Implementing targeted cervical cancer screening videos at the point of care

Jane R Montealegre; John Travis Gossey; Matthew L Anderson; Roshanda S Chenier; Glori Chauca; Luis O Rustveld; Maria L Jibaja-Weiss

doi:10.1016/j.pec.2014.09.003

Implementing targeted cervical cancer screening videos at the point of care

Patient Educ Couns. 2014 Dec;97(3):426-9. doi: 10.1016/j.pec.2014.09.003. Epub 2014 Sep 20.

Authors

Jane R Montealegre¹, John Travis Gossey², Matthew L Anderson³, Roshanda S Chenier⁴, Glori Chauca⁴, Luis O Rustveld⁵, Maria L Jibaja-Weiss⁶

Affiliations

¹ Department of Pediatrics, Baylor College of Medicine, Houston, USA; Office of Outreach and Health Disparities, Dan L. Duncan Cancer Center, Baylor College of Medicine, Houston, USA. Electronic address: [email protected].
² Department of Internal Medicine, Weill Cornell Medical College, New York, USA.
³ Department of Obstetrics & Gynecology, Baylor College of Medicine, Houston, USA; Department of Pathology & Immunology, Baylor College of Medicine, Houston, USA.
⁴ Office of Outreach and Health Disparities, Dan L. Duncan Cancer Center, Baylor College of Medicine, Houston, USA.
⁵ Department of Family and Community Medicine, Baylor College of Medicine, Houston, USA.
⁶ Office of Outreach and Health Disparities, Dan L. Duncan Cancer Center, Baylor College of Medicine, Houston, USA; School of Allied Health Sciences, Baylor College of Medicine, Houston, USA.

PMID: 25269411
DOI: 10.1016/j.pec.2014.09.003

Abstract

Objective: To develop and implement educational videos to improve cervical cancer health literacy for patients within a safety net healthcare system.

Methods: Testimonial-style videos were developed with the goal of describing the Pap test to low literacy patients and motivating them to participate in regular cervical cancer screening. Nurses were trained to use the electronic medical record to identify patients due or past due for a Pap test according to the current screening guidelines. They played the video for all eligible patients as they waited to be seen by their physician in clinical examination rooms.

Results: Four 2-minute videos were developed in English, Spanish, and Vietnamese. Videos were made available on desktop computers in 458 exam rooms at 13 community health centers.

Conclusion: Integration of educational videos into the workflow of high-volume community health centers is feasible. Future work will focus on optimizing uptake of the videos as well as assessing their efficacy for improving cervical cancer health literacy.

Practice implications: Integrating targeted videos into patient flow may be a feasible way to address health literacy barriers to cervical cancer screening within a busy workflow environment.

Keywords: Cervical cancer screening; Electronic medical records; Health literacy; Patient education.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Early Detection of Cancer
Female
Health Knowledge, Attitudes, Practice
Health Literacy*
Health Promotion / methods*
Humans
Mass Screening
Patient Education as Topic / methods*
Point-of-Care Systems*
United States
Uterine Cervical Neoplasms / diagnosis*
Uterine Cervical Neoplasms / prevention & control
Vaginal Smears
Video Recording*