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Trial registered on ANZCTR
Registration number
ACTRN12614000687695
Ethics application status
Approved
Date submitted
16/06/2014
Date registered
30/06/2014
Date last updated
30/06/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
Comparison of two pre-operative information delivery techniques (video versus standard verbal communication) on levels of satisfaction and understanding in patients who present to Gosford Hospital and are identified as requiring cystoscopy and ureteric stent.
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Scientific title
Comparison of two pre-operative information delivery techniques (video versus standard verbal communication) on levels of satisfaction and understanding in patients who present to Gosford Hospital and are identified as requiring cystoscopy and ureteric stent
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Secondary ID [1]
284813
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Nil
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Universal Trial Number (UTN)
U1111-1158-1002
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Kidney Stone
292195
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Condition category
Condition code
Surgery
292533
292533
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0
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Surgical techniques
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Renal and Urogenital
292632
292632
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0
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Kidney disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This randomised control trial will allocate patients on a 1:1 basis to either video consent or standard verbal consent. Patients will be recruited as those patients presenting in the acute setting through the Emergency Department, requiring a cystoscopy and insertion of ureteric stent, in a public hospital setting.
A crossover will then be performed at 30min.
The video consent will comprise of short video (6.5min) including preoperative information,
1. Indications for cystoscopy and ureteric stent insertion
2. How the cystoscopy is performed
3. Risks and benefits
4. Post procedure care and follow up
The period of recruitment will be 3 months.
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Intervention code [1]
289604
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Behaviour
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Comparator / control treatment
At the start of the trial, participants undergoing an emergency cystoscopy will be randomised in a simple 1:1 randomisation scheme to two study groups
Group A: portable video media consent group
Group B: standard verbal consent group
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Control group
Active
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Outcomes
Primary outcome [1]
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Degree of patient satisfaction post information delivery method.
A validated questionnaire CSQ-8 will be used to assess patient’s satisfaction.
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Assessment method [1]
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Timepoint [1]
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Questionnaire will be completed post delivery method.
Crossover will then be performed at 30min
Questionnaire will be completed post both delivery methods
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Primary outcome [2]
292469
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Level of understanding/knowledge.
Level of understanding will be assessed with a multi-choice ‘true’, ‘false’ questionnaire developed by urologists and urology registrars which will measure understanding and complications of cystoscopy and stent insertion.
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Assessment method [2]
292469
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Timepoint [2]
292469
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Questionnaire will be completed post delivery method.
Crossover will then be performed at 30min
Questionnaire will be completed post both delivery methods
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Secondary outcome [1]
309033
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Nil
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Assessment method [1]
309033
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Timepoint [1]
309033
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Nil
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Eligibility
Key inclusion criteria
Age >18 years
Able to read and speak in English (not necessarily as first language)
Able to give consent
Identified by Urology Registrar as requiring cystoscopy
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Minimum age
18
Years
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Maximum age
99
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Age < 18 years
Unable to read or speak in English.
Unable to give consent
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The participant will be enrolled into the study after the informed consent process has been completed and the participant has met all inclusion criteria and none of the exclusion criteria. The participant will receive a study enrolment number and this will be documented in the participant’s medical record and on all study documents. Following enrolment the patient will be randomised to either video or verbal consent first and then crossed over to the opposite medium.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomisation will be performed on appropriate randomisation software. The randomised group allocation sequence will be kept sealed in envelopes until each participant is ready to be randomised
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people administering the treatment/s
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Mann–Whitney test will be used to compare results between the groups, and the Wilcoxon signed-rank test used to compare results within groups on crossover.
