Improving Patient Understanding of the Surgical Hospital Experience: Use of YouTube Video Playlist

Study Overview
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Brief Summary
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This prospective randomized pilot clinical trial studied the effect on preoperative anxiety of watching a series of YouTube videos designed to create a virtual hospital experience for patients undergoing primary total hip and knee arthroplasty as compared to routine preoperative education. Hypothesis: Preoperative anxiety related to hip and knee replacement surgeries can be reduced by patient exposure to a virtual hospital inpatient experience delivered by a series of YouTube videos.

Detailed Description
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As high patient anxiety prior to surgery has been linked to more severe and persistent pain after joint replacement surgery, the Orthopedic Surgery Department at Mayo Clinic in Florida created a playlist of 16 YouTube videos aimed at creating a virtual hospital experience for primary total hip and knee joint replacement patients. A pilot study was then performed to evaluate the potential impact of viewing this playlist on preoperative anxiety. Methods: Each patient completed a Generalized Anxiety Disorder Score (GAD) assessment at the time of the routine preoperative clinic visit and were then randomized based on their gender, type of surgery, and initial GAD score to either the control group of standard education (education at face-to-face clinical visits as well as printed educational materials) or the treatment group of standard education plus access to the YouTube playlist. On the morning of the patient's surgery the same survey was repeated.

Official Title
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Improving Patient Understanding of the Surgical Hospital Experience: Use of YouTube Video Playlist

Conditions
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Anxiety

Intervention / Treatment
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* Other: Viewing YouTube videos
* Other: Standard preoperative education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients undergoing primary total hip or total knee arthroplasty at Mayo Clinic in Florida Patients must be able to give consent to the study Patients must agree to watch the videos prior to scheduled surgery Patients must agree to complete the questionnaire in the office and again prior to surgery on the day of surgery Exclusion Criteria: No internet access at home Visual or auditory conditions which limit a patient's ability to view the You Tube videos at home
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: YouTube Video Viewers<br>Subjects in this arm were randomized to viewing YouTube videos. | Other: Viewing YouTube videos<br>* The on-line patient education program will highlight postoperative care.<br>|
| Active Comparator: Standard Education<br>Subjects in this arm were randomized to standard preoperative education. | Other: Standard preoperative education<br>* Standard preoperative education will be provided by the surgeon, physician extender and paramedical staff in the clinic.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Generalized Anxiety Disorder (GAD) Score |  | Baseline, approximately 2-3 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Patient education, Preoperative anxiety