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CTRI Number  CTRI/2024/03/063964 [Registered on: 11/03/2024] Trial Registered Prospectively
Last Modified On: 22/01/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Preoperative educational video and perioperative anxiety in patients undergoing lower segment caesarean section 
Scientific Title of Study   Effect of preoperative educational video on perioperative anxiety in patients undergoing lower segment caesarean section in Indian Setting: A Randomised Controlled Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ashutosh Kaushal  
Designation  Associate Professor 
Affiliation  All India Institute Of Medical Sciences, Bhopal 
Address  Department of Anaesthesiology, AIIMS, Bhopal, Saket nagar

Bhopal
MADHYA PRADESH
462020
India 
Phone  9599156154  
Fax    
Email  drashutosh.kaushal@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Ashutosh Kaushal  
Designation  Associate Professor 
Affiliation  All India Institute Of Medical Sciences, Bhopal 
Address  Department of Anaesthesiology, AIIMS, Bhopal, Saket nagar

Bhopal
MADHYA PRADESH
462020
India 
Phone  9599156154  
Fax    
Email  drashutosh.kaushal@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Ashutosh Kaushal  
Designation  Associate Professor 
Affiliation  All India Institute Of Medical Sciences, Bhopal 
Address  Department of Anaesthesiology, AIIMS, Bhopal, Saket nagar

Bhopal
MADHYA PRADESH
462020
India 
Phone  9599156154  
Fax    
Email  drashutosh.kaushal@gmail.com  
 
Source of Monetary or Material Support  
All India Institute of Medical Sciences, BHOPAL, India  
 
Primary Sponsor  
Name  All India Institute of Medical Sciences Bhopal  
Address  Saket Nagar, Bhopal, Madhya Pradesh  
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ashutosh Kaushal  All India Institute of Medical Sciences,Bhopal  Department of Anaesthesiology, 3RD floor, Trauma complex,Saket Nagar
Bhopal
MADHYA PRADESH 
9599156154

drashutosh.kaushal@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
All India Institute of MedicalSciences, Bhopal  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Control  The control group will not show educational video but will receive all the standard perioperative care.  
Intervention  Low-cost informative anaesthetic educational video  An educational video on the mobile phone of the investigator will be shown to this group of patients, meeting inclusion criteria in the dedicated room in the maternity ward  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  all consenting primigravida patients scheduled for the LSCS under subarachnoid block.  
 
ExclusionCriteria 
Details  visual or hearing impairment or psychiatric or anxiety disorder or history of previous surgery.  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To estimate and compare the effect of the preoperative educational video on perioperative anxiety by using the state anxiety inventory (Spielberger’s STAI) and Amsterdam preoperative anxiety scale.   The night before surgery, 30 minutes before surgery, and 1 hour after surgery 
 
Secondary Outcome  
Outcome  TimePoints 
To estimate and compare the effect of the preoperative educational video on the perioperative quantitative EEG   The night before surgery, 30 minutes before surgery, and 1 hour after surgery 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   31/03/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

The prevalence of preoperative anxiety among obstetric patients who underwent lower segment caesarean section (LSCS) varies from 55% - 63%. This anxiety could lead to decreased postoperative satisfaction, delayed postoperative recovery, decreased quality of life, increased requirement of anaesthetics and analgesics, longer wound healing, longer hospital stay and hence the overall poor surgical outcome .

Pain during the subarachnoid block, being awake during surgery, seeing or hearing during surgery, privacy breach, being paralysed after surgery and failure to wake up after surgery are some reasons why obstetric patients develop preoperative anxiety related to regional anaesthesia.

The preoperative educational video is one of the recently explored non-pharmacological measures to decrease preoperative anxiety, with variable effects in previous studies.

But these studies have been done in developed countries and may not apply to all socioeconomic and cultural settings. Also, there is a literature deficit regarding the effect of educational videos on the quantitative EEG (marker for stress/anxiety) to decrease perioperative anxiety. 

So, this study intends to evaluate the effect of cost-effective anaesthetic educational video on perioperative anxiety by incorporating the anxiety questionnaires and quantitative EEG in patients undergoing LSCS in the Indian setting.

 
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