A Video-Based Intervention for Increasing Health Literacy in Total Joint Arthroplasty Patients at a Safety-Net Hospital: A Prospective Single-Blind Cohort Study
Background: Health literacy is a major determinant of health outcomes, with low literacy correlated with increased risk of postoperative complications and lower patient-reported outcomes. This study sought to increase health literacy in a subset of Los Angeles County patients who would be undergoing...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-12-01
|
| Series: | Arthroplasty Today |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344124002607 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850249352280276992 |
|---|---|
| author | Sung Jun Son, MD, MS Justin Sedgewick, MD Geordie Lonza, MD Jose George, MD Julissa Li, BS John Andrawis, MD |
| author_facet | Sung Jun Son, MD, MS Justin Sedgewick, MD Geordie Lonza, MD Jose George, MD Julissa Li, BS John Andrawis, MD |
| author_sort | Sung Jun Son, MD, MS |
| collection | DOAJ |
| description | Background: Health literacy is a major determinant of health outcomes, with low literacy correlated with increased risk of postoperative complications and lower patient-reported outcomes. This study sought to increase health literacy in a subset of Los Angeles County patients who would be undergoing total joint arthroplasty (TJA) using a video-based intervention. Methods: We enrolled 51 patients scheduled to undergo TJA. The first 26 patients were allocated into the prevideo group who underwent the typical preoperative visit, and the next 25 patients were enrolled into the video-intervention (postvideo) group. Results: No differences in baseline health literacy based on the Newest Vital Sign survey were noted between the groups (1.88 ± 1.90 vs 1.28 ± 1.24; P = .94). Higher knowledge scores regarding arthritis and TJA were seen in the postvideo group (71.52 ± 24.50 vs 54.92 ± 26.93; P = .01). This finding was consistent in primary Spanish speakers (66.40 ± 24.51 vs 49.60 ± 24.93; P = .04). There were no differences in preoperative anxiety and information requirement between the groups (16.00 ± 6.21 vs 16.88 ± 6.27; P = .31). The total low literacy version of the Decisional Conflict Scale score utilized to quantify patients’ decisional conflict in the setting of TJA were not different between the groups (11.44 ± 14.32 vs 10.40 ± 15.41; P = .40). Conclusions: Patient knowledge about arthritis and TJA significantly improved as measured by the modified arthritis knowledge survey in the postvideo group compared to a discussion with their surgeon. |
| format | Article |
| id | doaj-art-14c73fba7dd7449988df08dc5eeb14a1 |
| institution | OA Journals |
| issn | 2352-3441 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj-art-14c73fba7dd7449988df08dc5eeb14a12025-08-20T01:58:31ZengElsevierArthroplasty Today2352-34412024-12-013010157510.1016/j.artd.2024.101575A Video-Based Intervention for Increasing Health Literacy in Total Joint Arthroplasty Patients at a Safety-Net Hospital: A Prospective Single-Blind Cohort StudySung Jun Son, MD, MS0Justin Sedgewick, MD1Geordie Lonza, MD2Jose George, MD3Julissa Li, BS4John Andrawis, MD5Department of Orthopaedic Surgery, Harbor-UCLA Medical Center, Torrance, CA, USADepartment of Orthopaedic Surgery, Harbor-UCLA Medical Center, Torrance, CA, USA; Corresponding author. Harbor-UCLA Medical Center, 1000 W Carson St. PO Box 422, Torrance, CA 90502. Tel.: +1 703 994 3903.Department of Orthopaedic Surgery, Harbor-UCLA Medical Center, Torrance, CA, USADepartment of Orthopaedic Surgery, Harbor-UCLA Medical Center, Torrance, CA, USAUniversity of California, Los Angeles, CA, USADepartment of Orthopaedic Surgery, Harbor-UCLA Medical Center, Torrance, CA, USABackground: Health literacy is a major determinant of health outcomes, with low literacy correlated with increased risk of postoperative complications and lower patient-reported outcomes. This study sought to increase health literacy in a subset of Los Angeles County patients who would be undergoing total joint arthroplasty (TJA) using a video-based intervention. Methods: We enrolled 51 patients scheduled to undergo TJA. The first 26 patients were allocated into the prevideo group who underwent the typical preoperative visit, and the next 25 patients were enrolled into the video-intervention (postvideo) group. Results: No differences in baseline health literacy based on the Newest Vital Sign survey were noted between the groups (1.88 ± 1.90 vs 1.28 ± 1.24; P = .94). Higher knowledge scores regarding arthritis and TJA were seen in the postvideo group (71.52 ± 24.50 vs 54.92 ± 26.93; P = .01). This finding was consistent in primary Spanish speakers (66.40 ± 24.51 vs 49.60 ± 24.93; P = .04). There were no differences in preoperative anxiety and information requirement between the groups (16.00 ± 6.21 vs 16.88 ± 6.27; P = .31). The total low literacy version of the Decisional Conflict Scale score utilized to quantify patients’ decisional conflict in the setting of TJA were not different between the groups (11.44 ± 14.32 vs 10.40 ± 15.41; P = .40). Conclusions: Patient knowledge about arthritis and TJA significantly improved as measured by the modified arthritis knowledge survey in the postvideo group compared to a discussion with their surgeon.http://www.sciencedirect.com/science/article/pii/S2352344124002607ArthroplastyHealth literacyTJATotal knee arthroplastyTotal hip arthroplastyVideo |
| spellingShingle | Sung Jun Son, MD, MS Justin Sedgewick, MD Geordie Lonza, MD Jose George, MD Julissa Li, BS John Andrawis, MD A Video-Based Intervention for Increasing Health Literacy in Total Joint Arthroplasty Patients at a Safety-Net Hospital: A Prospective Single-Blind Cohort Study Arthroplasty Today Arthroplasty Health literacy TJA Total knee arthroplasty Total hip arthroplasty Video |
| title | A Video-Based Intervention for Increasing Health Literacy in Total Joint Arthroplasty Patients at a Safety-Net Hospital: A Prospective Single-Blind Cohort Study |
| title_full | A Video-Based Intervention for Increasing Health Literacy in Total Joint Arthroplasty Patients at a Safety-Net Hospital: A Prospective Single-Blind Cohort Study |
| title_fullStr | A Video-Based Intervention for Increasing Health Literacy in Total Joint Arthroplasty Patients at a Safety-Net Hospital: A Prospective Single-Blind Cohort Study |
| title_full_unstemmed | A Video-Based Intervention for Increasing Health Literacy in Total Joint Arthroplasty Patients at a Safety-Net Hospital: A Prospective Single-Blind Cohort Study |
| title_short | A Video-Based Intervention for Increasing Health Literacy in Total Joint Arthroplasty Patients at a Safety-Net Hospital: A Prospective Single-Blind Cohort Study |
| title_sort | video based intervention for increasing health literacy in total joint arthroplasty patients at a safety net hospital a prospective single blind cohort study |
| topic | Arthroplasty Health literacy TJA Total knee arthroplasty Total hip arthroplasty Video |
| url | http://www.sciencedirect.com/science/article/pii/S2352344124002607 |
| work_keys_str_mv | AT sungjunsonmdms avideobasedinterventionforincreasinghealthliteracyintotaljointarthroplastypatientsatasafetynethospitalaprospectivesingleblindcohortstudy AT justinsedgewickmd avideobasedinterventionforincreasinghealthliteracyintotaljointarthroplastypatientsatasafetynethospitalaprospectivesingleblindcohortstudy AT geordielonzamd avideobasedinterventionforincreasinghealthliteracyintotaljointarthroplastypatientsatasafetynethospitalaprospectivesingleblindcohortstudy AT josegeorgemd avideobasedinterventionforincreasinghealthliteracyintotaljointarthroplastypatientsatasafetynethospitalaprospectivesingleblindcohortstudy AT julissalibs avideobasedinterventionforincreasinghealthliteracyintotaljointarthroplastypatientsatasafetynethospitalaprospectivesingleblindcohortstudy AT johnandrawismd avideobasedinterventionforincreasinghealthliteracyintotaljointarthroplastypatientsatasafetynethospitalaprospectivesingleblindcohortstudy AT sungjunsonmdms videobasedinterventionforincreasinghealthliteracyintotaljointarthroplastypatientsatasafetynethospitalaprospectivesingleblindcohortstudy AT justinsedgewickmd videobasedinterventionforincreasinghealthliteracyintotaljointarthroplastypatientsatasafetynethospitalaprospectivesingleblindcohortstudy AT geordielonzamd videobasedinterventionforincreasinghealthliteracyintotaljointarthroplastypatientsatasafetynethospitalaprospectivesingleblindcohortstudy AT josegeorgemd videobasedinterventionforincreasinghealthliteracyintotaljointarthroplastypatientsatasafetynethospitalaprospectivesingleblindcohortstudy AT julissalibs videobasedinterventionforincreasinghealthliteracyintotaljointarthroplastypatientsatasafetynethospitalaprospectivesingleblindcohortstudy AT johnandrawismd videobasedinterventionforincreasinghealthliteracyintotaljointarthroplastypatientsatasafetynethospitalaprospectivesingleblindcohortstudy |