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

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.

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