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教育视频对西班牙裔患者宫颈癌知识的影响:一项随机试验。

Impact of educational video on cervical cancer knowledge in hispanic patients: A randomized trial.

作者信息

Wang Stephanie M, Rahman Sara, Salinas Melissa, Castro James, Aldous Annette, Huerta Elmer, Chappell Nicole P

机构信息

The George Washington University Hospital, Department of Obstetrics and Gynecology, 900 23rd ST NW, Washington DC 20037, USA.

The George Washington University Hospital, Department of Obstetrics and Gynecology, 900 23rd ST NW, Washington DC 20037, USA.

出版信息

Patient Educ Couns. 2025 Sep;138:109202. doi: 10.1016/j.pec.2025.109202. Epub 2025 Jun 6.

Abstract

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.

摘要

目的

评估一部宫颈癌筛查与预防教育视频对患者知识水平及预约满意度的影响。

方法

制作了一部聚焦于宫颈癌筛查与预防的教育视频。邀请自我认定为西班牙裔/拉丁裔且计划在门诊就诊时接受巴氏涂片检查的个体参与。对照组接受仅由医生提供的标准化咨询,干预组除医生咨询外还观看一部教育视频。参与者完成了测试前和测试后的知识调查。

结果

214名患者符合纳入标准,192名患者进行了随机分组并完成了研究。97名患者被纳入对照组,95名患者被纳入干预组,两组间基线特征无差异。两组的知识得分均显著提高;然而,干预组的知识得分增幅(2.91分,p<0.001)大于对照组(0.59分,p<0.001)。干预组的患者在10个问题中有7个问题得到改善,而对照组的患者在10个问题中有2个问题得到改善。通过多变量分析,就诊后较高的知识得分与干预组、就诊前较高的知识得分以及受教育程度提高独立相关。

结论

知识差距导致宫颈癌筛查依从性降低。我们的研究表明,一部教育视频能显著提高主要讲西班牙语的西班牙裔患者对宫颈癌的知识水平。

实践意义

使用一部关于宫颈癌筛查与预防的教育视频能显著提高患者知识水平,尤其是对讲西班牙语的西班牙裔患者,并且可以成为增强筛查指南依从性的有效工具。

临床试验注册

NCT05756192研究详情 | 教育视频对宫颈癌筛查知识的影响 | ClinicalTrials.gov 临床试验信息:于2023年1月1日在ClinicalTrials.gov注册,方案识别码为NCR224166。

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