Informed and Empowered: A Pre–Post Evaluation of a Whiteboard Video for Sexual Health Education in Female Adolescents and Young Adults with Cancer

Adolescents and young adults (AYA) assigned female at birth with cancer face significant sexual health challenges, yet accessible, age-appropriate educational tools remain limited. This study evaluated a 13 min whiteboard video designed to improve sexual health knowledge. Female AYA patients aged 15-39 years across Canada completed pre- and post-video surveys assessing knowledge, attitudes, and satisfaction. The video's understandability and actionability were measured using the Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT-A/V), and readability was assessed using six standard metrics. Quantitative analyses included paired t-tests and regression modeling; qualitative responses were thematically coded. Ninety participants completed the study. Knowledge scores increased by 19.5% (95% CI, 14-24%; <i>p</i> < 0.001, Cohen's <i>d</i> = 0.89) following the video. Greater gains were observed among participants with a high school education or less (<i>p</i> = 0.040), while younger participants tended to show larger improvements. The video received average PEMAT-A/V scores of 96% for understandability and 94% for actionability. Most participants (89%) found it helpful for learning about sexual health and would recommend the video to peers, though suggested improvements included shorter length, enhanced visuals, and more age-specific content. Nearly half reported never discussing sexual health with providers. These findings support the feasibility of whiteboard video as an effective, scalable tool to address sexual health in oncology care.