Patients Gender Influence on Communication of Anaesthesia Risk

Condition(s) studied

Investigational drug(s) / intervention(s)

Three-Stage Informed Consent Conversation Model for Anaesthesia Risk profiling: Stage 1 Pre-information queries Do you know about the risks involved in Anaesthesia? If yes, where did you get information about the risks involved with Anaesthesia?? Which of these do you already know of and what concerns you most? Why are you concerned more about that particular risk factor? Stage 2 Informing Risks The probability or chances of supposed anaesthesia risks could be: Probable risk Possible risk Remote risk We have the following risk management strategy in place for your reassurance and safety: Employing ERAS protocol The surgery you are going to undergo, also may have its own set of risks Stage 3 Post-information Informing Risks In view of the above conversation we had, do you have other point of concern or query on what we have talked about.

Study summary

In Anaesthesia Practice, an Informed consent involves discussing the risks and benefits involved with a certain procedure and its alternatives. Though it is intended to promote patient autonomy and enhance decision-making, the risk profiling, detailing and discussing; generally walks one-way, from the anaesthesiologist to patient/party. This monologue-leaned communication is neither free flowing nor the patients are allowed to 'speak-up-first' on their concerns or queries. Several gaps can be identified including reluctance on the part of the anaesthesiologist to engage the patients in decision making or not upholding the patient preferences; or patient lacking sufficient knowledge to make an informed choice. Therefore, for risk communication, the very context has to be tailored to patient's individual needs.

There is no available study till date which has tried to address as how the communication between patient and the anaesthesiologist is influenced by the 'gender' of the patient concerned. This situates a need to understand how the 'gender' of a patient can influence communication during an Informed consent conversation on anaesthesia risk(s).

The study will explore to decipher if difference(s) in patient's gender influence their perceptions and understanding of anesthesia-related risks, and if the difference will influence the future lines of communication involving either of the gender. This prospective study will be based on conversation model based interview designed to assess the nuances of gender- based differences in risk perception and information exchange during pre-anaesthetic consultations.

Eligibility

Primary outcome measure(s)

• Pre-informed Gender — From beginning of preoperative period to beginning of surgery
  Based on 3-stage informed consent conversation model it will be assessed which gender 'male' or 'female' is pre-informed about anaesthesia concerns and risks when asked

Trial sites (2)

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