About this trial
The goal of this randomized controlled trial is to investigate the effectiveness of NeuroBot in alleviating anxiety of patients undergoing neurovascular procedures. The main questions it aims to answer are:
Is NeuroBot effective in alleviating anxiety? Is NeuroBot effective in enhancing patients' procedure and disease-related knowledge? Is NeuroBot effective in enhancing patients' compliance to treatment? If there is a comparison group: Researchers will compare with standard perioperative education (control group) to see if there is any difference in results.
Participants will be invited to chat with the artificial intelligence based chatbot "NeuroBot" for 6 weeks, from the date of preoperative clinic visit till 4 weeks after the surgery. The participants are allowed to access the NeuroBot at anytime anywhere, to ask surgery- related questions at their discretion.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
aged above 18 years;
scheduled for elective neuroendovascular surgery;
able to understand Chinese and read Chinese;
mobile device with internet capability.
Disqualifiers
identified cognitive impairment or have difficulty in understanding study procedures, following instructions, or providing informed consent;
prior exposure to health chatbot to acquire health-related information in previous 3 months;
have neurovascular surgeries before
Trial design
Parallel
Treatments tested in this trial
NeuroBot
Other interventionNeuroBot is an artificial intelligence online accessible chatbot that used machine learning and generative pretrained transformer model for supporting patients undergoing neurovascular surgery during perioperative period
Standard Care (in control arm)
Other interventionStandard care include face-to-face consultation in preoperative nurse clinic and provision of leaflet
Treatment groups
Trial outcomes
Primary outcomes
Anxiety
Level of preoperative and postoperative anxiety, measured using State Trait Anxiety Inventory - State scale (6-item Chinese version). There are total of 6-item in the questionnaire, each item uses a 1 to 4 point rating scale. 1: not at all; 2: somewhat; 3: moderate; 4: very much so. The higher the score indicates the greater levels of anxiety
Secondary outcomes
Knowledge
The level of procedure and disease related knowledge. A 10-item multiple choice questionnaire was developed and validated by neurosurgical experts. It will be used to assess participants' level of knowledge. Each participant will score 1 mark if they correctly answer each question. The higher the score, the higher the level of knowledge.
Compliance
Compliance to prescribed treatment including follow-up visit, arranged investigation. The incidence of non-compliance will be traced through reviewing medical records. Each missed follow-up visit and investigation within 1 month after surgery will be counted. Each incidence of missed follow-up visits and investigations will be descriptively reported in both groups
Readmission
Readmission related to the surgery. The incidence of readmission related to the postoperative complications will be traced in medical record. Number of Participants with readmission will be descriptively reported.
Postoperative complications
surgery-related postoperative complications. The incidence of surgery-related postoperative complications will be traced in medical record. Number of Participants with surgery-related postoperative complications will be descriptively reported in both groups
Other outcomes
Perception on the usability of NeuroBot
Conduct qualitative interview for a group of participants in the intervention group to evaluate the usefulness of and satisfaction to the NeuroBot
Sponsors and contacts
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Chinese University of Hong Kong
Lead sponsor
The Hong Kong Polytechnic University
Collaborator
Hospital Authority, Hong Kong
Collaborator
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