Assessing the Effectiveness of a Hysterectomy Patient Education Video Narrated in Spanish: A Feasibility Study

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<h3>Study Objective</h3> Hysterectomy is the most common gynecological surgical procedure, and yet, studies show women have a poor understanding of the procedure. The objective of this study was to assess the feasibility of testing the effectiveness of a video we developed in Spanish, about hysterectomy, in improving knowledge among Spanish speaking women. <h3>Design</h3> Pre-test, post-test study design using a web-based learning management system (LMS) to fully digitize the study. The knowledge instrument used was previously validated. <h3>Setting</h3> A women's health clinic at a large teaching hospital in Texas. <h3>Patients or Participants</h3> Patients were female patients who spoke Spanish and who were being evaluated for conditions for which hysterectomy is a potential treatment. <h3>Interventions</h3> An empirically developed, focus group tested patient education video on the hysterectomy procedure narrated in Spanish. <h3>Measurements and Main Results</h3> We had 6 Spanish speaking women participate in this feasibility study. Our study consisted of a demographic survey followed by a pre-test followed by our hysterectomy education video followed by a post-test. All these components were combined in electronic form, using a web-based LMS, as if the study were an online course. Mean time taken to complete the pre-test was 393 seconds (range from 303 to 603 seconds). Mean score on the pre-test was 51.2% with a range from 25.9 to 66.7%. Mean time taken to complete the post-test was 365 seconds (range from 297 to 526 seconds). Mean score on the post-test was 60.5% with a range from 37 to 81.5%. <h3>Conclusion</h3> This small study demonstrated the feasibility of doing a health literacy study among Spanish speaking women focused on the hysterectomy procedure by using an online learning management system typically used for online courses. Using a learning management system allowed us to fully digitize this study that consisted of both questions to be answered as well as a video to be watched.