Sample size will be restricted by availability of patients through clinical presentation and time available of the investigators
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/07/2014
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Actual
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Date of last participant enrolment
Anticipated
2/02/2015
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
2638
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Gosford Hospital - Gosford
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Recruitment postcode(s) [1]
8295
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2250 - Gosford
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Funding & Sponsors
Funding source category [1]
289426
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Self funded/Unfunded
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Name [1]
289426
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Address [1]
289426
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Country [1]
289426
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Primary sponsor type
Individual
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Name
Dr Matthew Winter
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Address
Gosford Hospital
Holden Street
Gosford 2250
NSW
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Country
Australia
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Secondary sponsor category [1]
288113
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Individual
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Name [1]
288113
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Dr Mark Louie-Johnsun
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Address [1]
288113
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Gosford Hospital
Holden Street
Gosford 2250
NSW
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Country [1]
288113
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
291182
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Northern Sydney Local Health District (NSLHD)
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Ethics committee address [1]
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Royal North Shore Hospital Reserve Rd St Leonards NSW 2065
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Ethics committee country [1]
291182
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Australia
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Date submitted for ethics approval [1]
291182
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01/04/2014
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Approval date [1]
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11/06/2014
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Ethics approval number [1]
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LNR/14/HAWKE/64
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Summary
Brief summary
Although informed consent for surgical procedures is a well-established practice between the surgeon and patient, if often fails to meet its purpose. The procedure to obtain consent must ensure that the patient understands the nature of his or her condition, the risks and benefits of the proposed treatment, its alternatives and agrees to it voluntarily. In a busy surgical setting including outpatient clinics, emergency departments or private rooms, this process is often time limited. The process can be inadequate and inconsistent, resulting in poorer health outcomes for such patients . Furthermore, patients have varying degrees of cultural backgrounds and educational levels that also influence patient comprehension and understanding. It has been demonstrated that patient comprehension highly correlates with patient care and postoperative complication. The aim of this study is to conduct a randomised controlled trial to determine if video based education delivered through a portable video media (PVM) enabled device improves patient knowledge and satisfaction regarding the consent process for cystoscopy compared with conventional standard verbal consent (SVC). Primary Objective To determine if video based education delivered through a portable video media enabled device improves patient knowledge and satisfaction regarding the consent process for cystoscopy compared with conventional verbal consent. Secondary Objectives To improve the patient education and consent process and provide new ways to communicate risks and benefits of procedures At the start of the trial, participants undergoing an emergency cystoscopy will be randomised in a simple 1:1 randomisation scheme to two study groups Group A: portable video media consent group Group B: standard verbal consent group Randomisation will be performed on appropriate randomisation software. The randomised group allocation sequence will be kept sealed in envelopes until each participant is ready to be randomised. In the video group, surgeons obtained informed consent using an education video. Participants will view this video on a portable video device (iPad). A cross-over will then be performed. At the conclusion of both the SVC and PVM patients will be given the opportunity to ask questions. Main outcome measures are differences in knowledge acquisition and degree of patient satisfaction comparing SVC to PVM consent.
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Trial website
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Trial related presentations / publications
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Public notes
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Attachments [1]
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/AnzctrAttachments/366547-Letter - LNR FINAL Approval - HREC Exec Meeting 11 June 2014 - RESP 14 45.pdf
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Attachments [2]
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/AnzctrAttachments/366547-Protocol v2.doc
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Attachments [3]
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/AnzctrAttachments/366547-NHMRC_PISCF_Non-Interventional_for_Selfv2.docx
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Contacts
Principal investigator
Name
49246
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Dr Matthew Winter
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Address
49246
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Gosford Hospital
Holden Street
Gosford 2250
NSW
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Country
49246
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Australia
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Phone
49246
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+61 423 411 433
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Fax
49246
0
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Email
49246
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[email protected]
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Contact person for public queries
Name
49247
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Matthew Winter
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Address
49247
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Gosford Hospital
Holden Street
Gosford 2250
NSW
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Country
49247
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Australia
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Phone
49247
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+61 423 411 433
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Fax
49247
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Email
49247
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[email protected]
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Contact person for scientific queries
Name
49248
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Matthew Winter
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Address
49248
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Gosford Hospital
Holden Street
Gosford 2250
NSW
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Country
49248
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Australia
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Phone
49248
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+61 423 411 433
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Fax
49248
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Email
49248
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
The use of portable video media vs standard verbal communication in the urological consent process: a multicentre, randomised controlled, crossover trial
2016
https://doi.org/10.1111/bju.13595
N.B. These documents automatically identified may not have been verified by the study sponsor.
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