Information Retention After Video (Augmented) Preoperative Anesthesiological Education

Study Overview
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Brief Summary
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Patient education is continuously becoming more important to enable patients to participate in making decisions regarding their medical treatment. Specifically, this is also the case for preoperative education on anesthesia. Worldwide, there are many initiatives to improve preoperative patient education and subsequent level of knowledge of anesthesia, for example by using digital aids. The demand for such aids has increased significantly since the start of the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) pandemic to facilitate remote preoperative anesthesiological screening. Although many videos to educate patients on anesthesia have been developed and circulate on the internet, there has been little effort to compare this method of educating patients with the traditional one-on-one conversation between the anesthesiologist and the patient. Objective: To compare short, mid-and long term retention of knowledge after education on anesthesia by watching a video to the traditional one-on-one explanation by the anaesthesiologist.

Detailed Description
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Participants will be randomized into 4 arms. A control group that will only take the knowledge test after the consultation by the anesthesiologist, a baseline group that will take the knowledge test before and after the consultation to investigate the added value of a knowledge test to knowledge retention. The intervention group is divided into 2 groups. One group will see the educational video and take a knowledge test afterwards. The other group will see the educational video and visit the anesthesiologist afterwards and take the knowledge test after the consultation. After 2 and 6 weeks patients will be asked to take the knowledge test again, to investigate knowledge retention. The knowledge test that will be used is the Rotterdam Anesthesia Knowledge Questionnaire currently under development in the Erasmus MC Rotterdam.

Official Title
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Information Retention After Video (Augmented) Preoperative Anesthesiological Education

Conditions
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Anxiety, Multimedia, Anesthesia, Education, Informed Consent

Intervention / Treatment
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* Device: Video education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: adults visiting the preoperative anesthesia clinic elective surgery able to read, write and understand the Dutch language Exclusion Criteria: cardiothoracic 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: Basic Science
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Control<br>No video education, only consultation by the anesthesiologist. No knowledge test before the consultation. | |
| No Intervention: Baseline<br>No video education, only consultation by the anesthesiologist. Also a knowledge test before the consultation. | |
| Experimental: Video<br>Video education and a knowledge test directly afterwards. Consultation by the anesthesiologist after the knowledge test. | Device: Video education<br>* Participants will be shown a video educating them on anesthesia and perioperative instructions.<br>|
| Experimental: Video Augmented<br>Video education and consultation by the anesthesiologist directly afterwards. The knowledge test is taken after the consultation. | Device: Video education<br>* Participants will be shown a video educating them on anesthesia and perioperative instructions.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Information retention short-term | Score on the Rotterdam Anesthesia Knowledge Questionnaire (RAKQ). Results will be expressed as the percentage correct answers of the total number of questions. A higher score means a better knowledge level. | Immediately after the information is provided | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Information retention mid-term | Difference in score on the Rotterdam Anesthesia Knowledge Questionnaire (RAKQ). Results will be expressed as the percentage correct answers of the total number of questions. A higher score means a better knowledge level. | Two weeks after the information is provided compared to directly after the information is provided. | 
| Anxiety | Difference in score on the APAIS (Amsterdam Preoperative Anxiety and Information Scale). Scores can be between 6 and 30 points, with a higher score meaning a more anxious patient, more in need for information about the surgery and anesthesia. | Immediately after the information is provided |