Uncontrolled Disinformation About Regional Anesthesia and Pregnant Patients.

Anxiety Clinical Trial

Official title:

Uncontrolled Disinformation About Regional Anesthesia From Social Media, and the Effect on the Pregnant Patients Decisions.

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT05416541
• Other study ID #: E1-21-1739
• Status: Active, not recruiting
• Start date: May 1, 2022
• Est. completion date: November 1, 2023

Study information

• Verified date: February 2023
• Source: Ankara City Hospital Bilkent
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial Summary

Nowadays, hundreds of information about regional anesthesia are accessed from any internet search engine when a question is written about the methods of anesthesia that can be applied during C/S. This information may have positive or negative effects on the patient, as well as include uncontrolled, unsupervised comments, articles and images. Our aim is primarily to evaluate whether our patients are exchanging information via social media or the internet and the effects of these shares on their concerns.

Description:

Social media has become a place to receive and share information today, especially for women of childbearing age. according to a study published in 2019, 78% of social media users are women and 80% of them are in the 18-40 age range. Again, studies have shown that women often use a large number of alternative platforms to receive or share information about pregnancy and parenting. It has been shown that there are 3 different reasons why patients follow medical content on social media. Behaviorally, patients can be self-healing with the information they receive; cognitively, the search for information about their own condition and the desire to understand their condition is the desire to be able to share common feelings with other people who are in the same situation emotionally. Anxiety develops in the preoperative period in 21-25% of cesarean section patients. This anxiety response can cause premature and low birth weight baby birth by vasoconstricting the uterine artery through the autonomic central nervous system. It is common for pregnant women who already have concerns before the cesarean section that will take place to look for information about both the surgery and the anesthesia method that will be applied. Studies including patients who were watched preoperative anesthesia videos about the anesthesia technique, has showed low anxiety levels. However, this videos were custom made videos by the organizations such as hospitals, universities. Nowadays, hundreds of information about regional anesthesia are accessed from any internet search engine when a question is written about the methods of anesthesia that can be applied during C/S. This information may have positive or negative effects on the patient, as well as include uncontrolled, unsupervised comments, articles and images. Our aim is primarily to evaluate whether our patients are exchanging information via social media or the internet and the effects of these shares on their concerns

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 250
• Est. completion date: November 1, 2023
• Est. primary completion date: November 1, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 16 Years to 45 Years

Eligibility

Inclusion Criteria:

• ASA I-II, who speaks and writes Turkish

Exclusion Criteria:

• psychiatric illness

Related Conditions & MeSH terms

• Anxiety
• Anxiety Disorders
• Fear Anxiety
• Regional Anesthesia
• Social Media Addiction
• Spinal Anesthesia

Intervention

Behavioral:
• social media
ASA I-II, who speaks and writes Turkish and do not have psychiatric illness patients will attend the study.

Locations

Country	Name	City	State
Turkey	Ankara City Hospital	Ankara
Turkey	Aygün Güler	Ankara	Type A Choice Below ...

Sponsors (1)

Lead Sponsor	Collaborator
Ankara City Hospital Bilkent

Country where clinical trial is conducted

Turkey, 

References & Publications (8)

Asiodu IV, Waters CM, Dailey DE, Lee KA, Lyndon A. Breastfeeding and use of social media among first-time African American mothers. J Obstet Gynecol Neonatal Nurs. 2015 Mar-Apr;44(2):268-78. doi: 10.1111/1552-6909.12552. Epub 2015 Feb 24. — View Citation

Barello S, Triberti S, Graffigna G, Libreri C, Serino S, Hibbard J, Riva G. eHealth for Patient Engagement: A Systematic Review. Front Psychol. 2016 Jan 8;6:2013. doi: 10.3389/fpsyg.2015.02013. eCollection 2015. — View Citation

Che YJ, Gao YL, Jing J, Kuang Y, Zhang M. Effects of an Informational Video About Anesthesia on Pre- and Post-Elective Cesarean Section Anxiety and Recovery: A Randomized Controlled Trial. Med Sci Monit. 2020 Apr 8;26:e920428. doi: 10.12659/MSM.920428. — View Citation

Field T. Prenatal anxiety effects: A review. Infant Behav Dev. 2017 Nov;49:120-128. doi: 10.1016/j.infbeh.2017.08.008. Epub 2017 Sep 5. — View Citation

Gleeson DM, Craswell A, Jones CM. Women's use of social networking sites related to childbearing: An integrative review. Women Birth. 2019 Aug;32(4):294-302. doi: 10.1016/j.wombi.2018.10.010. Epub 2018 Dec 31. — View Citation

Holtz B, Smock A, Reyes-Gastelum D. Connected Motherhood: Social Support for Moms and Moms-to-Be on Facebook. Telemed J E Health. 2015 May;21(5):415-21. doi: 10.1089/tmj.2014.0118. Epub 2015 Feb 9. — View Citation

Perkin MR, Bland JM, Peacock JL, Anderson HR. The effect of anxiety and depression during pregnancy on obstetric complications. Br J Obstet Gynaecol. 1993 Jul;100(7):629-34. doi: 10.1111/j.1471-0528.1993.tb14228.x. — View Citation

Pretorius K, Johnson KE, Rew L. An Integrative Review: Understanding Parental Use of Social Media to Influence Infant and Child Health. Matern Child Health J. 2019 Oct;23(10):1360-1370. doi: 10.1007/s10995-019-02781-w. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	social media effect on the anesthesia choice	the effect of the uncontrolled disinformation on the patients decision of the anesthesia	were performed before the operation when the patient hospitalized.
Primary	social media and patient anxiety about anesthesia and surgery	anxiety will be measured	before the operation when the patient hospitalized.