Spanish and English Video Consenting for IV Contrast

描述（由申请人提供）：我们将确定以西班牙语和英语提供的交互式视频是否上级于用于获得急诊科（艾德）静脉（IV）造影剂给药知情同意书的标准医患讨论。这一系列调查的目标是满足知情同意的伦理要求，这需要所有患者的充分理解，认识到向非英语患者传达复杂医疗信息的特殊挑战。本研究为随机对照试验。将使用混合方法评估主要结局指标、患者对IV造影剂的风险、受益和替代方案的理解。对照组将接受标准治疗，并与艾德医生讨论IV造影剂的风险、获益和替代方案。干预小组将观看以西班牙语和英语提供的互动录像，提供这方面的信息。主要结果，病人的理解，将确定定性访谈和定量分数的书面考试。次要结局将包括患者满意度、成功获得手术同意以及完成知情同意所需的医患互动时间。

DESCRIPTION (provided by applicant): We will determine if an interactive video offered in both Spanish and English is superior to standard patient-physician discussion used to obtain informed consent for intravenous (IV) contrast administration in the emergency department (ED). The goal of this line of inquiry is to meet the ethical imperative of informed consent, which requires sound understanding for all patients, recognizing the special challenge of conveying complex medical information to non-English-speaking patients. The study will be a randomized controlled trial. Mixed methods will be used to assess the primary outcome measure, patient understanding of the risks, benefits, and alternatives of IV contrast. The control group will receive standard care, having the risks, benefits, and alternatives of IV contrast explained in a discussion with their ED physician. The intervention group will view an interactive video offered in both Spanish and English providing this information. The primary outcome, patient understanding, will be determined by qualitative interviews and quantitative scores on a written examination. Secondary outcomes will include patient satisfaction, success in obtaining consent for the procedure, and physician-patient interaction time needed to complete informed consent.