MBM_Colo: Preoperative Relaxation and Intensified Patient Surgery Education in Patients Undergoing Colorectal Surgery

Sponsor
Universität Duisburg-Essen (Other)
Overall Status
Terminated
CT.gov ID
NCT02541357
Collaborator
(none)
4
1
4
13
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Study Details

Study Description

Brief Summary

This study aims to test the effects of a Preoperative Relaxation intervention and an Intensified Surgery Patient Education on pre- and postoperative wellbeing and health in Patients Undergoing colorectal surgery.

Condition or Disease Intervention/Treatment Phase
  • Behavioral: relaxation program
  • Behavioral: surgery education
N/A

Detailed Description

A former pilot study has shown that a preoperative relaxation program was effective in reducing preoperative anxiety. However the intervention was biased by concurrent pre-surgery education. Therefore this study aims to test the effects of a Preoperative Relaxation intervention and an Intensified Surgery Patient Education on pre- and postoperative wellbeing and health in Patients Undergoing colorectal surgery using a factorial design.

Study Design

Study Type:
Interventional
Actual Enrollment :
4 participants
Allocation:
Randomized
Intervention Model:
Factorial Assignment
Masking:
Double (Investigator, Outcomes Assessor)
Primary Purpose:
Prevention
Official Title:
Effects of Preoperative Relaxation and Intensified Surgery Education on Preoperative Wellbeing and Postoperative Complaints in Patients Undergoing Colorectal Surgery - a Randomized Controlled Trial
Actual Study Start Date :
Sep 1, 2015
Actual Primary Completion Date :
Oct 1, 2016
Actual Study Completion Date :
Oct 1, 2016

Arms and Interventions

Arm Intervention/Treatment
No Intervention: Usual care

Does not receive a specific study intervention

Experimental: preoperative relaxation program

preoperative relaxation program

Behavioral: relaxation program
relaxation and mindfulness techniques such as body scan, breathing meditation or imagination exercises 1 week program, one introductory session and daily home practice

Experimental: preoperative surgery education

single education unit to understand the complete surgical procedures

Behavioral: surgery education
intensified education unit to reduce anxiety and stress, by using pictures and videos of rooms, and procedures of the planned surgery 1 single unit in the week before the surgery

Experimental: preop relaxation and surgery education

preoperative relaxation program AND single education unit

Behavioral: relaxation program
relaxation and mindfulness techniques such as body scan, breathing meditation or imagination exercises 1 week program, one introductory session and daily home practice

Behavioral: surgery education
intensified education unit to reduce anxiety and stress, by using pictures and videos of rooms, and procedures of the planned surgery 1 single unit in the week before the surgery

Outcome Measures

Primary Outcome Measures

  1. preoperative anxiety [day of surgery]

    State Anxiety (STAI-S) (Spielberger 1970)

  2. postoperative pain intensity [day after the surgery, before meditation]

    numeric rating scale for pain at rest, pain at mobilization, coughing, washing, breathing and moving

Secondary Outcome Measures

  1. preoperative anxiety [day of surgery]

    Trait Anxiety (STAI-T) (Spielberger 1970)

  2. preoperative anxiety [day of surgery]

    Amsterdam Preoperative Anxiety and Information Scale (APAIS) (Berth 2007)

  3. preoperative anxiety [day of surgery]

    Anaesthesia- and Surgery-dependent Preoperative Anxiety (ASPA) (Wetsch 2009)

  4. postoperative disability [day after surgery]

    interference of pain with movement, coughing, waking up at night and disturbed mood

  5. postoperative disability [2 days after surgery]

    interference of pain with movement, coughing, waking up at night and disturbed mood

  6. postoperative disability [10 days after surgery]

    interference of pain with movement, coughing, waking up at night and disturbed mood

  7. postoperative fatigue [day after surgery]

    Fatigue measured by 0-10 Numeric Rating Scale

  8. postoperative fatigue [2 days after surgery]

    Fatigue measured by 0-10 Numeric Rating Scale

  9. postoperative fatigue [10 days after surgery]

    Fatigue measured by 0-10 Numeric Rating Scale

  10. postoperative nausea [Day after surgery]

    Nausea measured by 0-10 Numeric Rating Scale

  11. postoperative nausea [2 days after surgery]

    Nausea measured by 0-10 Numeric Rating Scale

  12. postoperative nausea [10 days after surgery]

    Nausea measured by 0-10 Numeric Rating Scale

  13. postoperative complications [10 days after surgery]

    Number of Participants With Treatment-Related Adverse Events

  14. Satisfaction with care [10 days after surgery]

    Satisfaction with the operation, the hospital care on a visual analog scale each from 0 (not satisfied) to 100 (most satisfied)

  15. Satisfaction with interventions [10 days after surgery]

    Satisfaction with interventions on a visual analog scale each from 0 (not satisfied) to 100 (most satisfied)

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • referral for colorectal surgery

  • preoperative anxiety at least 4/10 points on a numeric rating scale

  • physical and mental capability to participant

  • written informed consent

Exclusion Criteria:
  • Emergency surgery

  • known malignoma

  • severe comorbidity

  • severe psychological disorders

  • immunosuppression

  • coagulation disorders

Contacts and Locations

Locations

Site City State Country Postal Code
1 Abteilung für Allgemein-, Viszeral-, Gefäßchirurgie und Koloproktologie, Johanniter-Krankenhaus Rheinhausen Duisburg Germany 47228

Sponsors and Collaborators

  • Universität Duisburg-Essen

Investigators

  • Principal Investigator: Gustav Dobos, Prof, MD, Department of Internal and Integrative Medicine, Kliniken Essen-Mitte, University of Duisburg-Essen

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Gustav Dobos, Principle Investigator, Universität Duisburg-Essen
ClinicalTrials.gov Identifier:
NCT02541357
Other Study ID Numbers:
  • 15-6459 MBM Colorectal
First Posted:
Sep 4, 2015
Last Update Posted:
May 25, 2017
Last Verified:
May 1, 2017
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Keywords provided by Gustav Dobos, Principle Investigator, Universität Duisburg-Essen
Additional relevant MeSH terms:

Study Results

No Results Posted as of May 25, 2017