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Preoperative AnxietyAI-COMNCT07393945

Structured Communication About Artificial Intelligence in Perioperative Care (AI-COM)

A study testing Structured Artificial Intelligence Communication in people with Preoperative Anxiety and Perceived Control, run by Agri Ibrahim Cecen University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study investigates whether structured communication about artificial intelligence (AI) in perioperative care can reduce preoperative anxiety and improve perceived control among adult patients undergoing elective surgery. Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
Structured Artificial Intelligence Communication
Could I receive a placebo?
No, everyone receives an active treatment
How many people
120 participants
Where
1 siteTurkey (Türkiye)
Study dates
5 Feb 2026to 25 Apr 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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults aged 18 to 65 years.
  • Scheduled for elective surgical procedures.
  • Able to communicate in Turkish.
  • At least primary school literacy.
  • Able and willing to provide written informed consent.
  • Able to complete self-report questionnaires before surgery.

Who cannot join

  • Emergency surgical procedures.
  • Known diagnosis of psychiatric disorder.
  • Current use of anxiolytic or antidepressant medications.
  • Cognitive impairment or communication barriers that may interfere with study participation.
  • American Society of Anesthesiologists (ASA) physical status classification of IV or higher.
  • Severe visual or hearing impairment that prevents participation in the communication session or completion of questionnaires.
  • Previous participation in this study.

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Ağrı Training and Research Hospital

    Ağrı, Merkez

Other trials in Turkey (Türkiye)

About this study

Official title: Effects of Structured Communication About Artificial Intelligence in Perioperative Care on Preoperative Anxiety and Perceived Control: An Attention-Controlled Randomized Trial

This study investigates whether structured communication about artificial intelligence (AI) in perioperative care can reduce preoperative anxiety and improve perceived control among adult patients undergoing elective surgery.

As AI-supported tools become more common in healthcare, patients may feel uncertain about how these technologies relate to their care, whether they influence clinical decisions, and whether healthcare professionals remain responsible for final decision-making. Such uncertainty may contribute to anxiety before surgery and may reduce patients' sense of control.

Read more

In this attention-controlled randomized trial, adult patients scheduled for elective surgery will be assigned to one of two groups. The attention-control group will receive standard preoperative information plus a time-matched general supportive nurse-patient communication session. The intervention group will receive standard preoperative information plus a structured, non-technical communication protocol about AI in perioperative care. The protocol will explain the supportive role of AI, emphasize human clinical oversight, address AI-related uncertainty, and help patients understand that general information about AI must be interpreted in relation to their individual clinical situation.

Preoperative anxiety, perceived control, AI-related uncertainty, information clarity, and trust in the clinical team will be assessed using structured questionnaires. The study does not test or evaluate any AI software, medical device, imaging system, or diagnostic technology. Instead, it focuses on whether structured communication about AI-related uncertainty can improve psychological preparedness before surgery.

The findings may help inform practical, transparent, and patient-centered communication strategies for discussing AI-supported healthcare technologies in perioperative settings.

Read the detailed description

Artificial intelligence (AI)-supported tools are increasingly discussed and implemented across healthcare, including perioperative care. Although the technical performance and clinical applications of AI systems have been widely studied, less attention has been given to how patients understand and psychologically respond to information about AI-supported healthcare technologies. Patients may be uncertain about the role of AI, whether it replaces or supports clinical judgment, how human oversight is maintained, and how general information about AI applies to their own care.

Preoperative anxiety is common among surgical patients and may be influenced by uncertainty, limited understanding of care processes, and difficulty interpreting health-related information. Perceived control may help patients cope with uncertainty by improving their ability to understand what is happening, how care decisions are guided, and how general information relates to their individual clinical context. Structured communication may therefore be a feasible strategy to reduce AI-related uncertainty, improve perceived control, and support psychological preparedness before surgery.

