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

Authors

Stephanie M. Wang, The George Washington University Hospital, Department of Obstetrics and Gynecology, 900 23rd ST NW, Washington DC 20037, USA. Electronic address: stephanie.wang@cuanschutz.edu.
Sara Rahman, The George Washington University Hospital, Department of Obstetrics and Gynecology, 900 23rd ST NW, Washington DC 20037, USA.
Melissa Salinas, The George Washington University Hospital, Department of Obstetrics and Gynecology, 900 23rd ST NW, Washington DC 20037, USA.
James Castro, The George Washington University, School of Medicine and Health Sciences, 2300 I St NW, Washington DC 20052, USA.
Annette Aldous, The George Washington University, Milken Institute School of Public Health, 800 22nd St NW, Washington DC 20052, USA.
Elmer Huerta, The George Washington University, Cancer Center Division of Hematology & Oncology, 2150 Pennsylvania Ave NW, Washington DC 20037, USA.
Nicole P. Chappell, The George Washington University Hospital, Department of Obstetrics and Gynecology, 900 23rd ST NW, Washington DC 20037, USA; The George Washington University, Cancer Center Division of Hematology & Oncology, 2150 Pennsylvania Ave NW, Washington DC 20037, USA.

Document Type

Journal Article

Publication Date

6-6-2025

Journal

Patient education and counseling

Volume

138

DOI

10.1016/j.pec.2025.109202

Keywords

Cervical cancer screening; HPV vaccination; Hispanic patients; Patient Education; Spanish speakers

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.

APA Citation

Wang, Stephanie M.; Rahman, Sara; Salinas, Melissa; Castro, James; Aldous, Annette; Huerta, Elmer; and Chappell, Nicole P., "Impact of educational video on cervical cancer knowledge in hispanic patients: A randomized trial" (2025). GW Authored Works. Paper 7447.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/7447

Department

School of Medicine and Health Sciences Resident Works