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CompletedNCT07062393Updated Jul 17, 2025

Effect of Mobile Augmented Reality Counseling on Improving Shared Decision-Making in Thoracic Surgery

An interventional study of Traditional Counseling → MAR Counseling and MAR Counseling → Traditional Counseling in Lung Cancer Patients, sponsored by Tri-Service General Hospital (TSGH). Completed at 1 site in Taiwan. Open to participants aged 20 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-07-17.

Sponsored by Tri-Service General Hospital (TSGH) · Not applicable, Interventional, and Health services research

From the registry’s dates

  • Registered 2 years 11 months after the study started (first participant enrolled Jul 2022, registered Jul 2025).
Phase
Not applicable
Study type
Interventional
Enrollment
47
Allocation
Randomized
Ages
20 Years to 65 Years
Sex
All
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Study summary

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.

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Conditions studied

  • Lung Cancer Patients

Keywords

  • Shared decision making
  • Patient education
  • Augmented reality
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In context

Lead sponsor

Tri-Service General Hospital (TSGH) is the lead sponsor of 32 studies on the registry; 11 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
20 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

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

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
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Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
47 participants (actual)

Study arms

  • Experimental
    Traditional First, Then MAR Counseling (T-M group)

    Participants receive traditional counseling first, followed by MAR counseling using a 3D mobile application.

    Behavioral: Traditional Counseling → MAR Counseling

  • Experimental
    MAR First, Then Traditional Counseling (M-T group)

    Participants receive MAR counseling first using a mobile 3D model app, followed by traditional counseling with CT images and verbal explanations.

    Behavioral: MAR Counseling → Traditional Counseling

Interventions

  • BehavioralTraditional Counseling → MAR Counseling

    A single session begins with mobile augmented-reality counseling using interactive 3D models, followed by a standard verbal counseling with printed diagrams and CT images.

  • BehavioralMAR Counseling → Traditional Counseling

    A single session begins with mobile augmented-reality counseling using interactive 3D models, followed by a standard verbal counseling with printed diagrams and CT images.

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What researchers measure

Primary outcomes

  1. Shared decision-making score

    Shared decision-making was evaluated using a validated questionnaire assessing patient perceptions of decision support, preparedness, and engagement. The total score ranges from 0 to 50, with higher scores indicating better shared decision-making.

    Time frame: Immediately after counseling session (single timepoint)

Secondary outcomes

  1. Patient counseling preference

    Participants indicated their preference for either traditional counseling or MAR-based counseling after experiencing both, using a structured post-intervention questionnaire. The results were reported as percentages per group.

    Time frame: Immediately after both counseling sessions

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Study locations

1 site
  • Tri-Service General Hospital
    Taipei, 114202, Taiwan
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References and documents

Publications

  • McDonald 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. PubMed 36818764 ↗
  • Arjomandi 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. PubMed 34542639 ↗
  • Deber 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. PubMed 8678709 ↗
  • Braddock 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. PubMed 9192250 ↗
  • Kessels RP. Patients' memory for medical information. J R Soc Med. 2003 May;96(5):219-22. doi: 10.1177/014107680309600504. No abstract available. PubMed 12724430 ↗
  • Lackey A, Donington JS. Surgical management of lung cancer. Semin Intervent Radiol. 2013 Jun;30(2):133-40. doi: 10.1055/s-0033-1342954. PubMed 24436529 ↗
  • Siegel 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. PubMed 31912902 ↗
  • Chen 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. PubMed 41069141 ↗

Individual participant data

Plan to share: No — The individual participant data (IPD) will not be shared due to ethical considerations and institutional policy. The informed consent obtained from participants does not include provisions for public data sharing.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 17, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07062393
Lead sponsor
Tri-Service General Hospital (TSGH)
Responsible party
Chen Ying-Shian (MD, Tri-Service General Hospital (TSGH)) — Principal investigator
First posted
Jul 14, 2025
Start date
Jul 15, 2022
Primary completion
Jun 19, 2023
Completion
Jun 19, 2023
Last update
Jul 17, 2025

Study contacts

Kuan-Hsun Lin, MD
principal investigator · Tri-Service General Hospital, National Defense Medical Center

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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