Evaluating the Impact of Video Discharge Instructions for Mohs Surgery Post-Operative Care

Study Overview
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Brief Summary
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The purpose of this research is to look at how educational videos provided by doctors might affect patients knowledge, satisfaction, confidence, and anxiety with post-operative Mohs surgery care. Patients will be randomized to either: 1) a group that receives educational videos in addition to standard-of-care written and verbal instructions or 2) a group that receives only standard-of-care written and verbal instructions.

Detailed Description
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The Primary Objective of this study is to determine if video discharge instructions, when added to standard of care written and verbal instructions, lead to a decrease in unnecessary phone calls from patients in a Mohs dermatology clinic. The Secondary Objectives of this study are to determine if video discharge instructions, when added to standard of care written and verbal instructions, help to improve patients' satisfaction with education materials provided by the clinic, improve patients' knowledge of post-operative management, improve patients' confidence in taking care of their suture site post-operatively, and reduce post-operative anxiety about their suture site. This study will be a randomized controlled trial in which the impact of video discharge instructions on patient calls, anxiety, and confidence will be evaluated. Patients will be randomized using a permuted block model generated through SAS.

Official Title
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Evaluating the Impact of Video Discharge Instructions for Mohs Surgery Post-Operative Care

Conditions
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Linear Closure, Surgery

Intervention / Treatment
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* Behavioral: Video Discharge Instructions
* Behavioral: Telecommunication Reminders
* Behavioral: Standard of Care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients who underwent a linear closure on the face at UH Mohs clinic Fluent English speakers Exclusion Criteria: ● Non-fluent English speakers

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Video Discharge Instructions<br>These videos contain the same instructions that a patient receives via the standard-of-care verbal and written discharge instructions. These instructions will be delivered by the same nursing and medical staff that also regularly provides verbal and written discharge instructions to patients. There will be no difference in the content between the standard-of-care verbal and written instructions and the video discharge instructions. Patients in this group will receive telecommunication reminders on how to access discharge videos. | Behavioral: Video Discharge Instructions<br>* The video discharge instructions, will be provided to the patient at the time of surgical procedure.<br>Behavioral: Telecommunication Reminders<br>* Telecommunication reminders including text messages, email, or phone calls to remind participants how to access the video discharge instruction up to three times before follow-up<br>Behavioral: Standard of Care<br>* Standard of Care: verbal and written discharge instructions for patients after surgery<br>|
| Active Comparator: Verbal and Written Discharge Instructions<br>Nursing and medical staff will provide verbal and written discharge instructions as is standard of care post surgery | Behavioral: Standard of Care<br>* Standard of Care: verbal and written discharge instructions for patients after surgery<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Ratio of patients in the intervention group who call the clinic compared to percentage of patients in the control group who call the clinic | Researchers will record when each participant calls the clinic. The number of people who call in the intervention group will be compared to the number of people who call in the control group. This will give an efficacy measure of the video discharge instructions | Up to 8 weeks after discharge | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Difference in knowledge of discharge instructions in intervention group versus control group | Answers to survey questions investigating knowledge of discharge instruction will be compared between the control and intervention groups. | Up to 8 weeks after discharge | 
| Difference in confidence in intervention group versus control group | A survey investigating confidence about Mohs surgery post-operative care will be used in this study. This survey will be quantified using the Likert scale. | Up to 8 weeks after discharge | 
| Difference in satisfaction in intervention group versus control group | A survey investigating patient satisfaction about Mohs surgery post-operative care will be used in this study. This survey will be quantified using the Likert scale. | Up to 8 weeks after discharge | 
| Difference in self reported anxiety levels in intervention group versus control group | A survey investigating anxiety about Mohs surgery post-operative care will be used in this study. This survey will be quantified using the Likert scale. | Up to 8 weeks after discharge | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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surgery, video discharge instructions