This single-center, two-arm, attention-controlled randomized trial will evaluate the effects of structured communication about AI in perioperative care on preoperative anxiety and perceived control among adult patients scheduled for elective surgery. A total of 120 participants will be randomized in a 1:1 ratio to either an attention-control group or an intervention group.

Participants in the attention-control group will receive standard preoperative information plus a time-matched general supportive nurse-patient communication session. This session will be similar in duration to the intervention session and will focus on general preoperative support and routine patient questions. It will not include structured content about artificial intelligence, AI-related uncertainty, human oversight of AI-supported systems, or technology-related decision support.

Participants in the intervention group will receive standard preoperative information plus a structured AI communication protocol delivered face-to-face by a trained nurse. The protocol will use clear, non-technical, patient-centered language and will explain the supportive role of AI in healthcare, emphasize that clinical decisions remain under professional human oversight, address uncertainty related to AI-supported technologies, contextualize general AI-related information for the individual patient, and encourage patient questions.

The intervention does not involve the use, testing, or evaluation of any AI software, medical device, imaging system, or diagnostic technology. The study does not assess the diagnostic accuracy, technical performance, or clinical effectiveness of AI-supported systems. Instead, it evaluates the psychological and communication-related effects of structured explanation about AI in perioperative care.

Preoperative anxiety will be assessed using the Amsterdam Preoperative Anxiety and Information Scale. Perceived control, AI-related uncertainty, information clarity, trust in the clinical team, and baseline eHealth literacy will also be assessed using structured questionnaires. Outcomes will be measured at baseline before randomization and after the communication session before surgery. Statistical analyses will compare post-communication outcomes between groups while accounting for baseline values where applicable.

This study aims to inform patient-centered and ethically responsible communication strategies for discussing AI-supported technologies in perioperative care.

Being tested
Structured Artificial Intelligence Communication, Attention-Control Supportive Communication
Keywords
Perioperative care, Patient communication, Perceived control, Artificial intelligence, eHealth literacy, Structured communication, Attention-controlled randomized trial

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Structured Artificial Intelligence CommunicationBehavioural

    A brief, approximately 5-7-minute, face-to-face structured communication protocol delivered by a trained nurse using clear, non-technical, patient-centered language. The protocol explains the supportive role of artificial intelligence in perioperative care, emphasizes that clinical decisions remain under professional human oversight, addresses AI-related uncertainty, contextualizes general AI-related information for the individual patient, and encourages patient questions. No AI software, medical device, imaging system, or diagnostic technology is used, tested, or evaluated as part of this intervention.

  • Attention-Control Supportive CommunicationOther

    A brief, approximately 5-7-minute, face-to-face general supportive nurse-patient communication session delivered in addition to standard preoperative information. The session is time-matched to the structured AI communication protocol and focuses on general preoperative support and routine patient questions. It does not include structured explanation of artificial intelligence, AI-related uncertainty, human oversight of AI-supported systems, or technology-related decision support.

Study groups in NCT07393945
Study groupRoleWhat they receive
Structured AI CommunicationExperimentalParticipants in this arm will receive standard preoperative information plus a structured, non-technical communication protocol about artificial intelligence in perioperative care. The protocol is delivered face-to-face by a trained nurse and is designed to reduce AI-related uncertainty, improve information clarity, emphasize professional human oversight of AI-supported systems, and help patients understand how general information about AI relates to their individual clinical situation.
Receives: Behavioral: Structured Artificial Intelligence Communication
Attention-Control Supportive CommunicationActive comparatorParticipants in this arm will receive standard preoperative information plus a time-matched general supportive nurse-patient communication session. The session is similar in duration to the structured AI communication protocol and focuses on general preoperative support and routine patient questions. It does not include structured content about artificial intelligence, AI-related uncertainty, human oversight of AI-supported systems, or technology-related decision support.
Receives: Other: Attention-Control Supportive Communication

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Post-Communication Preoperative Anxiety

    Preoperative anxiety will be assessed using the Amsterdam Preoperative Anxiety and Information Scale (APAIS) anxiety subscale. The primary outcome is the post-communication APAIS anxiety score measured before surgery, with baseline APAIS anxiety accounted for in the analysis. The APAIS anxiety subscale consists of 4 items scored on a 5-point Likert scale, with total scores ranging from 4 to 20. Higher scores indicate higher preoperative anxiety.

