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互动视频是否优于用于在急诊科(ED)静脉注射(IV)造影剂时获得知情同意的标准患者-医生讨论。这一调查的目标是满足知情同意的伦理要求，这要求所有患者都有良好的理解，认识到向非英语患者传达复杂的医疗信息是一项特殊的挑战。该研究将是一项随机对照试验。将使用混合方法来评估主要结果测量、患者对静脉注射造影剂的风险、益处和替代方案的了解。对照组将接受标准护理，在与他们的急诊医生的讨论中解释静脉对比的风险、好处和替代方案。干预组将观看提供这一信息的西班牙语和英语互动视频。主要的结果，患者的理解，将通过定性访谈和笔试的定量分数来确定。次要结果将包括患者满意度、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.