The Role of Incorporating Video Aids Into Informed Consent for Hysterectomy [ID 1125]

INTRODUCTION: The informed consent process for hysterectomy involves discussions led by physicians, with audiovisual aids shown to enhance patient satisfaction and understanding. Few studies in gynecology examine presurgical preparedness, often limiting participants to English speakers. Our study explores whether augmenting the consent process with the addition of a video aid for a hysterectomy can enhance patients’ comprehension and postoperative satisfaction in a border population that predominantly speaks Spanish. METHODS: A prospective cohort study was conducted at Texas Tech University Health Sciences Center–El Paso ob-gyn clinics, enrolling patients aged 18 and older undergoing hysterectomy for benign conditions. Both English- and Spanish-speaking patients participated. The experimental group watched a video in their preferred language alongside standard physician counseling, whereas the control group received only standard counseling. The ICQ-20 survey assessed patient comprehension at preoperative and postoperative visits. Logistic regression and generalized estimating equations analyzed the data. RESULTS: Fifty-five participants (27 in the video arm, 28 in control) provided 108 records for analysis. Mean ages were similar (46.1 versus 45.6 years). The majority were Hispanic (92.6% video arm, 85.7% control). For understanding the procedure, 100% in the video arm felt informed preoperatively, dropping to 88.9% postoperatively, whereas the control group scores were 92.9% and 84.6%, respectively. However, the video aid did not significantly affect knowledge of procedure details, risks, or success rates. CONCLUSIONS/IMPLICATIONS: Comprehension was high (greater than 89%) in both groups preoperatively, with no significant differences postoperatively. The video aid did not demonstrate an effect on knowledge retention.