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优于用于在急诊科（ED）获得静脉注射（IV）造影剂给药的知情同意的标准患者-医生讨论。这条调查路线的目标是满足知情同意的道德要求，这需要对所有患者有充分的了解，认识到向非英语患者传达复杂医疗信息的特殊挑战。该研究将是一项随机对照试验。混合方法将用于评估主要结局指标，患者对静脉造影剂的风险、益处和替代方法的理解。对照组将接受标准治疗，与急诊科医生讨论静脉造影剂的风险、益处和替代方案。干预组将观看以西班牙语和英语提供的提供这些信息的互动视频。主要结果，病人的理解，将由定性访谈和笔试的定量分数决定。次要结果包括患者满意度、获得手术同意的成功程度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.