiety levels and physiological stress indicators compared to those who received only verbal information, indicating that video can enhance patient comfort.

The video-informed group reported lower pain levels during the biopsy, with 98.1% experiencing no or mild pain, compared to 86% in the verbally informed group, suggesting that video information may improve overall patient satisfaction and pain management.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effect of video-based patient information on patients' anxiety and pain levels before skin biopsy: a randomized controlled study. Savaş Erdoğan, S., Falay Gür, T., Doğan, B.[2022]

In a study of 155 patients undergoing foot nail surgery, 22.6% experienced significant preoperative anxiety, particularly among younger patients and women.

The study found that a lack of information correlated with higher anxiety levels (r = 0.629; p < 0.001), and increased preoperative anxiety was associated with greater postoperative pain (p < 0.001).

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Prevalence of Preoperative Anxiety and Its Relationship with Postoperative Pain in Foot Nail Surgery: A Cross-Sectional Study. Navarro-Gastón, D., Munuera-Martínez, PV.[2020]

In a study of 67 patients scheduled for liver biopsy, providing additional information through a video did not significantly reduce anxiety levels compared to standard verbal and written information.

Both groups of patients demonstrated excellent understanding and satisfaction with the information received, indicating that the standard methods of information delivery were effective.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Patient information for liver biopsy: impact of a video movie. Obled, S., Melki, M., Coelho, J., et al.[2020]

Educational videos significantly reduce anxiety in patients preparing for diagnostic procedures, with nine out of fourteen studies showing a notable decrease in anxiety levels.

The use of educational videos also enhances patient satisfaction, as seven out of thirteen studies reported increased satisfaction in patients who viewed the videos compared to those who did not.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Effectiveness of educational videos on patient's preparation for diagnostic procedures: Systematic review and Meta-Analysis. Monteiro Grilo, A., Ferreira, AC., Pedro Ramos, M., et al.[2022]

In a study involving 100 patients, those who watched an 8-minute educational anaesthesia video experienced significantly lower anxiety levels before and after surgery compared to those who received a standard verbal briefing.

Patients who viewed the video also reported higher overall satisfaction with their medical care, indicating that educational interventions can enhance both emotional well-being and patient experience in the perioperative setting.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The effect of an anaesthetic patient information video on perioperative anxiety: A randomised study. Lin, SY., Huang, HA., Lin, SC., et al.[2015]

A quality improvement project involving 60 bariatric surgery patients showed that those who viewed an informational video tour of the perioperative division experienced a significant reduction in preoperative anxiety, with improvements in 9 out of 10 anxiety items measured.

In contrast, patients who only received traditional verbal and written instructions had a reduction in anxiety for only 5 out of 10 items, highlighting the effectiveness of audiovisual education in enhancing patient comfort before surgery.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Video Education to Improve Preoperative Anxiety in the Bariatric Surgical Patient: A Quality Improvement Project. Helms, LJ.[2021]

References

1. Switzerland pubmed.ncbi.nlm.nih.gov

The Effect of an Informative Video upon Anxiety and Stress in Patients Requiring an Oral Biopsy: A Randomized Controlled Study. [2022]

2. Canada pubmed.ncbi.nlm.nih.gov

The effect of video-based education on patient anxiety in men undergoing transrectal prostate biopsy. [2020]

3. United States pubmed.ncbi.nlm.nih.gov

Effect of a patient-information video on the preoperative anxiety levels of cataract surgery patients. [2020]

4. Canada pubmed.ncbi.nlm.nih.gov

The effect of an information video on preoperative anxiety level before percutaneous nephrolithotomy procedure: A prospective, randomized trial. [2023]

5. Turkey pubmed.ncbi.nlm.nih.gov

The role of video-based multimedia information in reduction of anxiety before dilatation and curettage. [2021]

6. United States pubmed.ncbi.nlm.nih.gov

Anxiety Among Patients Undergoing Nail Surgery and Skin Punch Biopsy: Effects of Age, Gender, Educational Status, and Previous Experience. [2017]

7. England pubmed.ncbi.nlm.nih.gov

Effect of video-based patient information on patients' anxiety and pain levels before skin biopsy: a randomized controlled study. [2022]

8. Switzerland pubmed.ncbi.nlm.nih.gov

Prevalence of Preoperative Anxiety and Its Relationship with Postoperative Pain in Foot Nail Surgery: A Cross-Sectional Study. [2020]

9. France pubmed.ncbi.nlm.nih.gov

Patient information for liver biopsy: impact of a video movie. [2020]

10. United States pubmed.ncbi.nlm.nih.gov

Effectiveness of educational videos on patient's preparation for diagnostic procedures: Systematic review and Meta-Analysis. [2022]

11. England pubmed.ncbi.nlm.nih.gov

The effect of an anaesthetic patient information video on perioperative anxiety: A randomised study. [2015]

12. United States pubmed.ncbi.nlm.nih.gov

Video Education to Improve Preoperative Anxiety in the Bariatric Surgical Patient: A Quality Improvement Project. [2021]