Preprocedural Video Education for Bronchoscopy Anxiety

RSUP Persahabatan58 enrolled

Overview

The goal of this clinical trial is to learn whether preprocedural video education can reduce anxiety in adult patients who are scheduled to undergo bronchoscopy under general anesthesia. It will compare video-based education with standard verbal education. The main questions it aims to answer are: Does video education reduce preprocedural anxiety, as measured by the Amsterdam Preoperative Anxiety and Information Scale (APAIS), in patients undergoing bronchoscopy under general anesthesia? Researchers will compare patients who receive audiovisual education with those who receive standard verbal education to see whether video education provides greater anxiety reduction before bronchoscopy under general anesthesia. Participants will: 1. Complete an APAIS questionnaire before receiving preprocedural education 2. Receive either video-based education using a tablet or standard verbal education with a question-and-answer session 3. Complete another APAIS questionnaire immediately after the education session

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

TRIPLE

Enrollment

Conditions

Bronchoscopy General Anesthesia

Interventions

Verbal + Audiovisual educational videoBEHAVIORAL

Participants received standard preprocedural verbal education and a question-and-answer session delivered by the anesthesiologist. In addition, participants watched an audiovisual educational video about bronchoscopy under general anesthesia on a tablet. The video was designed to provide consistent information about the procedure and anesthesia process, improve patient understanding, and reduce preprocedural anxiety. The APAIS questionnaire was completed before and immediately after the education session.

Verbal onlyBEHAVIORAL

Participants received standard preprocedural education through verbal explanation and a question-and-answer session delivered by the anesthesiologist. The education was based on the standard anesthesia education materials used at RSUP Persahabatan and provided information about bronchoscopy under general anesthesia. The APAIS questionnaire was completed before and immediately after the verbal education session.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Adult patients aged ≥18 years who are scheduled to undergo bronchoscopy under general anesthesia. 2. Patients with no previous history of medical procedures performed under general anesthesia. 3. Patients with an American Society of Anesthesiologists (ASA) physical status classification of I-III. 4. Patients who are willing to participate in the study and have provided written informed consent. Exclusion Criteria: 1. Patients who are unable to read and write. 2. Patients with significant hearing and/or visual impairment. 3. Patients with cognitive or mental disorders identified from the patient's medical record. 4. Patients with a history of antipsychotic or benzodiazepine use.

Outcomes

Primary Outcomes

Pre-education total APAIS score

The pre-education total APAIS score was assessed before any educational intervention was delivered, using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). The APAIS consists of six items scored on a 5-point Likert scale, ranging from 1 ("not at all") to 5 ("extremely"), with higher total scores indicating greater preprocedural anxiety and information need.

Time frame: single time point immediately before education

Post-education total APAIS score

Time frame: single time point immediately after education