Impact of a Video Explaining Epidural Analgesia in Obstetrics (VIDEOCLIP)

Centre Hospitalier Intercommunal Creteil

Status: Completed

Conditions: Difficulty Processing Information

Treatments: Other: Video Information; Other: Written Information

Study type: Interventional

Funder types: Other

Identifiers

NCT02899806

VIDEOCLIP

Details and patient eligibility

About

The aim of this study was to investigate the impact of multimedia information on epidural anesthesia. Pregnant women were randomly assessed to get a video information in addition to an oral and written information on epidural anesthesia. Maternal satisfaction concerning the quality of the information as well their anxiety and understanding of the procedure were assessed and compared in both groups.

Full description

The information in anesthesia consultation is mandatory. Few studies have investigated the impact of multimedia preoperative information in terms of satisfaction, comprehension and anxiety, with conflicting results. None have evaluated the contribution of a video explaining epidural analgesia in obstetrics. This study compared two types of information given in anesthesia consultation: an oral and written information (group P) versus oral, written and video information (group V). The main objective was maternal satisfaction, the secondary objectives were understanding and anxiety.

This is a common care, prospective and randomized study, conducted between September 2015 and February 2016 in the Creteil Intercommunal Hospital Center (CHIC) and accepted by the ethics committee Paris V. After information, not opposition of women who accepted to participated was collected. Oral information on epidural analgesia was provided in consultation by the anesthesiologist, with delivery of a written information sheet. The video made at CHIC in 2015, was transmitted, in addition, by email to patients randomized in the group V for she could look it at their convenience. Satisfaction and anxiety were evaluated by numerical scale from 0 to 10 and comprehension by multiple choice questions with a final score of 10. These three criteria were also evaluated in an emergency context in which women received oral and written information (group U). Evaluation questionnaires were given during the anesthesia consultation and recovered during the hospitalization after childbirth.

Enrollment: 301 patients

Sex: Female

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Pregnant woman
• Affiliated to social security system
• Understanding French language
• Internet access
• >18 years old and not subject to a measure of legal protection

Exclusion criteria

• Contre indications to epidural
• Refusal to participate in the study
• Not affiliated with the Social Security system
• No understanding French
• No access to Internet
• Patient minor or under legal protection

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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301 participants in 2 patient groups, including a placebo group

Paper

Placebo Comparator group

Description:

Information about epidural analgesia by oral and paper sheep given by anesthesist in programed consultation

Treatment:

Other: Written Information

Video

Experimental group

Description:

Video information in addition to oral and written information gave by anesthesist in programed consultation

Treatment:

Other: Video Information

Other: Written Information