Preoperative AnxietyNCT07521592
Effect of Video-Based Versus Verbal Preoperative Information on Anxiety and Cortisol Levels in Elective Cesarean Section
A study testing Verbal Preoperative Information and Video-Based Preoperative Information in people with Preoperative Anxiety and Cesarean Section, run by Elazıg Fethi Sekin Sehir Hastanesi at 1 site in Turkey (Türkiye).
Trial summary
Preoperative anxiety is a common problem in patients undergoing elective cesarean section and may negatively affect perioperative outcomes through activation of the stress response, including increased cortisol levels. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Preoperative Anxiety, Cesarean Section, Surgical Stress Response
- What is being tested?
- Verbal Preoperative Information and Video-Based Preoperative Information
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 140 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 2 Apr 2026to 2 Jul 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Pregnant women aged 18 years or older
- Scheduled for elective cesarean delivery
- Planned to receive spinal anesthesia
- American Society of Anesthesiologists (ASA) physical status I-II
- Ability to provide written informed consent
Who cannot join
- Emergency cesarean delivery
- History of psychiatric disorders
- Current use of anxiolytic or antidepressant medications
- Endocrine disorders, particularly adrenal or thyroid disease
- Current corticosteroid therapy
- History of previous surgery under spinal anesthesia
- Cognitive impairment preventing effective communication or completion of the assessment scales
- American Society of Anesthesiologists (ASA) physical status III-V
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Elazığ Fethi Sekin City Hospital
Elâzığ, Lütfen Seçiniz., 23100
About this study
Official title: The Effect of Video-Based Versus Verbal Preoperative Information on Anxiety and Serum Cortisol Levels in Elective Cesarean Section: A Prospective Randomized Controlled Study
Preoperative anxiety is a common problem in patients undergoing elective cesarean section and may negatively affect perioperative outcomes through activation of the stress response, including increased cortisol levels. Effective preoperative information is considered a key non-pharmacological strategy to reduce anxiety; however, the optimal method of information delivery remains unclear. This prospective randomized controlled trial aims to compare the effects of video-based versus verbal preoperative information on anxiety levels and serum cortisol response in patients scheduled for elective cesarean delivery under spinal anesthesia. Anxiety will be assessed using the State-Trait Anxiety Inventory (STAI), and serum cortisol levels will be measured before and after the intervention. The findings of this study are expected to provide evidence for improving patient-centered preoperative education strategies in obstetric anesthesia."
- Being tested
- Verbal Preoperative Information, Video-Based Preoperative Information
- Keywords
- Preoperative Anxiety, Cesarean Delivery, Cortisol Biomarker
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Verbal Preoperative InformationBehavioural
Participants will receive standard preoperative information about anesthesia and the surgical procedure through face-to-face verbal communication delivered by an anesthesiologist according to routine clinical practice at least one hour before surgery.
Video-Based Preoperative InformationBehavioural
Participants will receive standardized video-based preoperative information covering anesthesia and the surgical procedure at least one hour before surgery. The content of the video will be equivalent to the verbal information provided in routine clinical practice.
| Study group | Role | What they receive |
|---|---|---|
| Verbal Information Group | Other | Not described Receives: Behavioral: Verbal Preoperative Information |
| Video-Based Information Group | Other | Not described Receives: Behavioral: Video-Based Preoperative Information |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in preoperative anxiety level measured by the State-Trait Anxiety Inventory (STAI-S)
Change in preoperative anxiety level measured by the State-Trait Anxiety Inventory-State (STAI-S), a 20-item scale with scores ranging from 20 to 80, where higher scores indicate greater anxiety.
Measured: Immediately before preoperative information and approximately 1 hour after preoperative information, before surgery
Secondary outcomes (1)
Serum cortisol level change
Change in serum cortisol levels measured from venous blood samples obtained immediately before preoperative information and approximately 1 hour after preoperative information, before surgery.
