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

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether an animated video can reduce anxiety and improve understanding for individuals undergoing a nail biopsy. Researchers aim to determine if watching the video before the procedure reduces anxiety and increases satisfaction. Participants will receive either the usual verbal information or the same information plus the educational nail biopsy video. This trial is open to anyone recommended for a nail biopsy at the specialty nail clinic. As an unphased trial, it offers a unique opportunity to contribute to enhancing patient experiences during medical procedures.

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 prior data suggests that this educational video is safe for reducing pre-operative anxiety?

Research has shown that educational videos can safely and effectively reduce anxiety before medical procedures. These videos help individuals understand what to expect, making them feel calmer and more informed.

This trial focuses on an educational video about nail biopsies. Watching a video is safe because it is non-invasive, meaning it doesn't involve entering the body. Studies suggest that these videos can improve patient knowledge and satisfaction without causing harm.

Overall, the educational video is a well-tolerated method to ease anxiety before a procedure. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about using an educational video to address pre-operative anxiety because it offers a new way to prepare patients for nail biopsy procedures. Unlike the standard approach, which relies on verbal instructions and handouts, this video provides a visual and auditory learning experience that can be more engaging and easier to understand. By delivering clear, step-by-step information, the video aims to reduce anxiety by helping patients feel more informed and confident about the procedure. This innovative method could lead to improved patient experiences and outcomes, making it a promising addition to pre-operative care.

What evidence suggests that the Educational Nail Biopsy Video is effective for reducing pre-operative anxiety?

Research has shown that educational videos can reduce anxiety before surgery and improve understanding of medical procedures. Studies have found that videos about medical procedures, such as anesthesia, help patients feel less worried and more informed. In this trial, participants in the Educational Video Group will watch a video about the nail biopsy procedure in addition to receiving standard care. Although specific data on the nail biopsy video is limited, it is expected to offer similar benefits. The video aims to help people feel calmer, better informed, and more satisfied with their care. Watching a video may also be more engaging than just reading or listening about the procedure. ^{1 2 3 4 5}

Who Is on the Research Team?

Shari Lipner, MD,PhD

Principal Investigator

Weill Cornell Medicine, Department of Dermatology

Are You a Good Fit for This Trial?

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 for a Trial Participant

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)

What Are the Treatments Tested in This Trial?

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.

How Is the Trial Designed?

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+

Published Research Related to This Trial

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]

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]

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]

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]

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]

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 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]

Citations

1. clinicaltrials.gov clinicaltrials.gov/study/NCT06274775

NCT06274775 | Effect of an Educational Nail Biopsy Video ... The investigators hypothesize that the animated video will reduce preoperative anxiety, increase health literacy, and increase patient satisfaction.

2. withpower.com withpower.com/trial/phase-anxiety-2-2024-5ec53

Educational Video for Pre-Operative Anxiety The investigators hypothesize that the animated video will reduce preoperative anxiety, increase health literacy, and increase patient satisfaction in relation ...

3. centerwatch.com centerwatch.com/clinical-trials/listings/NCT06274775/effect-of-an-educational-nail-biopsy-video-on-pre-operative-anxiety-health-literacy-and-patient-satisfaction

Effect of an Educational Nail Biopsy Video on Pre ... The investigators hypothesize that the animated video will reduce preoperative anxiety, increase health literacy, and increase patient ...

4. pubmed.ncbi.nlm.nih.gov pubmed.ncbi.nlm.nih.gov/38556090/

Assuaging patient anxiety about nail biopsies with an ... Assuaging patient anxiety about nail biopsies with an animated educational video.

5. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC10568319/

Effect of an educational video about ERAS on reducing ... Our study demonstrated video visit can improve patients' knowledge of anesthesia and decrease their preoperative anxiety.