    Measured: Baseline before randomization and post-communication before surgery, approximately 10-20 minutes after baseline assessment.

Secondary outcomes (1)
  1. Post-Communication Perceived Control

    Post-communication perceived control will be assessed using an adapted 8-item perceived control measure for the healthcare context. Each item is rated on a 5-point Likert scale, with total scores ranging from 8 to 40. Higher scores indicate greater perceived control, defined as the patient's perceived ability to understand the care process, interpret relevant information, and feel oriented within the perioperative care context. The outcome is the post-communication perceived control score measured before surgery, with baseline perceived control accounted for in the analysis.

    Measured: Baseline before randomization and post-communication before surgery, approximately 10-20 minutes after baseline assessment.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Feb 2026
  2. Study start5 Feb 2026
  3. Primary completion25 Apr 2026
  4. Study completion25 Apr 2026

Resources

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants will be randomized in a 1:1 ratio to one of two parallel groups. The intervention group will receive standard preoperative information plus a structured communication protocol about artificial intelligence in perioperative care. The attention-control group will receive standard preoperative information plus a time-matched general supportive nurse-patient communication session that does not include structured content about artificial intelligence, AI-related uncertainty, human oversight of AI-supported systems, or technology-related decision support.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
120 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07393945
Sponsor's protocol ID
AI-XAI-PA-2026
Acronym
AI-COM
Status last verified
Apr 2026
First submitted
30 Jan 2026
Last updated
4 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data will not be shared because the study includes sensitive psychological outcome data and a relatively small single-center sample, which may increase the risk of participant re-identification. De-identified aggregate results will be reported in publications and trial results summaries.

Publications

  • Chan SL, Sit JWH, Ang WW, Lau Y. Virtual reality-enhanced interventions on preoperative anxiety symptoms in adults undergoing elective surgery: A meta-analysis and meta-regression. Int J Nurs Stud. 2024 Dec;160:104886. doi: 10.1016/j.ijnurstu.2024.104886. Epub 2024 Aug 30.

    PubMed 39270596
  • Xu H, Hou J, Zhou J, Wang S. Effects of Virtual Reality on Preoperative Anxiety in Adult Patients: An Updated Meta-analysis. J Perianesth Nurs. 2025 Apr;40(2):422-430.e3. doi: 10.1016/j.jopan.2024.05.009. Epub 2024 Sep 26.

    PubMed 39340515
  • Guo P, East L, Arthur A. A preoperative education intervention to reduce anxiety and improve recovery among Chinese cardiac patients: a randomized controlled trial. Int J Nurs Stud. 2012 Feb;49(2):129-37. doi: 10.1016/j.ijnurstu.2011.08.008. Epub 2011 Sep 22.

    PubMed 21943828
  • Yahagi M, Hiruta R, Miyauchi C, Tanaka S, Taguchi A, Yaguchi Y. Comparison of Conventional Anesthesia Nurse Education and an Artificial Intelligence Chatbot (ChatGPT) Intervention on Preoperative Anxiety: A Randomized Controlled Trial. J Perianesth Nurs. 2024 Oct;39(5):767-771. doi: 10.1016/j.jopan.2023.12.005. Epub 2024 Mar 21.

    PubMed 38520470

Questions about this trial

What is this clinical trial studying?

A study testing Structured Artificial Intelligence Communication in people with Preoperative Anxiety and Perceived Control, run by Agri Ibrahim Cecen University 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 6 inclusion and 7 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 4 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 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?

Post-Communication Preoperative Anxiety (time frame: Baseline before randomization and post-communication before surgery, approximately 10-20 minutes after baseline assessment.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07393945, which also lists 4 linked publications.

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 4 May 2026.

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