Educational video for adherence to vaginal pessary in pelvic organ prolapse treatment.
Karine de Castro Bezerra, Maria Luziene de Sousa Gomes, Roger Rodrigues da Silva and 4 others
PMID 39356928WHAT IT FOUND
Women using a vaginal pessary and expert judges approved an educational video about pessary use.
The study tested whether experts and women found the video acceptable, not whether it improved adherence or patient outcomes.
Key findings
01The educational video was approved by expert judges and by women with pelvic organ prolapse, and its overall content validity index was 0.99.
02In a survey of 15 women, 13 preferred a video with real people rather than cartoons or cordel literature.
03The final video was nine minutes and 38 seconds long and was freely available on YouTube with 63 thousand views.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study assessed whether experts and women accepted the video; it did not test whether the video improved pessary adherence, symptoms, quality of life, or other patient outcomes. The target audience was 24 women from one hospital urogynecology service in Brazil, so the acceptability result may not apply to other settings. Most women had low education and income, which fits the intended audience but limits generalisation to other populations. The authors note that no sexually active pessary users were included in testimonies and no scenes showed self-insertion, so some relevant experiences were missing. The video was freely available on YouTube with 63 thousand views, but the paper does not report who viewed it or whether they used it.
The easy way to misread this
Do not conclude that the video improves pessary adherence or quality of life. The study measured acceptability and content validity, not whether women used the pessary more consistently or felt better.