MicrolearningNCT07221435
Microlearning-Based Health Education for Ambulatory Surgery Patients
A study testing Microlearning education in people with Microlearning, run by University Hospitals Cleveland Medical Center at 1 site in United States.
Trial summary
This study is being conducted to explore how microlearning-based health education can improve patients' knowledge, self-confidence in managing their care (self-efficacy), and overall recovery after same-day surgery. Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- Microlearning
- What is being tested?
- Microlearning education
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 5 participants
- Where
- 1 siteUnited States
- Study dates
- 30 Oct 2025to 12 Feb 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 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients scheduled for the ambulatory mid-urethral sling procedures for stress urinary incontinence OR ambulatory vaginal hysterectomy for uterine prolapse
- Aged 18 to 80
- Able to access technology (mobile phone, computer, tablet, or iPad)
- Demonstrate sufficient proficiency in English to read, write, speak, and understand instructions without the need for translation or interpretation.
Who cannot join
- Prior experience with ambulatory surgery in the past year
- Diagnosed with Cognitive disorders of dementia or Alzheimer's
- Blindness
- Pregnancy
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Microlearning-Based Health Education to Enhance Ambulatory Surgery Patients' Knowledge Retention, Self-efficacy, and Quality of Postoperative Recovery
This study is being conducted to explore how microlearning-based health education can improve patients' knowledge, self-confidence in managing their care (self-efficacy), and overall recovery after same-day surgery. Ambulatory surgeries, such as vaginal hysterectomies and mid-urethral sling procedures, are becoming more common because they typically lead to better outcomes and shorter recovery times than inpatient surgeries. Microlearning has been effective in improving knowledge and confidence in other healthcare settings, but is not yet well studied for surgical patients. A total of 50 participants will be enrolled in the study at the University Hospitals. Participants will be patients scheduled for either a mid-urethral sling procedure or a vaginal hysterectomy, and they will complete pre- and post-education surveys as part of the study.
- Conditions
- Microlearning
- Being tested
- Microlearning education
- Keywords
- patient education
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Microlearning educationBehavioural
Participants will receive the link to a technology-based education module. There will be 10 modules and the participant can complete the modules at their own pace.
| Study group | Role | What they receive |
|---|---|---|
| Microlearning Group | Experimental | Participants in this group will complete the pre-education survey, then they will receive the microlearning education, and complete the post-education survey. Receives: Behavioral: Microlearning education |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in knowledge score as measured by the knowledge test.
The knowledge test was developed in collaboration with both physicians and nursing experts. The test was created to align with the educational objectives and content delivered during the intervention. The test consists of 15 multiple-choice items, with each item carrying a score of 1. The total score is 15, with higher scores indicating a greater level of knowledge. A higher score on the post-test indicates greater retention of knowledge.
Measured: Baseline, Post Education (within 2 weeks after surgery)
Change in Self-Efficacy as measured by the Self-care Self-Efficacy Scale (SCSES)
The Self-Care Self-Efficacy Scale (SCSES): The instrument consists of 10 items designed to assess self-efficacy related to self-care. Responses are rated on a scale from 1 to 5. The total scores range from 0 to 100, with higher scores indicating greater self-efficacy.
Measured: Baseline, Post Education (within 2 weeks after the surgery)
Quality of Postoperative Recovery as measured by the Post-discharge Surgical Recovery (PSR).
The PSR is a self-report tool to assess patients' perceived recovery. The PSR consists of 13 items that measure various aspects of recovery. Each item is presented on a visual analogue scale from 0 to 10, with patients circling a number that reflects their response. Scores for each aspect range from 0 to 100, with higher scores indicating better recovery.
Measured: Post Education ( within 2 weeks after surgery)
Secondary outcomes (11)
The acceptability of the intervention as measured by the Acceptability of Intervention Measure (AIM)
The AIM consists of 4 items with 5-point ordinal response options from "completely disagree" (1), "Disagree" (2), "Neither Agree nor Disagree" (3), "Agree" (4), and "Completely Agree" (5). The total score is the sum of all items and ranges from 1 to 20. The higher score indicates greater acceptability.
Measured: Post Education (within 2 weeks after surgery)
The feasibility of the intervention as measured by the Feasibility of Intervention Measure (FIM).
The FIM consists of 4 items with 5-point ordinal response options from "completely disagree" (1), "Disagree" (2), "Neither Agree nor Disagree" (3), "Agree" (4), and "Completely Agree" (5). The total score is the sum of all items and ranges from 1 to 20. The higher score indicates greater feasibility.
Measured: Post Education (within 2 weeks after surgery)
The appropriateness of the intervention as measured by the Intervention Appropriateness Measure (IAM)
The IAM consists of 4 items with 5-point ordinal response options from "completely disagree" (1), "Disagree" (2), "Neither Agree nor Disagree" (3), "Agree" (4), and "Completely Agree" (5). The total score is the sum of all items and ranges from 1 to 20. The higher score indicates greater appropriateness.
