Impact of Counselling and Visual Aid on Anxiety in Endoscopic Patients
Condition: Chronic Liver Disease; Inflammatory Bowel Diseases
MeSH terms: Liver Diseases; Inflammatory Bowel Diseases
Study type: Interventional

Summary: 
      A single blind randomized controlled trial was conducted to compare the effect of counselling
      and visual aid on the anxiety levels in patients undergoing endoscopy and to investigate the
      superiority of visual aid over psychological counselling and preparation for the procedure in
      an informed patient.
    

Detailed description: 
      A single blind RCT was conducted to assess level of state anxiety between two interventional
      groups; counselling group and video group. 232 consecutive patients were enrolled from the
      outpatient department who were scheduled to undergo either a gastroscopy or a colonoscopy
      (diagnostic or therapeutic). The patients were randomly allocated to one of the two
      intervention groups (A and B) at the time of endoscopy scheduling. All of the patients
      received regular instructions regarding gut-preparation at the time of appointment and were
      also provided with written clear instructions. A gastroenterologist provided information
      about endoscopy, including the exact preparation instructions and information on the
      importance of bowel preparation and the adverse effects of the agents used.

      Depression Anxiety Stress Scale-42 was administered at baseline. Intervention group A
      (counselling group) was counselled about the procedure, complications and the post-procedure
      recovery phase and Group B (video group) was also counselled and shown a 5 minutes animated
      video of the respective procedure in separate room by gastroenterologist. Endoscopies were
      carried out by trained doctors (endoscopists) with a minimum experience of 1000 endoscopic
      procedures. Patients in both the groups were interviewed again after the intervention using
      Depression Anxiety Stress Scale-42.
    

Intervention name(s): Counselling with visual aid; Counselling
Intervention type(s): Behavioral; Behavioral
Intervention description(s): patients were counselled about the procedure, complications and the post-procedure recovery phase and shown a 5 minutes animated video of the gastroscopy or colonoscopy procedure; Patients counselled about the procedure, complications and the post-procedure recovery phase
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: The patients were then randomly allocated between two groups (group 1 watched animated video of endoscopy procedure, however, group 2 didn't watch any video) on a 1:1 ratio using permuted block randomization with a fixed block sizes of four, by a house officer who wasn't involved in providing intervention to any group or in assisting any of the endoscopy procedures. The allocation sequence to the study conditions was kept concealed from psychologists measuring outcome variables, using sequentially numbered, opaque and sealed envelopes.
Masking: Single (Outcomes Assessor)
Primary purpose: Supportive Care
Keywords: Endoscopy; Visual Aid; Anxiety; Counselling