Formal Pre-Operative Education

Study Overview
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Brief Summary
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The investigators want to determine if delivering formal preoperative education to patients helps the patients with post operative pain, function and overall satisfaction. Education would cover surgery, post operative activities of daily living, pain and edema management, duration of recovery and any expected therapy they might need. All participants will receive a pre and post operative questionnaire to determine level of understanding of anticipated needs and barriers due to surgery. Group one will receive formal education from an occupational therapist or physical therapist while Group two will receive only standard education in the MD clinic.

Official Title
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The Benefit of Formal Pre-operative Education to Patient Satisfaction, Pain and Function

Conditions
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Upper Extremity Orthopedic Surgery Patients

Intervention / Treatment
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* Behavioral: Formal pre-operative education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18 years or older, English as Primary language, scheduled to have orthopedic upper extremity surgery. Exclusion Criteria: less than 18 years Conservative management or non operative management of orthopedic upper extremity surgery

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: Prevention
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Routine Pre-Operative Education in MD office prior to surgery<br> | |
| Experimental: Formal Pre-operative education/therapy prior to surgery<br> | Behavioral: Formal pre-operative education<br>* One group of patients will receive formal pre-operative education prior to surgery from an occupational or physical therapists while the other group of patients will only receive routine education in the MD office.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| PROMIS (Patient-Reported Outcomes Measurement Information System) Physical Function Subtest -- change is being assessed | Bell curve scale for scoring: A score of 50 is the average amount of physical function and/or upper extremity function in the general population. A score below 40 would be poorer function, whereas, a score above 60 would be better function than the general population. | prior to surgery and two weeks post surgery | 
| PROMIS (Patient-Reported Outcomes Measurement Information System) Anxiety subtest -- change is being assessed | Bell Curve scale for scoring:A score of 50 is the average amount of anxiety in the general public. A score above 60 the patient has significant anxiety | prior to surgery and two weeks post surgery | 
| PROMIS (Patient-Reported Outcomes Measurement Information System) Depression subtest -- change is being assessed | Bell shape curve scoring: A score of 50 is the average amount for depression in the general public. A score above 60 corresponds to a score of 10 on the Patient Health Questionnaire (PHQ)-9 scale, which is the cutoff with the highest sensitivity and specificity to detect a diagnosis of moderately severe major depression. | prior to surgery and two weeks post surgery | 
| PROMIS (Patient-Reported Outcomes Measurement Information System) Pain Interference subtest -- change is being assessed | Bell shape curve scoring: The higher the score above 50 the more the pain the lower the score below 50 the less the pain | prior to surgery and two weeks post surgery | 
| PROMIS (Patient-Reported Outcomes Measurement Information System)Upper Extremity Function subtest -- change is being assessed | Bell shape curve scoring:A score of 50 is the average amount of physical function and/or upper extremity function in the general population. A score below 40 would be poorer function, whereas, a score above 60 would be better function than the general population. | prior to surgery and two weeks post surgery | 
| MODEMS (Musculoskeletal Outcomes Data Evaluation Management Scale) Pre-Operative | 1 to 5 scale with 1 being not at all likely and 5 being extremely likely. Also is a 6 for not applicable | prior to surgery | 
| MODEMS (Musculoskeletal Outcomes Data Evaluation Management Scale) post operative | 1 to 5 scale with 1 being not at all likely and 5 being extremely likely. Also is a 6 for not applicable | 2 weeks post surgery | 
| Pain Scale | 0 to 10 likert scale. 0 being no pain and 10 being worst pain possible | prior to surgery and 2 weeks post surgery |