Spanish and English Video-Assisted Informed Consent for Intravenous Contrast Administration in the Emergency Department

A Randomized Controlled Trial

Ethan A. Cowan, Yvette Calderon, Paul Gennis, Ruth Macklin, Carlos Ortiz, Stephen P. Wall

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Study objective: This study determined whether Spanish and English educational videos are superior to routine discussion for informing emergency department (ED) patients about risks, benefits, and alternatives to receiving intravenous contrast for computed tomography (CT). Methods: A prospective randomized controlled trial was performed on a convenience sample of adult ED patients scheduled to receive intravenous contrast for CT. Patients randomized to the intervention group watched a video in Spanish or English explaining the procedure and its risks, benefits, and alternatives. The control group underwent routine discussion, receiving intravenous contrast information from their emergency physician. After their educational sessions, all participants completed a 10-question intravenous contrast knowledge measure and 1 question rating satisfaction with the informed consent process. Mean scores were compared to assess whether the videos were superior to routine discussion for educating patients about intravenous contrast. Secondary outcomes included the proportion of satisfied patients and refusals to sign consent. Results: Of the 112 patients enrolled, 56 were randomized to the video group and 56 to routine discussion. Five patients withdrew from the study, leaving 107 for analysis (video N=53; control N=54). Mean knowledge scores were higher in the video group (68.1%) compared to routine discussion (47.8%) (95% confidence interval [CI] for the difference 12.6% to 28.1%). Video-group patients exhibited greater satisfaction than routine-discussion patients (86.8% [95% CI 74.6% to 94.5%] versus 77.4% [95% CI 63.8% to 87.7%]). All patients signed consent to receive intravenous contrast. Conclusion: Using Spanish and English educational videos yielded higher intravenous contrast knowledge scores compared with routine informed consent procedures.

Original languageEnglish (US)
JournalAnnals of Emergency Medicine
Volume49
Issue number2
DOIs
StatePublished - Feb 2007

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Informed Consent
Intravenous Administration
Hospital Emergency Service
Randomized Controlled Trials
Confidence Intervals
Tomography
Emergencies
Physicians
Control Groups

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Spanish and English Video-Assisted Informed Consent for Intravenous Contrast Administration in the Emergency Department : A Randomized Controlled Trial. / Cowan, Ethan A.; Calderon, Yvette; Gennis, Paul; Macklin, Ruth; Ortiz, Carlos; Wall, Stephen P.

In: Annals of Emergency Medicine, Vol. 49, No. 2, 02.2007.

Research output: Contribution to journalArticle

Cowan, Ethan A. ; Calderon, Yvette ; Gennis, Paul ; Macklin, Ruth ; Ortiz, Carlos ; Wall, Stephen P. / Spanish and English Video-Assisted Informed Consent for Intravenous Contrast Administration in the Emergency Department : A Randomized Controlled Trial. In: Annals of Emergency Medicine. 2007 ; Vol. 49, No. 2.
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abstract = "Study objective: This study determined whether Spanish and English educational videos are superior to routine discussion for informing emergency department (ED) patients about risks, benefits, and alternatives to receiving intravenous contrast for computed tomography (CT). Methods: A prospective randomized controlled trial was performed on a convenience sample of adult ED patients scheduled to receive intravenous contrast for CT. Patients randomized to the intervention group watched a video in Spanish or English explaining the procedure and its risks, benefits, and alternatives. The control group underwent routine discussion, receiving intravenous contrast information from their emergency physician. After their educational sessions, all participants completed a 10-question intravenous contrast knowledge measure and 1 question rating satisfaction with the informed consent process. Mean scores were compared to assess whether the videos were superior to routine discussion for educating patients about intravenous contrast. Secondary outcomes included the proportion of satisfied patients and refusals to sign consent. Results: Of the 112 patients enrolled, 56 were randomized to the video group and 56 to routine discussion. Five patients withdrew from the study, leaving 107 for analysis (video N=53; control N=54). Mean knowledge scores were higher in the video group (68.1{\%}) compared to routine discussion (47.8{\%}) (95{\%} confidence interval [CI] for the difference 12.6{\%} to 28.1{\%}). Video-group patients exhibited greater satisfaction than routine-discussion patients (86.8{\%} [95{\%} CI 74.6{\%} to 94.5{\%}] versus 77.4{\%} [95{\%} CI 63.8{\%} to 87.7{\%}]). All patients signed consent to receive intravenous contrast. Conclusion: Using Spanish and English educational videos yielded higher intravenous contrast knowledge scores compared with routine informed consent procedures.",
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