Measured: Post Education (within 2 weeks after surgery)
Number of times the modules were visited as measured by the usage log
The usage log is displayed in the statistics dashboard of the microlearning education modules. This will include metrics of the number of times the educational modules are opened.
Measured: Post education ( 2 weeks after surgery)
Number of modules completed as measured by the modules log.
The number of module completions is displayed in the statistics dashboard of the microlearning education modules. This will include metrics of the number of module completions.
Measured: Post education ( 2 weeks after surgery)
The satisfaction level of the intervention implementation as measured by a 4-point Likert scale.
The questionnaire includes: "How satisfied are you with the overall Microlearning-based health education?" The Likert scale ranges from 1 to 4. A total score ranges from 1 to 4. A higher score indicates a higher level of satisfaction.
Measured: Post Education (within 2 weeks after surgery)
The recommendation likelihood of the intervention as measured by a 4 point Likert scale
The questionnaire includes:"How likely will you recommend this Microlearning-based health education to others? The Likert scale ranges from 1 to 4. A total score ranges from 1 to 4. A higher score indicates a greater recommendation likelihood of the intervention.
Measured: Post Education (within 2 weeks after surgery)
Number of services used after discharge as measured by patient self-report.
The number of services used after discharge is measured by the total number of patient-reported clarification calls, emergency room visits, and hospital admissions after discharge.
Measured: Post Education ( within 2 weeks after surgery)
Cognitive Status as measured by the Mini-Cog©
The Mini-Cog is a brief cognitive screening tool used to assess cognitive impairment. The instrument consists of two components: a three-item recall task and a clock-drawing task. The recall task scores range from 0 to 3. The scoring for clock drawing consists of either 2 or 0 points. The cumulative possible total score ranges from 0 to 5. A total score falling within the range of 0 to 2 points suggests a heightened probability of cognitive impairment warranting further investigation, while a score between 3 to 5 points indicates a low likelihood of cognitive impairment
Measured: Baseline
Health Literacy as measured by the Short Assessment of Health Literacy (SAHL)
The Short Assessment of Health Literacy-Spanish and English (SAHL) is a measure of individuals' health literacy. In administering this assessment, individuals are presented with 18 test terms, one at a time. Scoring for the SAHL includes one point for each correct answer, determined by both correct pronunciation and accurate association with the test item. The total score is 18, with a score between 0 and 14 suggesting low health literacy.
Measured: Baseline
eHealth Literacy as measured by the eHealth Literacy Scale (eHEALS)
eHEALS consists of an 8-item scale measured on a 5-point Likert scale, ranging from 1 to 5. The items assessed an individual's knowledge of online health information resources and their confidence in finding, evaluating, and using this information to make informed health decisions. The eHEALS scores, ranging from 8 to 40, indicate perceived eHealth literacy, with higher scores reflecting greater eHealth literacy and lower scores indicating lesser eHealth literacy.
Measured: Baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Oct 2025
- Study start30 Oct 2025
- Primary completion12 Feb 2026
- Study completion12 Feb 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for MicrolearningStudies of the same condition, open and under way.
- More trials run by University Hospitals Cleveland Medical CenterThe sponsor's other registered studies.
- 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
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 5 participants (actual)
Sponsor and investigators
- Lead sponsor
- University Hospitals Cleveland Medical Center
- Sponsor type
- University, hospital or other
- Collaborators
- Case Western Reserve University
- Responsible party
- Principal investigator, Adonis Hijaz, MD, University Hospitals Cleveland Medical Center
- Investigators
- Adonis Hijaz, MD, Principal investigator, University HospitalsSutthinee Thorngthip, MSN, Principal investigator, Case Western Reserve University, Frances Payne Bolton School of Nursing
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07221435
- Sponsor's protocol ID
- STUDY20251195
- Status last verified
- May 2026
- First submitted
- 23 Oct 2025
- Last updated
- 14 May 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 14 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Microlearning-Based Health Education to Enhance Ambulatory Surgery Patients' Knowledge Retention, Self-efficacy, and Quality of Postoperative Recovery
- ClinicalTrials.gov ID
- NCT07221435
- Acronym / sponsor ID
- STUDY20251195
- Conditions
- Microlearning
- Keywords
- patient education
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 5 participants (actual)
- Lead sponsor
- University Hospitals Cleveland Medical CenterUniversity, hospital or other
- Collaborators
- Case Western Reserve University
- Study start
- 30 Oct 2025 (actual)
- Primary completion
- 12 Feb 2026 (actual)
- Study completion
- 12 Feb 2026 (actual)
- First posted
- 27 Oct 2025 (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.