Measured: Immediately before preoperative information and approximately 1 hour after preoperative information, before surgery
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Apr 2026
- Study start2 Apr 2026
- Primary completion2 Jul 2026
- Study completion2 Jul 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Preoperative AnxietyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 140 participants (actual)
Sponsor and investigators
- Lead sponsor
- Elazıg Fethi Sekin Sehir Hastanesi
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Sevim Şenol Karataş, Elazıg Fethi Sekin Sehir Hastanesi
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07521592
- Sponsor's protocol ID
- EFSH-CS-ANX-CORT-2026-01
- Status last verified
- Aug 2026
- First submitted
- 1 Apr 2026
- Last updated
- 26 Aug 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 26 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Video-Based Versus Verbal Preoperative Information on Anxiety and Serum Cortisol Levels in Elective Cesarean Section: A Prospective Randomized Controlled Study
- ClinicalTrials.gov ID
- NCT07521592
- Acronym / sponsor ID
- EFSH-CS-ANX-CORT-2026-01
- Keywords
- Preoperative Anxiety, Cesarean Delivery, Cortisol Biomarker
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 140 participants (actual)
- Lead sponsor
- Elazıg Fethi Sekin Sehir HastanesiUniversity, hospital or other
- Study start
- 2 Apr 2026 (actual)
- Primary completion
- 2 Jul 2026 (actual)
- Study completion
- 2 Jul 2026 (actual)
- First posted
- 13 Apr 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Preoperative anxiety is a common problem in patients undergoing elective cesarean section and may negatively affect perioperative outcomes through activation of the stress response, including increased cortisol levels. Effective preoperative information is considered a key non-pharmacological strategy to reduce anxiety; however, the optimal method of information delivery remains unclear. This prospective randomized controlled trial aims to compare the effects of video-based versus verbal preoperative information on anxiety levels and serum cortisol response in patients scheduled for elective cesarean delivery under spinal anesthesia. Anxiety will be assessed using the State-Trait Anxiety Inventory (STAI), and serum cortisol levels will be measured before and after the intervention. The findings of this study are expected to provide evidence for improving patient-centered preoperative education strategies in obstetric anesthesia."
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Verbal Information Group | Other | Behavioral: Verbal Preoperative Information |
| Video-Based Information Group | Other | Behavioral: Video-Based Preoperative Information |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Pregnant women aged 18 years or older
- Scheduled for elective cesarean delivery
- Planned to receive spinal anesthesia
- American Society of Anesthesiologists (ASA) physical status I-II
- Ability to provide written informed consent
Key exclusion criteria (8 listed)
- Emergency cesarean delivery
- History of psychiatric disorders
- Current use of anxiolytic or antidepressant medications
- Endocrine disorders, particularly adrenal or thyroid disease
- Current corticosteroid therapy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Verbal Preoperative InformationParticipants will receive standard preoperative information about anesthesia and the surgical procedure through face-to-face verbal communication delivered by an anesthesiologist according to routine clinical practice at least one hour before surgery. | Behavioural | Verbal Information Group |
| Video-Based Preoperative InformationParticipants will receive standardized video-based preoperative information covering anesthesia and the surgical procedure at least one hour before surgery. The content of the video will be equivalent to the verbal information provided in routine clinical practice. | Behavioural | Video-Based Information Group |
Primary outcome
Change in preoperative anxiety level measured by the State-Trait Anxiety Inventory (STAI-S)
Time frame: Immediately before preoperative information and approximately 1 hour after preoperative information, before surgery
Change in preoperative anxiety level measured by the State-Trait Anxiety Inventory-State (STAI-S), a 20-item scale with scores ranging from 20 to 80, where higher scores indicate greater anxiety.
1 secondary outcome
Serum cortisol level change
Time frame: Immediately before preoperative information and approximately 1 hour after preoperative information, before surgery
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Aug 2026.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Verbal Preoperative Information and Video-Based Preoperative Information in people with Preoperative Anxiety and Cesarean Section, run by Elazıg Fethi Sekin Sehir Hastanesi at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 26 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in preoperative anxiety level measured by the State-Trait Anxiety Inventory (STAI-S) (time frame: Immediately before preoperative information and approximately 1 hour after preoperative information, before surgery). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Aug 2026.