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Video Consent for Upper Endoscopy and Colonoscopy Improves Patient Comprehension in a Safety-net, Multi-lingual Population

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Abstract

The challenges of consenting for procedures are well documented and are compounded when patients have limited English proficiency (LEP). Standardized video consent has been studied, but research in gastroenterology is limited. We created educational videos in English and Spanish covering the elements of traditional consent for colonoscopy and upper endoscopy. All participants underwent traditional verbal consent and a subset viewed the language and procedure specific video. Participants from a multilingual, safety-net hospital patient population were then given a questionnaire to assess their comprehension and satisfaction. Participants who watched the video had higher comprehension scores than those who received traditional verbal consent alone. This difference persisted when data was stratified by language and procedure, and when controlled for educational level and prior procedure. Video consent improves comprehension and satisfaction for endoscopy and may mitigate some of the challenges encountered when consenting patients with LEP.

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Data Availability

The datasets generated during and/or analyzed during the current study are available in the figshare repository, https://figshare.com/articles/dataset/Endoscopy_video_consent_data/15772068

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Acknowledgements

The authors report a $2000 Patient Care Trust Fund grant from the Committee of Interns and Residents used to purchase tablets and headphones to screen educational videos as detailed in the methods section. The funders played no role in the collection of data, study design or crafting of this manuscript.

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Authors and Affiliations

  1. Division of Gastroenterology, NYU Langone Health, New York, NY, 10016, USA

    Zoe Lawrence, Gabriel Castillo, Janice Jang, Adam Goodman, Andrew Dikman & Renee Williams

  2. Department of Gastroenterology, Northwell Health, Huntington, NY, 11743, USA

    Demetrios Tzimas

  3. NYU School of Global Public Health, New York, NY, 10003, USA

    Alexandra Guttentag

  4. Department of Medicine, The University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA

    Timothy Zaki

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  1. Zoe Lawrence
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  2. Gabriel Castillo
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  3. Janice Jang
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  4. Timothy Zaki
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  5. Demetrios Tzimas
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Correspondence to Zoe Lawrence.

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Lawrence, Z., Castillo, G., Jang, J. et al. Video Consent for Upper Endoscopy and Colonoscopy Improves Patient Comprehension in a Safety-net, Multi-lingual Population. J Immigrant Minority Health 25, 350–356 (2023). https://doi.org/10.1007/s10903-022-01398-6

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