what is the impact of the presence of a support person on informed consent

Conditions: Surgery; Knowledge, Attitudes, Practice; Prolapse, Vaginal; Urinary Incontinence

Summary: in practice, the investigators recommend that patients bring a family member or close friend to their pre-operative appointment to help with patient anxiety, comprehension, and informed decision-making. however, there is limited literature to support this recommendation. the investigators are exploring if having a support person present during this consent process impacts anxiety, satisfaction, knowledge, and preparedness for surgery.

introduction: in practice, the investigators recommend that patients bring a family member or close friend to their pre-operative appointment to help with patient anxiety, comprehension, and informed decision-making. however, there is limited literature to support this recommendation. the investigators hypothesize that having a family member or close friend present will decrease patient anxiety and improve patient satisfaction and recall regarding the risks/benefits/ alternatives of surgery. study objectives the primary objective is to assess the impact of having a support person present during the patient's preoperative visit on patient anxiety regarding informed consent for surgery. the secondary objective is to assess the impact of a support person on patient satisfaction, self-assessment of understanding, knowledge, time spent with patient, and pre- and post-operative phone calls. hypotheses ho: for women with a support person present during their preoperative visit, there is no difference in the patient-reported anxiety regarding informed consent for surgery compared with women without a support person present. ha: for women with a support person present during their preoperative visit, there is a difference in the patient-reported anxiety regarding informed consent for surgery compared with women without a support person present. research questions the research questions to be answered as a part of this study are: does having a support person present at the pre-operative visit affect anxiety, satisfaction, preparedness and knowledge regarding their surgery? does having a support person present impact utilization of clinic resources including preoperative phone calls, and postoperative phone calls? study design and methods this study will be a prospective cohort study. all women scheduled to undergo vaginal pelvic reconstructive surgery will be recruited from the urogynecology clinics of the hartford hospital medical group at the time of their pre-operative appointment. patients who qualify for inclusion and consent to participate will be enrolled in the study. participants will be assigned to one of two arms: the "support person present" arm, or the "patient present only" arm. participants will answer questionnaires prior to their appointment with the physician, after the appointment, 2-3 days prior to surgery via telephone, and at their postoperative appointment. risks/benefits to patients this is a minimal-risk study. the only research element, and therefore introduction of potential risk(s) beyond standard-of-care treatment, comprises administration of several surveys and data collection.

Eligibility criteria:
inclusion criteria: * scheduled to undergo a 23-hr observation or inpatient surgery for pelvic organ prolapse * able to understand english * able/willing to sign the informed consent document exclusion criteria: * surgery canceled * inability to provide consent * resident of a long-term care facility or utilization of a home health service * scheduled for outpatient surgery * non-english speaking * unable/unwilling to sign informed consent document

Keywords: informed consent support person