Effect of Mobile Augmented Reality Counseling on Improving Shared Decision-Making in Thoracic Surgery

Tri-Service General Hospital

Status: Completed

Conditions: Lung Cancer Patients

Treatments: Behavioral: Traditional Counseling → MAR Counseling; Behavioral: MAR Counseling → Traditional Counseling

Study type: Interventional

Funder types: Other

Identifiers

NCT07062393

TSGH-MAR-SDM-2025

Details and patient eligibility

About

This randomized clinical trial evaluates the effectiveness of Mobile Augmented Reality (MAR) counseling compared to traditional verbal counseling for patients undergoing thoracic surgery. MAR counseling integrates patient-specific 3D anatomical models to enhance understanding of surgical procedures and risks. The study assesses patient and caregiver satisfaction, decision-making confidence, and communication quality. Health care providers' perspectives on the counseling methods are also examined. Participants will be assigned to one of the two counseling groups and asked to complete a questionnaire immediately after the counseling session.

Enrollment: 47 patients

Sex: All

Ages: 20 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults aged 20 years and older
• Scheduled for elective thoracic surgery
• Able to understand written and spoken Mandarin
• Willing and able to provide informed consent
• Capable of completing questionnaires independently or with minimal assistance

Exclusion criteria

• Emergency surgery cases
• Severe cognitive impairment or psychiatric illness interfering with participation
• Visual or hearing impairments that prevent interaction with mobile devices
• Previous participation in a similar counseling trial
• Inability to complete follow-up procedures

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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47 participants in 2 patient groups

Traditional First, Then MAR Counseling (T-M group)

Experimental group

Description:

Participants receive traditional counseling first, followed by MAR counseling using a 3D mobile application.

Treatment:

Behavioral: Traditional Counseling → MAR Counseling

MAR First, Then Traditional Counseling (M-T group)

Experimental group

Description:

Participants receive MAR counseling first using a mobile 3D model app, followed by traditional counseling with CT images and verbal explanations.

Treatment:

Behavioral: MAR Counseling → Traditional Counseling