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Trial Title: Reduction of Pre-operative Anxiety Using a Specially Designed Educational Program for Breast Cancer Patients Undergoing Surgery: a Randomized Controlled Trial

NCT ID: NCT05887856

Condition: Patient Satisfaction
Preoperative Anxiety
Anxiety

Conditions: Official terms:
Anxiety Disorders

Study type: Interventional

Study phase: N/A

Overall status: Enrolling by invitation

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: Pre-operative randomization after enrollment will be carried out and patients will be allocated either to the "intervention group" or to the "non-intervention group "by 'computerized block randomization'. Research Randomizer software, a free to use software will be used for this. Patients will be randomized either into the intervention group or into non-intervention group.

Primary purpose: Prevention

Masking: Triple (Care Provider, Investigator, Outcomes Assessor)

Masking description: It would be a "single blinded study" the assessor will be blinded to the type of group to which patient belongs. Blinding will be ensured by sharing the data only with relevant study team members, The assessor will read out instruction before beginning of the interview requesting the enrolled patients not to mention the tools used for pre-operative education and to answer only the questions being asked.

Intervention:

Intervention type: Other
Intervention name: comprehensive educational program for reduction of Pre-Operative Anxiety
Description: BSEP 1 makes use of modern media and aims to educate patients and their carers through educational videos comprising of various aspect of surgical treatment. 1. Introduction to surgery by consultant surgeon, Patient to receive video of their own surgeon. 2. Introduction to Anesthesia. 3. What are different type of breast surgeries in cancer patients (General Video) 4. Specific video pertaining to the type of surgery patient is undergoing (Mastectomy, Breast Conserving Surgery, Breast Re Construction surgery) 5. Explanation of Methicillin-resistant Staphylococcus aureus Decolonization protocol 6. What to expect on Surgery Day 7. Virtual tour of Holding bay and Operation Room 8. Post-Operative care including wound care, drain management and common post-operative complications.
Arm group label: Intervention Group

Other name: Breast Surgery Education Package 1 (BSEP 1)

Summary: This study aims to find out that if a specially designed educational program can help in reduction of pre-operative anxiety in breast cancer patients undergoing surgery as a part of their treatment.

Detailed description: Anxiety can be defined as an unpleasant subjective experience associated with the perception of real threat; therefore, it is a common symptom in connection with cancer. Breast Cancer patients undergo surgery at some stage of their treatment, Surgery details can be overwhelming and might lead to low retention of information and greater levels of anxiety which is the most prevalent psychological symptoms perceived by cancer patients. Studies have shown women with a diagnosis of cancer correlate with higher levels of preoperative anxiety. Increased anxiety elicits physiologic stress responses that may impede healing and alter responses to postoperative pain.It can also lead to delayed recovery, prolonged hospital stay and increased need of postoperative pain medications. Pre-Operative Anxiety may also cause delayed recovery from Anesthesia and can also compromise the effectiveness of anesthesia .Furthermore, it can lead to other post-operative complications such as nausea, vomiting, and delayed wound healing. Various Pharmacological and non-pharmacological methods have been used for reduction of pre-operative anxiety and one such non-pharmacological method is educating the patients about the experience of surgery pre-operatively which we aim to study in our population.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. 18 to 70 years of age. 2. Known cases of Breast Cancer. 3. Undergoing Breast Surgery as a part of treatment. 4. Availability of Personal smart phone at home. 5. Written informed Consent given for participation in trial. 6. Females. Exclusion Criteria: 1. Less than 18 years or more than 70 years of age. 2. Stage IV patients undergoing palliative breast surgery. 3. Patient having chronic pain. 4. Un-availability of smart phone. 5. Patients with known psychiatric/depression disorders. 6. Previous history of another treated carcinoma. 7. Patients with re-current breast carcinoma. 8. Male Patients are excluded from study.

Gender: Female

Minimum age: 18 Years

Maximum age: 70 Years

Healthy volunteers: No

Locations:

Facility:
Name: Shaukat Khanum memorial cancer hospital and research centre

Address:
City: Lahore
Zip: 536500
Country: Pakistan

Start date: November 1, 2024

Completion date: October 2025

Lead sponsor:
Agency: Shaukat Khanum Memorial Cancer Hospital & Research Centre
Agency class: Other

Source: Shaukat Khanum Memorial Cancer Hospital & Research Centre

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05887856

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