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Impact of educational video on cervical cancer knowledge in hispanic patients: A randomized trial
Stephanie M Wang1, Sara Rahman1, Melissa Salinas1
1The George Washington University Hospital, Department of Obstetrics and Gynecology, 900 23rd ST NW, Washington DC 20037, USA.
Objectives:
To evaluate the impact of a cervical cancer screening and prevention educational video on patient knowledge and appointment satisfaction.
Methods:
An educational video focused on cervical cancer screening and prevention was created. Individuals who self-identified as Hispanic/Latina and planned to receive a Pap smear during their office visit were invited to participate. The control arm received standardized physician-only counseling and the intervention arm received physician counseling in addition to an educational video. Participants completed a pre and post-test knowledge survey.
Results:
Two hundred and fourteen patients met inclusion criteria, and 192 patients underwent randomization and completed the study. Ninety-seven patients were enrolled in the control arm and 95 patients in the intervention arm, with no differences in baseline characteristics between groups. Knowledge scores improved significantly in both groups; however, the intervention group had a larger increase in knowledge scores (2.91 points, p < 0.001) than the control group (0.59, p < 0.001). Patients in the intervention arm had improvement in 7/10 questions, while patients in the control arm had improvement in 2/10 questions. Using multivariate analysis, higher post-visit knowledge scores were independently associated with the intervention arm, higher pre-visit knowledge scores, and increased education.
Conclusion:
Knowledge gaps contribute to reduced cervical cancer screening adherence. Our study demonstrates the effectiveness of an educational video in significantly increasing knowledge regarding cervical cancer in primarily Spanish-speaking Hispanic patients.
Practice Implications:
The use of an educational video on cervical cancer screening and prevention significantly improves patient knowledge, particularly in Spanish-speaking Hispanic patients, and can be an effective tool for enhancing adherence to screening guidelines.
Clinical Trial Registration:
NCT05756192 Study Details | Educational Video's Impact on Knowledge Regarding Cervical Cancer Screening | ClinicalTrials.gov CLINICAL TRIAL INFORMATION: Registered to clinicaltrials.gov on Jan 1,2023 under protocol ID NCR224166.
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