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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).

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

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
What is being tested?
Verbal Preoperative Information and Video-Based Preoperative Information
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

Other trials in Turkey (Türkiye)

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 groups in NCT07521592
Study groupRoleWhat they receive
Verbal Information GroupOtherNot described
Receives: Behavioral: Verbal Preoperative Information
Video-Based Information GroupOtherNot described
Receives: Behavioral: Video-Based Preoperative Information

What is being measured

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

  1. 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)
  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.

  1. First posted13 Apr 2026
  2. Study start2 Apr 2026
  3. Primary completion2 Jul 2026
  4. Study completion2 Jul 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
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
140 participants (actual)
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

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.

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