Impact of Videos on Patient Anxiety and Satisfaction

Study Overview
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Brief Summary
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The purpose of this research is to look at how educational videos might affect patient satisfaction and anxiety before Mohs surgery day. Patients will be randomized to either: 1) a group that receives educational videos before the visit 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 pre-operative videos describing the patient's forthcoming day in the Mohs clinic decrease pre-operative patient anxiety and increase postoperative patient satisfaction, when added to standard of care written and verbal instruction. Design/Study Type This study will be a randomized control trial in which patients will be randomized to either the intervention (pre-operative Mohs Surgery video viewing) or control (standard of care) group in order to understand the impact of the video on patient anxiety and satisfaction. Patients will be randomized using an Accelerated Biased Coin Design in the statistical program R.

Official Title
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Impact of Pre-Operative Videos on Mohs Surgery Patient Anxiety and Satisfaction

Conditions
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Mohs Surgery

Intervention / Treatment
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* Behavioral: Pre-Operative Videos
* Behavioral: verbal instructions
* Behavioral: written instructions


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients who are at the University Hospitals Cleveland Medical Center Mohs Clinic to undergo a linear closure on the face. 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: Pre-Operative Videos + verbal/written instructions<br>This video contains the same instructions that the patient receives when they arrive at the clinic, as well as a video walk through of the clinic/patient room. Videos will be created by the study team to ensure that the content coincides with what is delivered in the standard-of-care verbal and written instructions. | Behavioral: Pre-Operative Videos<br>* Videos will be created by the study team to ensure that the content coincides with what is delivered in the standard-of-care verbal and written instructions. The videos will be split into two modules: 1) preparing for Mohs Surgery 2) Mohs Surgery Walk through. The intervention, in the form of a video walk through, will be provided to the patient via email prior to their surgical procedure once they schedule an appointment with the Mohs clinic for their surgery day.<br>Behavioral: verbal instructions<br>* As part of the standard of care for patients receiving Mohs surgery, patients are told about the day of their surgery and what to expect<br>Behavioral: written instructions<br>* As part of the standard of care for patients receiving Mohs surgery, patients receive written material about the day of their surgery and what to expect<br>|
| Active Comparator: verbal/written instructions<br>This arm will receive the standard-of-care verbal/written instructions and the pre-operative video explanation. These instructions contain the same content as in the pre-operative videos | Behavioral: verbal instructions<br>* As part of the standard of care for patients receiving Mohs surgery, patients are told about the day of their surgery and what to expect<br>Behavioral: written instructions<br>* As part of the standard of care for patients receiving Mohs surgery, patients receive written material about the day of their surgery and what to expect<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Difference in mean Likert scale rating of subject satisfaction score | For subject satisfaction score, the mean Likert scale rating for the control and intervention groups will be compared. The scale being used is a six item instrument with individual scores ranging from 1-5 (total score 6-30). Higher scores indicate greater satisfaction. | Up to 8 weeks after visit | 
| Difference in mean Likert scale rating of subject anxiety score | For subject anxiety score, the mean Likert scale rating for the control and intervention groups will be compared. The scale being used is a seven item instrument with individual scores ranging from 1-5 with positive worded items scored in reverse (total score 7-35). Higher scores indicate greater anxiety | Up to 8 weeks after visit | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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anxiety, skin cancer, patient satisfaction, video education, linear closure on the face