You have accessJournal of UrologyGeneral & Epidemiological Trends & Socioeconomics: Practice Patterns, Cost Effectiveness (I)1 Apr 2013135 VIDEO-BASED EDUCATIONAL TOOL IMPROVES PATIENT COMPREHENSION OF COMMON PROSTATE HEALTH TERMINOLOGY Daniel Wang, Musu Sesay, Caroline Tai, Daniel Lee, Michael Goodman, Katharina Echt, Kerry Kilbridge, Ashesh Jani, and Viraj Master Daniel WangDaniel Wang Atlanta, GA More articles by this author , Musu SesayMusu Sesay Atlanta, GA More articles by this author , Caroline TaiCaroline Tai Atlanta, GA More articles by this author , Daniel LeeDaniel Lee Atlanta, GA More articles by this author , Michael GoodmanMichael Goodman Atlanta, GA More articles by this author , Katharina EchtKatharina Echt Atlanta, GA More articles by this author , Kerry KilbridgeKerry Kilbridge Boston, MA More articles by this author , Ashesh JaniAshesh Jani Atlanta, GA More articles by this author , and Viraj MasterViraj Master Atlanta, GA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.1514AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Healthcare providers often counsel prostate cancer patients about treatment options using terms that are part of the ‘core' vocabulary of prostate cancer. However, studies have demonstrated a severe lack of comprehension of these terms, especially among underserved populations. We hypothesized that a video-based educational tool would significantly improve understanding of these key terms related to prostate health among a predominantly lower-literacy population. METHODS A software application was developed by various experts, including urologists and human-computer interaction specialists, to serve as the video-based educational tool, emphasizing animations to promote understanding. A previously developed survey was used to evaluate comprehension of terms related to urinary, bowel, and sexual function. Trained interviewers provided the survey to patients from two low-income safety-net clinics both before and after administration of the educational tool. Pre- and post-intervention levels of comprehension were assessed using semi-qualitative methods coded by two independent evaluators. RESULTS 56 patients completed the study, with a mean literacy level of 7th to 8th grade by literacy testing, but a self-reported mean education level of 12th grade. Patients achieved statistically significant improvement in comprehension for the majority of the terms after the video intervention (see Table). Notable improvements in understanding were exhibited for the terms ?rectal urgency' (18% to 73%, P-value < 0.000001), ‘incontinence' (from 14% to 50%, P-value < 0.000035), and ‘bowel' (14% to 46%, P-value < 0.0001). Patients also demonstrated significant gains in understanding of the function of the prostate (11% to 30%, P-value < 0.0074). CONCLUSIONS: The video-based educational tool is an effective method for combatting the severe lack of comprehension of prostate health terminology among this population, which may be reflective of many patients overall. The improvements in understanding achieved with this intervention have the potential to enhance patient participation in shared and informed decision-making. These results support combined visual and audio multimedia as a promising tool for prostate cancer education and thus as an area for further research and refinement. Table -. Patient comprehension of prostate health terminology as a percentage of the total study population. Term Pre-Intervention Post-Intervention P-value Rectal Urgency 18% 73% 0.000001 Incontinence 14% 50% 0.000035 Bowel 14% 46% 0.0001 What does the prostate do? 11% 30% 0.0074 © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e54-e55 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Daniel Wang Atlanta, GA More articles by this author Musu Sesay Atlanta, GA More articles by this author Caroline Tai Atlanta, GA More articles by this author Daniel Lee Atlanta, GA More articles by this author Michael Goodman Atlanta, GA More articles by this author Katharina Echt Atlanta, GA More articles by this author Kerry Kilbridge Boston, MA More articles by this author Ashesh Jani Atlanta, GA More articles by this author Viraj Master Atlanta, GA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...