Evaluating a New Multimedia-Based Informed Consent Method to Help Patients Understand Complex Spine and Prostate Surgery Options
Led by Istituto Ortopedico Rizzoli · Updated on 2026-02-02
300
Participants Needed
1
Research Sites
4 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are evaluating a new way to provide preoperative information to patients who are candidates for spinal or urological surgery. This study is an interventional, randomized controlled trial conducted at multiple centers. It aims to compare a new multimedia-based method that objectively checks patient understanding against the standard informed consent process to see which better supports patient decision-making about surgery.
Participants in the experimental group will receive detailed information through videos with surgical options, graphics, and animations. They will also have interviews with the surgeon and caregivers using 3D-printed models to guide shared decision-making. After deciding on surgery, patients will join educational programs to reinforce understanding before a final surgeon interview and signing of informed consent. The control group will receive the usual care, including a standard explanatory interview and consent signing.
Throughout the study, participants will complete questionnaires assessing satisfaction, comprehension, mental health, pain, disability, urinary and sexual function, and legal outcomes at multiple time points before surgery, at discharge, and at two and six months after surgery. The research team will monitor these measures to evaluate the impact of the new method on patient understanding and decision satisfaction over time.
CONDITIONS
Brief Title
Active Informed Consent: a New Solution to Improve and Objectively Test the Patient Understanding of Complex Surgical Procedures Proposals
Research Team
L
Luca Boriani, MD
B
Bruna Maccaferri, MD
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Adults aged 218 years or older with full legal capacity to consent
Scheduled for elective spinal surgery or radical prostatectomy
Ability to understand and communicate in Italian
Basic computer or internet skills to access multimedia content
You will not qualify if you...
Under 18 years of age
Unable to provide informed consent due to cognitive impairment or severe mental illness
Cases requiring urgent or emergency surgery
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Preoperative Information and Decision Making
Duration - Up to 4 weeks before surgery
Participants receive detailed information about their surgery options through multimedia tools, interviews with surgeons including shared decision making, and educational programs to enhance understanding before giving informed consent.
Multiple visits including video sessions, surgeon interviews, and educational program visits
Surgery
Duration - Day of surgery
Participants undergo the scheduled elective spinal surgery or radical prostatectomy.
1 visit (in-person)
Follow-up and Outcome Assessment
Duration - 6 months after surgery
Participants are monitored with questionnaires and scales to assess satisfaction, comprehension, mental health, pain, disability, and other relevant outcomes at discharge and at 2 and 6 months post-surgery.
3 visits (discharge, 2 months follow-up, and 6 months follow-up)
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
2
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Published Research Related To This Trial
Protocol RCT for active informed consent in spine and urologic surgery in the metropolitan city of Bologna: does an increased patient engagement improve satisfaction of complex surgical procedures?