Psychological Preparation for Colorectal Surgery: Impact of Video Education
Since the introduction and favourable early results of enhanced recovery programmes more than a decade ago, such programmes have become increasingly popular following major surgery. Many elements of these programmes are based on solid evidence and derived from published trials. These programmes optimize different factors to reduce the stress of surgery with the aim of improving patient outcome and speed up recovery after surgery. Key factors prior to surgery are conditioning of expectations and optimizing associated disease. Strategies during the operation include use of short-acting anaesthetic (sleeping) agents, maintenance of normal temperatures and minimal access surgery (keyhole surgery).
Care after surgery is optimized with appropriate analgesia (pain killers), early mobilisation (walking) and early feeding. This combined approach reduces hospital stay to 2-4 days. There is also evidence that the improvements resulting from the implementation of an enhanced recovery programme do not cause significant deterioration in quality of life or transfer costs to another component of health care.
The relative contribution of each of the single elements in the enhanced recovery programme remains uncertain. Good patient information gives confidence and improves overall outcome. No studies have examined the impact of video education on recovery.
The aim of this study is to explore the use of video information provision for patients participating in an enhanced recovery programme.
|Use of Video Education Colorectal Surgery||Procedure: The study group will get a video and leaflet on enhanced recovery Procedure: The control group will receive a leaflet only|
|Study Design:||Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Supportive Care
|Official Title:||Psychological Preparation for Colorectal Surgery: Impact of Video Education. A Randomised Trial|
- The primary end-point ( main aim ) will be length of hospital stay. [ Time Frame: Participants will be assessed for the duration of their hospital stay which is an average of 7 days. ]
Hospital stay will be recorded in days from the time the patient is admitted to
- Secondary end-points will be patient satisfaction scores [ Time Frame: Measured 3 months after discharge ]
Secondary end-points ( other factors to be considered ) will
be patient satisfaction scores ( using SF-36 outcomes in patients )
|Study Start Date:||September 2010|
|Study Completion Date:||November 2011|
|Primary Completion Date:||November 2011 (Final data collection date for primary outcome measure)|
Experimental: Study group
The study group will get a video and leaflet on enhanced recovery.
Procedure: The study group will get a video and leaflet on enhanced recovery
The study group will get a video and leaflet
No Intervention: Control group
The control group will receive a leaflet only.
Procedure: The control group will receive a leaflet only
The control group will receive a leaflet only
Show Detailed Description
Please refer to this study by its ClinicalTrials.gov identifier: NCT01547572
|Leicester General Hospital|
|Leicester, Leicestershire, United Kingdom, LE5 4PW|