Pre-operative Consultation on Patient Anxiety and First-time Mohs Micrographic Surgery

Study Overview
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Brief Summary
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To determine if in-office pre-operative consultation has a significant effect on the anxiety level and overall post-operative satisfaction of patients undergoing first time Mohs surgery

Detailed Description
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This study is designed to determine if having a seperate in-office pre-operative consultation with the dermatologist before having a dermatologic procedure has any effect on patient anxiety levels and satisfaction following the procedure. The goal of the study is to help us understand if pre-operative consultation is beneficial to patients to reduce anxiety and increase satisfaction following the procedure.

Official Title
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Effect of Pre-operative Consultation on Patient Anxiety and Satisfaction Following First-time Mohs Micrographic Surgery

Conditions
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Anxiety, Surgery

Intervention / Treatment
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* Behavioral: Pre-operative Consultation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults 18 years old or older Able to provide consent for participation Fluency in English Presenting for first-time Mohs surgery for treatment of a cutaneous malignancy Exclusion Criteria: • Patients under 18 years old Prisoners Patients unable to provide consent History of prior Mohs surgery Patients requiring multi-disciplinary care (i.e. Involvement of other surgical specialties such as Plastic Surgery or Ophthalmology for reconstruction)

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 100 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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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Pre-operative Consultation<br> | Behavioral: Pre-operative Consultation<br>* Pre-operative consultation will be given before Mohs surgery<br>|
| No consultation<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The score on the PSQ-18 survey following the Mohs procedure | The PSQ-18 (aka patient satisfaction questionaire-18) is a validated assessment tool developed to measure holistic patient satisfaction with the aspects of clinical care (assessing six domains of patient satisfaction: technical quality, interpersonal manner, communication, financial aspects of care, accessibility of care and time spent with the physician), and by virtue of its brevity (18 questions taking an average of 3-4 minutes to complete) has great utility for measuring patient satisfaction in the clinical setting. Each question ranges from 1-5. Lower scores are better. The primary null hypothesis for this study is that mean PSQ-18 survey scores do not differ between patients receiving pre-operative consultation versus those not receiving this intervention. | 2 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient anxiety as measured on the 10-point VAS scale for anxiety | The VAS is a horizontal line with a scale ranging from no anxiety at all to extremely anxious. By measuring the position of the patient's response on the line, a score out of 10 will be generated. The VAS for anxiety will be administered to enrolled patients at three time points: randomization (consent visit), pre-operatively on day of Mohs surgery and post-operatively on the day of the Mohs surgical procedure. | 2 years |