The utility and effectiveness of video-based instructions (VBI) versus standard written instructions was not previously investigated in hand surgery; thus, the objective of this study is to evaluate the effectiveness of audiovisual instruction as compared to regular verbal instructions given to patients undergoing common hand procedures, including instruction recall and compliance, patient education, patient satisfaction with the information given, patient satisfaction with operative experience.
Outcomes of hand surgery are greatly dependent on factors outside the operating theater as well. These include patient compliance to preoperative instructions that consist of proper surgical site care, proper positioning, and following occupational therapy protocols. Previous studies have shown that video-based information provide greater patient satisfaction than verbal instructions. Visual information was also reported to decrease patient anxiety regarding the procedure and increases patient education in terms of procedure risks and benefits(1-5). The utility and effectiveness of video-based instructions (VBI) versus standard written instructions was not previously investigated in hand surgery; thus, the objective of this study is to evaluate the effectiveness of audiovisual instruction as compared to regular verbal instructions given to patients undergoing common hand procedures, including instruction recall and compliance, patient education, patient satisfaction with the information given, patient satisfaction with operative experience. The secondary objective is to evaluate if VBI result in better outcomes than standard written instructions.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
120
Unilateral minor hand procedure (carpal tunnel release, trigger finger A1 pulley release, lesion excision)
patient satisfaction with the operative experience
Questionnaire to assess patient satisfaction with the operative experience will be distributed within a week in post operative visit
Time frame: within 1 week
patient instruction recall
Questionnaire to assess patient instruction recall will be distributed within a week in post operative visit. It consists of 9 questions, the maximum score is 9 and indicates excellent recall.
Time frame: within 1 week
patient satisfaction with the information given
Questionnaire to assess patient satisfaction with the information givenwill be distributed within a week in post operative visit Overall, are you satisfied with the provided post-operative instructions for your hand surgery? Likert-scale 1-10 (with smile face) Overall, were the provided post-operative instructions for your hand surgery easy to understand? Likert-scale 1-10 (with smile face) Overall, did the provided post-operative instructions for your hand surgery had the appropriate amount of information? Likert-scale 1-10 (with smile face)
Time frame: within 1 week
patient compliance
Questionnaire to assess patient instruction compliance will be distributed within a week in post operative visit. It consists of 13 questions, each with a score, with 13 being thre maximum patient compliance.
Time frame: within 1 week
Nursing staff patient experience
Nursing staff will be asked to present which patients reached out to clinic number/email with questions and if the instrutions decreased the incidence of such Assessed as binomial outcome Have you called your surgeon's office post-operatively regarding any unexpected post-operative course? Yes No Unsure
Time frame: within 3 months
Dash Scores
Questionnaire to assess patient outcome will be distributed within a week in post operative visit Quick dash score QuickDASH DISABILITY/SYMPTOM SCORE= (sum of n responses) - 1 x 25, wherenis equal to the number of completed responses.
Time frame: within 1 week
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