Impact of a Video Explaining Epidural Analgesia in Obstetrics

Study Overview
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Brief Summary
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The aim of this study was to investigate the impact of multimedia information on epidural anesthesia. Pregnant women were randomly assessed to get a video information in addition to an oral and written information on epidural anesthesia. Maternal satisfaction concerning the quality of the information as well their anxiety and understanding of the procedure were assessed and compared in both groups.

Detailed Description
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The information in anesthesia consultation is mandatory. Few studies have investigated the impact of multimedia preoperative information in terms of satisfaction, comprehension and anxiety, with conflicting results. None have evaluated the contribution of a video explaining epidural analgesia in obstetrics. This study compared two types of information given in anesthesia consultation: an oral and written information (group P) versus oral, written and video information (group V). The main objective was maternal satisfaction, the secondary objectives were understanding and anxiety. This is a common care, prospective and randomized study, conducted between September 2015 and February 2016 in the Creteil Intercommunal Hospital Center (CHIC) and accepted by the ethics committee Paris V. After information, not opposition of women who accepted to participated was collected. Oral information on epidural analgesia was provided in consultation by the anesthesiologist, with delivery of a written information sheet. The video made at CHIC in 2015, was transmitted, in addition, by email to patients randomized in the group V for she could look it at their convenience. Satisfaction and anxiety were evaluated by numerical scale from 0 to 10 and comprehension by multiple choice questions with a final score of 10. These three criteria were also evaluated in an emergency context in which women received oral and written information (group U). Evaluation questionnaires were given during the anesthesia consultation and recovered during the hospitalization after childbirth.

Official Title
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Impact of a Video Explaining Epidural Analgesia in Obstetrics in Terms of Satisfaction, Understanding and Anxiety: A Prospective Randomised Trial

Conditions
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Difficulty Processing Information

Intervention / Treatment
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* Other: Written Information
* Other: Video Information


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Pregnant woman Affiliated to social security system Understanding French language Internet access >18 years old and not subject to a measure of legal protection Exclusion Criteria: Contre indications to epidural Refusal to participate in the study Not affiliated with the Social Security system No understanding French No access to Internet Patient minor or under legal protection

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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Female

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: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Placebo Comparator: Paper<br>Information about epidural analgesia by oral and paper sheep given by anesthesist in programed consultation | Other: Written Information<br>* A written information on peridural anesthesia is delivered<br>|
| Experimental: Video<br>Video information in addition to oral and written information gave by anesthesist in programed consultation | Other: Written Information<br>* A written information on peridural anesthesia is delivered<br>Other: Video Information<br>* A link to a video explaining peridural anesthesia is delivered to the pregnant woman. The patient can watch the video several times.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Satisfaction evaluated by numerical scale from 0 to 10 |  | during the 48 hour after delivery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Comprehension was evaluated by by multiple choice questions with a final score of 10 |  | during the 48 hour after delivery | 
| Anxiety was evaluated by numerical scale from 0 to 10 |  | during the 48 hour after delivery | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Video Information, Satisfaction, Anxiety, Epidural Analgesia, Comprehension, delivery