RCT: Impact of Preop Video on Patient Preparedness for Surgery

Impact of Preoperative Patient Education Video on Patient Preparedness After Sacrocolpopexy: A Single Blind Randomized Controlled Trial

This is a single-blind, randomized (1:1 allocation), stratified, single-parallel clinical trial at one institution evaluating the use of a preoperative patient education video as an adjunct to preoperative counseling on patient-centered outcomes. The aim of this study is to determine the impact of a preoperative patient educational video as an adjunct to the routine preoperative visit on patients' preparedness for surgery, perception of time spent with their healthcare team, and ultimately their satisfaction after surgery. The aim of this video is not to limit the doctor patient interaction (as all patients will still be granted their pre-allotted 30 minute visit with the physician regardless of their intervention allocation) but rather to augment the visit with additional educational information in an attempt to optimize the visit. Objective: A. Primary Aim(s): • To determine if patients feel more prepared for surgery with addition of preoperative patient education video B. Secondary Aim(s): To determine if addition of preoperative patient education video correlates with improved patient satisfaction after surgery To determine if patients' perception of time spent with healthcare team in preparation for surgery increases with addition of patient educational video To determine if actual patient-physician time spent counseling differs between groups To determine if patient preparedness is correlated with objective surgical outcomes To determine if patient preparedness is correlated with patient symptom improvement scores after surgery Hypothesis: The addition of a preoperative patient education video enhances patient preparedness for surgery, increases perception of the amount of time patients spend with healthcare team, and improves patient satisfaction.

This arm will watch an instructional video in addition to their normal preoperative visit with the physician.

This arm will receive only the normal preoperative visit with the physician without the additional video

patients' feelings of preparedness for surgery as determined by a preoperative patient preparedness questionnaire for pelvic surgery

patients' feelings of preparedness for surgery as determined by a postoperative patient preparedness questionnaire for pelvic surgery

patient satisfaction as determined by completion of an adapted postoperative satisfaction questionnaire

Actual facetime spent between physician and patient during preoperative counseling session measured in minutes

Completion of validated condition specific QOL measures (ie. the Patient Global Impression of Improvement [PGI-I])

Objective measures of success will be determined using the Pelvic organ prolapse quantification (POPQ to quantify prolapse)

patient satisfaction as determined by completion of an adapted preoperative satisfaction questionnaire

Inclusion Criteria: Women >18 scheduled to undergo either a laparoscopic or robotic-assisted sacrocolpopexy It is acceptable if concomitant procedures such as suburethral slings or additional vaginal repairs are planned English speaking Willing and able to provide written and informed consent Exclusion Criteria: Women <18 Not scheduled to undergo either a laparoscopic or robotic-assisted sacrocolpopexy Non-English speaking Unable or unwilling to provide written and informed consent

Greene KA, Wyman AM, Scott LA, Hart S, Hoyte L, Bassaly R. Evaluation of patient preparedness for surgery: a randomized controlled trial. Am J Obstet Gynecol. 2017 Aug;217(2):179.e1-179.e7. doi: 10.1016/j.ajog.2017.04.017. Epub 2017 Apr 18.