title: Implementing targeted cervical cancer screening videos at the point of care.
abstract: OBJECTIVE
  To develop and implement educational videos to improve cervical cancer health literacy for patients within a safety net healthcare system.
  
  
  METHODS
  Testimonial-style videos were developed with the goal of describing the Pap test to low literacy patients and motivating them to participate in regular cervical cancer screening. Nurses were trained to use the electronic medical record to identify patients due or past due for a Pap test according to the current screening guidelines. They played the video for all eligible patients as they waited to be seen by their physician in clinical examination rooms.
  
  
  RESULTS
  Four 2-minute videos were developed in English, Spanish, and Vietnamese. Videos were made available on desktop computers in 458 exam rooms at 13 community health centers.
  
  
  CONCLUSIONS
  Integration of educational videos into the workflow of high-volume community health centers is feasible. Future work will focus on optimizing uptake of the videos as well as assessing their efficacy for improving cervical cancer health literacy.
  
  
  CONCLUSIONS
  Integrating targeted videos into patient flow may be a feasible way to address health literacy barriers to cervical cancer screening within a busy workflow environment.
authors.affiliation: Department of Pediatrics, Baylor College of Medicine, Houston, USA; Office of Outreach and Health Disparities, Dan L. Duncan Cancer Center, Baylor College of Medicine, Houston, USA. Electronic address: jrmontea@bcm.edu.
authors.forename: Jane R
authors.initials: JR
authors.lastname: Montealegre
authors.affiliation: Department of Internal Medicine, Weill Cornell Medical College, New York, USA.
authors.forename: John Travis
authors.initials: JT
authors.lastname: Gossey
authors.affiliation: Department of Obstetrics & Gynecology, Baylor College of Medicine, Houston, USA; Department of Pathology & Immunology, Baylor College of Medicine, Houston, USA.
authors.forename: Matthew L
authors.initials: ML
authors.lastname: Anderson
authors.affiliation: Office of Outreach and Health Disparities, Dan L. Duncan Cancer Center, Baylor College of Medicine, Houston, USA.
authors.forename: Roshanda S
authors.initials: RS
authors.lastname: Chenier
authors.affiliation: Office of Outreach and Health Disparities, Dan L. Duncan Cancer Center, Baylor College of Medicine, Houston, USA.
authors.forename: Glori
authors.initials: G
authors.lastname: Chauca
authors.affiliation: Department of Family and Community Medicine, Baylor College of Medicine, Houston, USA.
authors.forename: Luis O
authors.initials: LO
authors.lastname: Rustveld
authors.affiliation: Office of Outreach and Health Disparities, Dan L. Duncan Cancer Center, Baylor College of Medicine, Houston, USA; School of Allied Health Sciences, Baylor College of Medicine, Houston, USA.
authors.forename: Maria L
authors.initials: ML
authors.lastname: Jibaja-Weiss
mesh_terms: D055088:Early Detection of Cancer; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D057220:Health Literacy; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008403:Mass Screening; D010353:Patient Education as Topic / Q000379:methods*; D019095:Point-of-Care Systems; D014481:United States; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000517:prevention & control; D014626:Vaginal Smears; D014741:Video Recording
keywords: Cervical cancer screening; Electronic medical records; Health literacy; Patient education