Video-based education reduces surgical fear before cataract assessment: a randomised controlled trial
| Monday, November 9, 2026 |
| 9:30 AM - 9:45 AM |
| Ballroom 1 and 2 |
Overview
Danielle Morgan
Details
Introduction: Fear and limited understanding may affect how patients engage with cataract assessment and treatment decisions. This study evaluated whether video-based education improved cataract surgery knowledge and reduced surgical fear before an initial outpatient cataract assessment.
Methods: In this prospective randomised controlled trial, 107 patients attending a tertiary eye hospital in Sydney were allocated to standard face-to-face pre-assessment education alone (control), standard care plus a Welcome to the Eye Clinic video, or standard care plus a Cataract Surgery Journey video. Participants completed knowledge and surgical fear questionnaires before and after the intervention. Outcomes were analysed using analysis of covariance, adjusting for baseline scores.
Results: Baseline characteristics were comparable across groups. The Cataract Surgery Journey group demonstrated improved knowledge. After adjustment for baseline fear, total surgical fear was significantly lower than control in both the Welcome video group (p=0.004) and Cataract Surgery Journey group (p=0.040). Both video groups also reported significantly lower short-term fear; only the Welcome video group showed a significant reduction in long-term fear. Satisfaction with educational resources was high across all groups.
Conclusion: Adding brief videos to standard cataract pre-assessment education reduced surgical fear, while the procedure-focused video also improved knowledge. The differing effects of clinic-orientation and procedure-focused content suggest that video selection should be matched to patient information needs. Integrating targeted videos into cataract pathways may strengthen preparedness, informed decision-making and patient-centred care.
Speaker
Miss Danielle Morgan
Sydney/sydney Eye Hospital
Video-based education reduces surgical fear before cataract assessment: a randomised controlled trial