Educational Video for Breast Cancer Surgery Patients

Overseen By Justin M Sacks, M.D., MBA, FACS

Age: 18+

Sex: Female

Trial Phase: Academic

Sponsor: Washington University School of Medicine

Disqualifiers: Non-English speaking

Stay on Your Current Meds You can continue your current medications while participating

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

Compensation: Varies

Number of Visits: 2

300 Participants Needed

Trial Summary

Will I have to stop taking my current medications?

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

What data supports the effectiveness of the WashU DIEP Flap Video treatment for breast cancer surgery patients?

Research shows that educational videos can improve knowledge, reduce anxiety, and increase satisfaction with surgical decisions in breast cancer patients, suggesting that the WashU DIEP Flap Video may be effective in helping patients understand their surgery options. ^{1 2 3 4 5}

How does the educational video treatment for breast cancer surgery patients differ from other treatments?

The educational video treatment is unique because it focuses on providing patients with information about breast cancer surgery through a visual and accessible format, which can enhance understanding and retention compared to traditional verbal or written information. This approach is particularly beneficial for patients who prefer visual learning or have difficulty accessing other resources. ^{2 3 6 7 8}

What is the purpose of this trial?

Patients will complete a survey before and after watching the WashU DIEP Flap Video at their pre-operative standard of care visit, and a third survey at their post-operative standard of care visit. These surveys will use questions from SILS, APAIS, PEMAT, and AIM/IAM to assess the patient's health literacy, demographics questions, and questions concerning patient understanding and anxiety surrounding the procedure. The purpose of the post-op survey will be to assess how well the video set expectations of the procedure and recovery process and will repeat questions asked pre-operatively. Survey responses will be analyzed to determine if there are beneficial trends and improvement in patient understanding and anxiety due to adjunct video usage. Primary Objective: The primary aim of the study is to determine if our animated video affects understanding and anxiety survey scores in patients undergoing DIEP breast reconstruction.

Research Team

Justin M Sacks, M.D., MBA, FACS

Principal Investigator

Washington University School of Medicine

Eligibility Criteria

This trial is for patients with breast cancer who are scheduled for a DIEP flap reconstruction surgery. Participants should be able to complete surveys assessing their understanding and anxiety about the procedure.

Inclusion Criteria

I am scheduled for DIEP-flap breast reconstruction at Barnes Jewish Hospital.

Exclusion Criteria

I understand and speak English, as all study materials are in English.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Pre-operative Assessment

Participants complete a survey before and after watching the WashU DIEP Flap Video at their pre-operative standard of care visit

1 day

1 visit (in-person)

Post-operative Follow-up

Participants complete a third survey at their post-operative standard of care visit to assess understanding and anxiety

2 months

1 visit (in-person)

Treatment Details

Interventions

• WashU DIEP Flap Video

Trial Overview The study tests whether an animated video (WashU DIEP Flap Video) can improve patient understanding and reduce anxiety before and after the surgery. Patients will watch the video and fill out surveys at different stages of their treatment.

Participant Groups

Group I: WashU DIEP Flap Video Experimental Treatment 1 Intervention

At the pre-operative appointment, patients will complete the pre-video survey (\~10min) via RedCap, watch the video (\~5min), and complete the post-video survey (\~10min) via RedCap. During the standard of care follow-up appointment ≤ 30 days after surgery, consented patients will fill out a third survey via RedCap (\~5min).

Who Is Running the Clinical Trial?

Washington University School of Medicine

Lead Sponsor

Trials

2,027

Recruited

2,353,000+

Findings from Research

A video intervention significantly increased knowledge about prostate cancer screening and treatment among 52 patients in the experimental group, compared to no change in the control group, indicating its effectiveness as an educational tool.

The video also influenced patients' preferences for prostate-specific antigen (PSA) screening, with 31% of the experimental group changing their preference compared to only 2% in the control group, demonstrating its impact on patient decision-making without causing confusion or fear.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Efficacy of a video for teaching patients about prostate cancer screening and treatment. Ruthman, JL., Ferrans, CE.[2018]

References

1. England pubmed.ncbi.nlm.nih.gov

Preoperative patient education for breast reconstruction: a systematic review of the literature. [2021]

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

Patient-Guided Breast Reconstruction Education. [2020]

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

Using a clinical pathway approach to document patient teaching for breast cancer surgical procedures. [2007]

4. Germany pubmed.ncbi.nlm.nih.gov

The effects of a video-based education in women with newly diagnosed breast cancer in Singapore. [2018]

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

Efficacy of a video for teaching patients about prostate cancer screening and treatment. [2018]

6. England pubmed.ncbi.nlm.nih.gov

The use of videotaped lectures in surgical oncology fellowship education. [2008]

7. France pubmed.ncbi.nlm.nih.gov

[Is the internet a reliable source of information for patients eligible for breast reconstruction by DIEP flap?] [2023]

8. England pubmed.ncbi.nlm.nih.gov

Breast self-examination training video with the sign language for deaf women: An interventional study. [2022]