Clinical trial · Interventional
Effect of Mobile Augmented Reality Counseling on Improving Shared Decision-Making in Thoracic Surgery
Effect of Mobile Augmented Reality Counseling on Improving Shared Decision-Making in Thoracic Surgery: A Randomized Clinical Controlled Trial
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This randomized clinical trial evaluates the effectiveness of Mobile Augmented Reality (MAR) counseling compared to traditional verbal counseling for patients undergoing thoracic surgery. MAR counseling integrates patient-specific 3D anatomical models to enhance understanding of surgical procedures and risks. The study assesses patient and caregiver satisfaction, decision-making confidence, and communication quality. Health care providers' perspectives on the counseling methods are also examined. Participants will be assigned to one of the two counseling groups and asked to complete a questionnaire immediately after the counseling session.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Lung Cancer Patients | — | UNRESOLVED | — |
Interventions
Interventions (2)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| MAR Counseling → Traditional Counseling | Behavioral | — | UNRESOLVED |
| Traditional Counseling → MAR Counseling | Behavioral | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Traditional First, Then MAR Counseling (T-M group)
- description
- Participants receive traditional counseling first, followed by MAR counseling using a 3D mobile application.
- interventionNames
- Behavioral: Traditional Counseling → MAR Counseling
- type
- EXPERIMENTAL
- label
- MAR First, Then Traditional Counseling (M-T group)
- description
- Participants receive MAR counseling first using a mobile 3D model app, followed by traditional counseling with CT images and verbal explanations.
- interventionNames
- Behavioral: MAR Counseling → Traditional Counseling
Primary outcomes (1)
- measure
- Shared decision-making score
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 20 Years
- Maximum age
- 65 Years
Show eligibility criteria text
Inclusion Criteria: * Adults aged 20 years and older * Scheduled for elective thoracic surgery * Able to understand written and spoken Mandarin * Willing and able to provide informed consent * Capable of completing questionnaires independently or with minimal assistance Exclusion Criteria: * Emergency surgery cases * Severe cognitive impairment or psychiatric illness interfering with participation * Visual or hearing impairments that prevent interaction with mobile devices * Previous participation in a similar counseling trial * Inability to complete follow-up procedures
References
Publications (8)
- BACKGROUNDMcDonald M, Shirk JD. The Effect of Digital Three-Dimensional Reality Models on Patient Counseling for Renal Masses. JSLS. 2023 Jan-Mar;27(1):e2022.00084. doi: 10.4293/JSLS.2022.00084. PMID 36818764
- BACKGROUNDArjomandi Rad A, Vardanyan R, Thavarajasingam SG, Zubarevich A, Van den Eynde J, Sa MPBO, Zhigalov K, Sardiari Nia P, Ruhparwar A, Weymann A. Extended, virtual and augmented reality in thoracic surgery: a systematic review. Interact Cardiovasc Thorac Surg. 2022 Jan 18;34(2):201-211. doi: 10.1093/icvts/ivab241. PMID 34542639
- BACKGROUNDDeber RB, Kraetschmer N, Irvine J. What role do patients wish to play in treatment decision making? Arch Intern Med. 1996 Jul 8;156(13):1414-20. PMID 8678709
- BACKGROUNDBraddock CH 3rd, Fihn SD, Levinson W, Jonsen AR, Pearlman RA. How doctors and patients discuss routine clinical decisions. Informed decision making in the outpatient setting. J Gen Intern Med. 1997 Jun;12(6):339-45. doi: 10.1046/j.1525-1497.1997.00057.x. PMID 9192250
- BACKGROUNDKessels RP. Patients' memory for medical information. J R Soc Med. 2003 May;96(5):219-22. doi: 10.1177/014107680309600504. No abstract available. PMID 12724430
- BACKGROUNDLackey A, Donington JS. Surgical management of lung cancer. Semin Intervent Radiol. 2013 Jun;30(2):133-40. doi: 10.1055/s-0033-1342954. PMID 24436529
- BACKGROUNDSiegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin. 2020 Jan;70(1):7-30. doi: 10.3322/caac.21590. Epub 2020 Jan 8. PMID 31912902
- DERIVEDChen YS, Hsu YC, Romalee W, Wang DH, Lai J, Huang TW, Lin KH. Effect of Mobile Augmented Reality Counseling on Improving Shared Decision-Making in Thoracic Surgery: Randomized Clinical Crossover Trial. JMIR Mhealth Uhealth. 2025 Nov 13;13:e79632. doi: 10.2196/79632.