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Trial registered on ANZCTR
Registration number
ACTRN12616000288426
Ethics application status
Approved
Date submitted
21/12/2015
Date registered
4/03/2016
Date last updated
4/03/2019
Date data sharing statement initially provided
4/03/2019
Date results provided
4/03/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
Written information delivery to improve patient understanding and anxiety at Flexible cystoscopy
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Scientific title
Written vs standard information delivery at Flexible cystoscopy - impact on patient understanding and anxiety
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Secondary ID [1]
288197
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Nil known
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Universal Trial Number (UTN)
U1111-1177-9150
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Urothelial carcinoma
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Haematuria
297106
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Voiding symptoms
297107
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Condition category
Condition code
Renal and Urogenital
297343
297343
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0
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Other renal and urogenital disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Written information on standardised proforma (outlining findings at cystoscopy and planned management specific to the patient) added to standard verbal information given immediately after flexible cystoscopy
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Intervention code [1]
293501
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Treatment: Other
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Intervention code [2]
294105
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Behaviour
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Comparator / control treatment
Standard verbal information (outlining findings at cystoscopy and planned further management) given at immediately after completion of flexible cystoscopy
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Control group
Active
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Outcomes
Primary outcome [1]
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Understanding of information given - patient asked to write in free text the findings of cystoscopy and proposed management plan. Comparison to findings and plan as recorded by proceduralist, with scoring as 0 (inaccurate), 1 (partially concordant) and 2 (accurate and concordant)
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Assessment method [1]
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Timepoint [1]
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Immediately after procedure (10-30min)
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Secondary outcome [1]
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Self-reported anxiety level on a 5-point Likert scale
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Assessment method [1]
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Timepoint [1]
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Immediately after procedure (10-30 min)
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Secondary outcome [2]
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Self-reported feeling of being adequately informed on a 5-point Likert scale
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Assessment method [2]
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Timepoint [2]
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Immediately after procedure (10-30min)
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Eligibility
Key inclusion criteria
Any patient undergoing flexible cystoscopy
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Minimum age
18
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
Cognitive or language barrier to assessments
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
1/05/2013
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Date of last participant enrolment
Anticipated
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Actual
28/09/2013
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Date of last data collection
Anticipated
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Actual
31/10/2013
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Sample size
Target
200
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Accrual to date
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Final
200
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Recruitment in Australia
Recruitment state(s)
VIC
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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N/A
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Address [1]
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N/A
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Country [1]
292592
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Primary sponsor type
Hospital
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Name
Austin health
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Address
147 Studley Road
Heidelberg
Victoria 3084
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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]
291312
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Country [1]
291312
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Austin Health HREC
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Ethics committee address [1]
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Austin Health 147 Studley Road Heidelberg 3084 Victoria
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
294075
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Approval date [1]
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24/04/2013
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Ethics approval number [1]
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H2013/05050
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Summary
Brief summary
Background and rationale: Patients undergoing procedures such as flexible cystoscopy are usually given information regarding the findings from the procedure, and further treatment plans. This may be done verbally (as is usual at Austin Health) or in writing (as is done in some centres). We hypothesise that the provision of written information will aid patient understanding and retention, and thereby reduce anxiety. Methodology: Patients undergoing flexible cystoscopy will be invited to participate, with the main exclusion being those with language, psychological or cognitive barriers to participation. Patients will be given a plain (English) language statement, and will sign the study consent form, and complete the pre-procedure questionnaire. They will then have their flexible cystoscopy as is usual practice. The findings from the cystoscopy as well as the plan of management will be communicated to them either verbally only or on a standardized written template in addition, according to a random allocation. At the conclusion of the procedure, the patient will be invited to complete the post-procedure questionnaire. Data collection and analysis: The questionnaires and limited clinical and demographic data will be collected in blinded fashion by members of the research team other than the proceduralists (p). Data from the medical record to be collected in de-identified fashion includes age, sex, diagnosis (ie bladder cancer, other pathology or normal), prior cystoscopies (& number) and need for further intervention (after cystoscopy). Endpoints: The patient’s understanding of the findings at cystoscopy and the subsequent plan will be coded as follows: *Good: patient’s response matches documentation from proceduralist *Fair: patient’s response is close to documentation from proceduralist, but with minor errors / discrepancies *Poor: No response or response completely erroneous The patients’ self-assessed impression of being well informed and worried will be scored on a standard 5-point scale. The above measures will be compared between the two groups receiving verbal vs written information, with assessment of associations with other variables (i.e. age, sex, diagnosis, prior cystoscopies and need for subsequent procedures) Significance: On the basis of this study, we will determine the preferred method for communicating with patients after flexible cystoscopy. The findings may have relevance for patient communication after day-case surgical procedures in general.
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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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A/Prof Shomik Sengupta
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Address
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Austin Health, Dept of Urology
Studley Road
Heidelberg, Vic 3084
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Country
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Australia
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Phone
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+61394965000
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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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Shomik Sengupta
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Address
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Austin Health, Dept of Urology
Studley Road
Heidelberg, Vic 3084
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Country
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Australia
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Phone
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+61394965000
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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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Shomik Sengupta
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Address
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Austin Health, Dept of Urology
Studley Road
Heidelberg, Vic 3084
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Country
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Australia
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Phone
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+61394965000
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Fax
62340
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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)?
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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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