What this study is
The goal of this clinical trial is to learn whether a standardized preoperative educational video improves expectation management and the patient experience in adults undergoing Wide-Awake Local Anesthesia No Tourniquet (WALANT) hand surgery. The main questions it aims to answer are:
1. Does watching a preoperative educational video help patients better understand what to expect from their WALANT surgical experience? 2. Does watching the video impact anxiety scores, pain scores, overall satisfaction, and patient-reported functional outcomes?
Researchers will compare patients who receive traditional preoperative counseling plus the educational video with patients who receive traditional preoperative counseling alone to determine whether the video improves the patient experience.
Participants will:
- Complete questionnaires about their expectations, anxiety, pain, hand function, and satisfaction before, during, and after their WALANT procedure.
- If assigned to the video group, watch a standardized educational video explaining what to expect before, during, and after WALANT surgery.
- Complete their final study questionnaires at their 2-week postoperative follow-up visit.
What's being tested
- Preoperative WALANT Educational Video
Intervention · BEHAVIORAL
A standardized preoperative educational video designed to prepare patients for their WALANT surgical experience. The video provides information about preparation for surgery, administration of the local anesthetic injection, the treatment room environment, sensations patients may experience while awake during surgery, options for interacting with or observing the procedure, postoperative recovery, and other expectations surrounding the WALANT experience.
- Traditional Preoperative Counseling
Intervention · BEHAVIORAL
Standard preoperative counseling provided by the treating physician as part of routine clinical care for patients undergoing WALANT hand surgery.
Study details
- Official title
- Improving Patient Experience Through Preoperative Video Education: A Study of Video-Based Intervention in Wide-Awake Local Anesthesia No-Tourniquet (WALANT) Procedures
- Sponsor
- Carilion Clinic
- Conditions
- Hand Injuries and Disorders
- Enrolling
- 100 people
- Starts
- 2026-10
- Est. completion
- 2028-01
- Design
- Open-label, randomized, parallel groups
- Record
- View on ClinicalTrials.gov ↗
Who can join
Age 18 Years and overSex ALLHealthy volunteers Not acceptedYou may qualify if
- Adults ≥18 years
- Scheduled for an elective WALANT procedure with a Carilion Clinic hand surgeon
- Able to read and understand English
- Capacity to consent
You can't join if
- Prior WALANT surgery
- Visual impairment that would prevent the participant from watching the preoperative educational video
Sign in and we'll check these against your records.Full criteria on ClinicalTrials.gov ↗
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Study locations (1)
1 openCarilion Clinic Institute for Orthopaedics and Neurosciences (ION)
Roanoke, Virginia, United States
- Hayden Fredericks, B.S. · Contact(727) 439-8086hafredericks@carilionclinic.org
- Natalie Vaughn, M.D. · Principal investigator
Study team
Sponsor
Carilion Clinic
Study ID IRB-26-2364
Principal investigator
Natalie Vaughn, M.D.
Carilion Clinic
Frequently asked questions
The sponsor hasn't published answers to common questions for this trial.