Effect of Mobile Augmented Reality Counseling on Improving Shared Decision-Making in Thoracic Surgery: Randomized Clinical Crossover Trial

BACKGROUND: Augmented reality (AR) superimposes virtual objects onto a real-world environment, allowing users to interact in real time. As AR has become widely used, its integration into smartphones or tablets has enabled mobile augmented reality (MAR) experiences. AR has been adopted in many industries, and the literature has highlighted its applications in academic and clinical settings, particularly in enhancing visualization, communication, and learning. OBJECTIVE: This study investigated the potential of MAR as a mobile health tool to enhance shared decision-making (SDM) in thoracic surgery by increasing patient understanding and engagement during medical consultations. METHODS: A randomized crossover clinical trial was conducted at the Tri-Service General Hospital in Taiwan. Participants scheduled for thoracic surgery were enrolled and randomized in a crossover design. The MAR intervention incorporated patient-specific 3D anatomical models that were reconstructed from computed tomography imaging to facilitate understanding and support SDM. The impact of each counseling approach on SDM was evaluated using postintervention questionnaires. RESULTS: A total of 47 participants were enrolled in this study. After analyzing the data, we found that patients in the MAR group showed significantly higher scores compared to those in the traditional counseling group (P<.001) during the SDM process. Moreover, patients reported higher satisfaction levels and found the visual objects helpful for understanding tumor location and surgical procedures. CONCLUSIONS: This study demonstrated that MAR counseling significantly enhanced patients' comprehension of thoracic conditions and increased their active engagement in the SDM process (P<.001). The integration of patient-specific 3D anatomical models into MAR technology provided an intuitive method for critical medical information. This digital approach not only enhanced personalization in medical communication but also reinforced patient education about their health care conditions. These findings suggest that MAR counseling represents a promising approach for promoting patient-centered care in thoracic surgery and has potential applications across various clinical domains. TRIAL REGISTRATION: ClinicalTrials.gov NCT07062393; https://clinicaltrials.gov/study/NCT07062393.