Preoperative optimization of cardiac valve patients’ expectations: Study protocol of the randomized controlled ValvEx-trial
Complete recovery after surgery depends on psychological factors such as preoperative information, expectations, and surgery-associated anxiety. Prior studies have shown that even a short preoperative psychological intervention aiming at optimized expectations (EXPECT) can improve postoperative...
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| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Philipps-Universität Marburg
2023
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| Subjects: | |
| Online Access: | PDF Full Text |
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| Summary: | Complete recovery after surgery depends on psychological
factors such as preoperative information, expectations, and surgery-associated
anxiety. Prior studies have shown that even a short preoperative psychological
intervention aiming at optimized expectations (EXPECT) can improve
postoperative outcomes in coronary artery bypass patients. However, this
intervention may benefit only a small subgroup of heart surgery patients
since implementing preoperative psychological interventions into the daily
clinical routine is difficult due to the additional time and appointments. It
is unclear whether the EXPECT intervention can be shortened and whether
heart valve patients would also benefit from interventions that optimize
patients’ expectations. The multicenter ValvEx trial aims (i) to adapt an effective
preoperative psychological intervention (EXPECT) to make it brief enough to be
easily integrated into the preoperative routine of heart valve patients and (ii) to
examine if the adapted preoperative psychological intervention improves the
subjectively perceived illness-related disability (PDI) up to 3 months after surgery.
In two German university hospitals, N = 88 heart valve
patients who undergo heart surgery are randomized into two groups [standard
of care (SOC) vs. standard of care plus interventional expectation manipulation
(SOC and EXPECT)] after baseline assessment. Patients in the EXPECT group
additionally to standard of care participate in the preoperative psychological
intervention (30–40 min), focusing on optimizing expectations and have two
booster-telephone calls (4 and 8 weeks after the surgery, approx. 15 min). Both
groups have assessments again on the evening before the surgery, 4 to 6 days,
and 3 months after the surgery.
The trial demonstrates excellent feasibility in the clinical routine and
a high interest by the patients. |
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| Item Description: | Gefördert durch den Open-Access-Publikationsfonds der UB Marburg. |
| DOI: | 10.3389/fcvm.2023.1105507 |