This study is being conducted to explore how microlearning-based health education can improve patients' knowledge, self-confidence in managing their care (self-efficacy), and overall recovery after same-day surgery. Ambulatory surgeries, such as vaginal hysterectomies and mid-urethral sling procedures, are becoming more common because they typically lead to better outcomes and shorter recovery times than inpatient surgeries. Microlearning has been effective in improving knowledge and confidence in other healthcare settings, but is not yet well studied for surgical patients. A total of 50 participants will be enrolled in the study at the University Hospitals. Participants will be patients scheduled for either a mid-urethral sling procedure or a vaginal hysterectomy, and they will complete pre- and post-education surveys as part of the study.
Study design
- Primary purpose
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Microlearning Group | Experimental | Behavioral: Microlearning educationParticipants in this group will complete the pre-education survey, then they will receive the microlearning education, and complete the post-education survey. |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Patients scheduled for the ambulatory mid-urethral sling procedures for stress urinary incontinence OR ambulatory vaginal hysterectomy for uterine prolapse
- Aged 18 to 80
- Able to access technology (mobile phone, computer, tablet, or iPad)
- Demonstrate sufficient proficiency in English to read, write, speak, and understand instructions without the need for translation or interpretation.
Key exclusion criteria (4 listed)
- Prior experience with ambulatory surgery in the past year
- Diagnosed with Cognitive disorders of dementia or Alzheimer's
- Blindness
- Pregnancy
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 |
|---|---|---|
| Microlearning educationParticipants will receive the link to a technology-based education module. There will be 10 modules and the participant can complete the modules at their own pace. | Behavioural | Microlearning Group |
Primary outcome
Change in knowledge score as measured by the knowledge test.
Time frame: Baseline, Post Education (within 2 weeks after surgery)
The knowledge test was developed in collaboration with both physicians and nursing experts. The test was created to align with the educational objectives and content delivered during the intervention. The test consists of 15 multiple-choice items, with each item carrying a score of 1. The total score is 15, with higher scores indicating a greater level of knowledge. A higher score on the post-test indicates greater retention of knowledge.
Change in Self-Efficacy as measured by the Self-care Self-Efficacy Scale (SCSES)
Time frame: Baseline, Post Education (within 2 weeks after the surgery)
The Self-Care Self-Efficacy Scale (SCSES): The instrument consists of 10 items designed to assess self-efficacy related to self-care. Responses are rated on a scale from 1 to 5. The total scores range from 0 to 100, with higher scores indicating greater self-efficacy.
Quality of Postoperative Recovery as measured by the Post-discharge Surgical Recovery (PSR).
Time frame: Post Education ( within 2 weeks after surgery)
The PSR is a self-report tool to assess patients' perceived recovery. The PSR consists of 13 items that measure various aspects of recovery. Each item is presented on a visual analogue scale from 0 to 10, with patients circling a number that reflects their response. Scores for each aspect range from 0 to 100, with higher scores indicating better recovery.
11 secondary outcomes
The acceptability of the intervention as measured by the Acceptability of Intervention Measure (AIM)
Time frame: Post Education (within 2 weeks after surgery)
The feasibility of the intervention as measured by the Feasibility of Intervention Measure (FIM).
Time frame: Post Education (within 2 weeks after surgery)
The appropriateness of the intervention as measured by the Intervention Appropriateness Measure (IAM)
Time frame: Post Education (within 2 weeks after surgery)
Number of times the modules were visited as measured by the usage log
Time frame: Post education ( 2 weeks after surgery)
Number of modules completed as measured by the modules log.
Time frame: Post education ( 2 weeks after surgery)
The satisfaction level of the intervention implementation as measured by a 4-point Likert scale.
Time frame: Post Education (within 2 weeks after surgery)
The recommendation likelihood of the intervention as measured by a 4 point Likert scale
Time frame: Post Education (within 2 weeks after surgery)
Number of services used after discharge as measured by patient self-report.
Time frame: Post Education ( within 2 weeks after surgery)
Cognitive Status as measured by the Mini-Cog©
Time frame: Baseline
Health Literacy as measured by the Short Assessment of Health Literacy (SAHL)
Time frame: Baseline
eHealth Literacy as measured by the eHealth Literacy Scale (eHEALS)
Time frame: Baseline
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 14 May 2026.
- Individual participant dataSharing planned: No
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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.
Adonis Hijaz, MD principal investigator
University Hospitals
Sutthinee Thorngthip, MSN principal investigator
Case Western Reserve University, Frances Payne Bolton School of Nursing
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Microlearning education in people with Microlearning, run by University Hospitals Cleveland Medical Center at 1 site in United States.
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 4 inclusion and 4 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 14 May 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 United States. 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 knowledge score as measured by the knowledge test. (time frame: Baseline, Post Education (within 2 weeks after surgery)). The study lists 3 primary outcomes in all. 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 14 May 2026.