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Trial registered on ANZCTR
Registration number
ACTRN12618000870257
Ethics application status
Approved
Date submitted
18/05/2018
Date registered
22/05/2018
Date last updated
27/09/2019
Date data sharing statement initially provided
27/09/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
The use of video media in informed consent in patients undergoing emergency appendicectomy
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Scientific title
The use of video media in informed consent for emergency appendicectomy: a randomised controlled, crossover trial
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Secondary ID [1]
294902
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Nil known
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Universal Trial Number (UTN)
U1111-1214-1421
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Trial acronym
VAC
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Appendicitis
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Condition category
Condition code
Surgery
306909
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0
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Other surgery
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Public Health
306981
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0
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Health service research
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention will be a six minute video detailing the condition of appendicitis, appendicectomy and it's alternatives, the common and serious but rare risks of the procedures, and the expected post-operative recovery. The video will be presented to the individual participant on a tablet device, and adherence will be monitored by direct observation by study personnel. The control consent method will be presented immediately after the knowledge test and CSQ-8 have been assessed for the intervention method, and vice-versa.
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Intervention code [1]
301213
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Other interventions
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Comparator / control treatment
Standard face-to-face conset for an appendicectomy will be delivered by the surgical senior resident or registrar caring for the patient.
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Control group
Active
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Outcomes
Primary outcome [1]
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Knowledge test score, developed specifically for this study. Recall and comprehension of the information delivered during both control and intervention arms will bee assessed.
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Assessment method [1]
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Timepoint [1]
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Immediately after intervention and standard consent methods
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Secondary outcome [1]
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Client satisfaction questionnaire (CSQ-8) score, a validated measure of satisfaction
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Assessment method [1]
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Timepoint [1]
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Immediately after intervention and standard consent method
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Secondary outcome [2]
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Mean overall preference between intervention and standard consent method, assessed using a 100=point sliding visual analogue scale.
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Assessment method [2]
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Timepoint [2]
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After delivery of both intervention and standard consent methods
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Eligibility
Key inclusion criteria
Age > 16 years
Able to read and write in English
Able to give consent
Able to watch a video
Clinically indicated for appendicectomy or diagnostic laparoscopy, as determined by treating surgical team
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Minimum age
16
Years
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Maximum age
No limit
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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
Patients requiring an urgent operation, and conducting the study would prolong the patient's time to the operating theatre.
Patients with significant pain which would impede completion of the questionnaires.
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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)
Yes. Central randomisation by computer.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table generated by computer softward
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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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
We aim to recruit 88 patients in order to be able to detect a difference of 1.5 points in knowledge test scores between groups, with an estimated standard deviation of 5 points, with power set at 0.8 and significance level at 0.05,
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
2/10/2018
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Actual
4/10/2018
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Date of last participant enrolment
Anticipated
2/02/2020
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Actual
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Date of last data collection
Anticipated
2/02/2020
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Actual
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Sample size
Target
100
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Accrual to date
36
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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John Hunter Hospital - New Lambton
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Recruitment hospital [2]
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Wyong Public Hospital - Hamlyn Terrace
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Recruitment hospital [3]
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Gosford Hospital - Gosford
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Recruitment postcode(s) [1]
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2305 - New Lambton
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Recruitment postcode(s) [2]
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2259 - Hamlyn Terrace
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Recruitment postcode(s) [3]
22668
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2250 - Gosford
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Newcastle
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Address [1]
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University Drive
Callaghan NSW 2308
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Country [1]
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Australia
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Primary sponsor type
University
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Name
University of Newcastle
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Address
Teaching and Research Unit
Gosford Hospital
PO Box 361
Gosford NSW 2250
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
298806
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Hunter New England Human Research Ethics Committee
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Ethics committee address [1]
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Hunter New England Research Ethics & Governance Office Locked Bag No 1 New Lambton NSW 2305
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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20/09/2017
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Approval date [1]
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23/10/2017
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Ethics approval number [1]
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17/10/18/5.05
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Summary
Brief summary
Informed consent is an not only an essential part of preparing a patient for surgery, but also a legal requirement. Surgeons typically explain the condition, procedure, risks and benefits and expected recovery of the intended treatment. This didactic method of information delivery can often miss out important components, and patients may not retain much knowledge from these discussions. Audio-video presentations have already been shown to be a promising medium to aid patient understanding and increase satisfaction during the consent process. This project will investigate the role of video media in providing a better informed consent process for patients undergoing emergency appendicectomy, as compared with standard face-to-face verbal consent between doctor and patient. Patients who require this operation will be invited to participate in the study. When enrolled, participants will be randomised to receive either the intervention (video media) or standard method of consent first. A short knowledge test and consumer satisfaction questionnaire will be completed, and then the process repeated for the opposite consent method. At the conclusion, the participant's preference between video media or standard face-to-face consent will be recorded.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Amanda Dawson
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Address
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Teaching and Research Unit
Gosford Hospital
PO Box 361
Gosford NSW 2250
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Country
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Australia
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Phone
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+61243205572
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Brayden March
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Address
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Division of Surgery
John Hunter Hospital
Locked Bag No 1
Hunter Region Mail Centre NSW 2310
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Country
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Australia
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Phone
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+61249213000
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Brayden March
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Address
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Division of Surgery
John Hunter Hospital
Locked Bag No 1
Hunter Region Mail Centre NSW 2310
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Country
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Australia
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Phone
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+61249213000
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Fax
83504
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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
No additional documents have been identified.
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