{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:50:28Z","timestamp":1753890628289,"version":"3.41.2"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T00:00:00Z","timestamp":1739404800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Digit. Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Video-based education offers opportunities to enhance patients' medical literacy and to reduce anxiety and hesitation for patients undergoing diagnostic procedures such as lumbar puncture (LP). Multiple studies centered on LP education have demonstrated that video-based education can reduce anxiety regarding possible adverse events, while increasing literacy regarding the procedure itself for clinical purposes. Our study sought to assess the impact of video-based education on knowledge of and willingness to undergo an LP among older people with HIV (PWH).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We enrolled PWH age\u2009\u2265\u200950 years who regularly attend our Infectious Diseases clinic between March 3 and November 16, 2023. Participants watched a patient-centered educational video explaining the LP procedure and completed a questionnaire both pre- and post-video assessing demographics, general awareness and prior experience with an LP, specific knowledge, attitudes and perceptions toward an LP and willingness to undergo an LP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Our study included 99 PWH with mean (standard deviation, SD) age of 58.8 (5.7) years, one-third females and 60% African American\/Black race. After watching the video, participants were significantly more likely to correctly identify technical details of the procedure (excluding those who had previously had an LP, 83.7% pre-video vs. 95.9% post-video) and common complications of an LP; agree that LPs can result in back pain (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001) and headaches (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001). There was no significant difference in participants' willingness to undergo an LP for diagnostic or research purposes. Only 5% said that they would never have an LP under any circumstance after watching the video.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Other educational interventions, such as in-person demonstrations or models, may help mitigate fears of LP. Our study provides important insight into the knowledge and perceptions of PWH when asked to undergo an LP and demonstrates that video-based education may not be sufficient to mitigate fears surrounding LP procedures, or a lack of interest or time for participating in an LP.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fdgth.2025.1508163","type":"journal-article","created":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T07:10:24Z","timestamp":1739430624000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Usefulness of lumbar puncture educational videos for older people with HIV"],"prefix":"10.3389","volume":"7","author":[{"given":"Chhitij","family":"Tiwari","sequence":"first","affiliation":[]},{"given":"Keely","family":"Copperthite","sequence":"additional","affiliation":[]},{"given":"Tia","family":"Morgan","sequence":"additional","affiliation":[]},{"given":"Jonathan","family":"Oakes","sequence":"additional","affiliation":[]},{"given":"Luigi","family":"Troiani","sequence":"additional","affiliation":[]},{"given":"Chris","family":"Evans","sequence":"additional","affiliation":[]},{"given":"Sonia","family":"Napravnik","sequence":"additional","affiliation":[]},{"given":"Claire E.","family":"Farel","sequence":"additional","affiliation":[]},{"given":"Monica M.","family":"Diaz","sequence":"additional","affiliation":[]}],"member":"1965","published-online":{"date-parts":[[2025,2,13]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e0171952","DOI":"10.1371\/journal.pone.0171952","article-title":"Video-based educational intervention associated with improved stroke literacy, self-efficacy, and patient satisfaction","volume":"12","author":"Denny","year":"2017","journal-title":"PLoS One"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1595","DOI":"10.1177\/1460458218796644","article-title":"What to expect that you\u2019re not expecting: a pilot video education intervention to improve patient self-efficacy surrounding discharge medication barriers","volume":"25","author":"Sinha","year":"2019","journal-title":"Health Informatics J"},{"key":"B3","doi-asserted-by":"publisher","first-page":"e2135576","DOI":"10.1001\/jamanetworkopen.2021.35576","article-title":"Educating outpatients for bowel preparation before colonoscopy using conventional methods vs virtual reality videos plus conventional methods: a randomized clinical trial","volume":"4","author":"Chen","year":"2021","journal-title":"JAMA Netw Open"},{"key":"B4","first-page":"471","article-title":"Impact of video education on influenza vaccination in pregnancy","volume":"60","author":"Goodman","year":"2015","journal-title":"J Reprod Med"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e0271100","DOI":"10.1371\/journal.pone.0271100","article-title":"Clinician-created educational video for shared decision-making in the outpatient management of acne","volume":"17","author":"Hung","year":"2022","journal-title":"PLoS One"},{"key":"B6","doi-asserted-by":"publisher","first-page":"e61","DOI":"10.18295\/squmj.2018.18.01.010","article-title":"Effects of peer-facilitated, video-based and combined peer-and-video education on anxiety among patients undergoing coronary angiography: randomised controlled trial","volume":"18","author":"Habibzadeh","year":"2018","journal-title":"Sultan Qaboos Univ Med J"},{"key":"B7","doi-asserted-by":"publisher","first-page":"e12127","DOI":"10.1002\/trc2.12127","article-title":"LP Patient video increases knowledge and reduces uncertainty: an RCT","volume":"7","author":"Mofrad","year":"2021","journal-title":"Alzheimers Dement (N Y)"},{"key":"B8","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1016\/j.pediatrneurol.2019.04.014","article-title":"An educational video improves consent in pediatric LP: a randomized control trial","volume":"100","author":"Dunbar","year":"2019","journal-title":"Pediatr Neurol"},{"year":"","key":"B9","article-title":"LP Video | Medical Video Library"},{"key":"B10","doi-asserted-by":"publisher","first-page":"22","DOI":"10.3389\/fnagi.2017.00022","article-title":"Fear and uncertainty do not influence reported willingness to undergo LPs in a U.S. Multi-cultural cohort","volume":"9","author":"Tsvetkova","year":"2017","journal-title":"Front Aging Neurosci"},{"volume-title":"RStudio","year":"2023","author":"Core Team","key":"B11"},{"key":"B12","doi-asserted-by":"publisher","first-page":"296","DOI":"10.3389\/fnagi.2016.00296","article-title":"Research LPs among African Americans and Caucasians: perception predicts experience","volume":"8","author":"Howell","year":"2016","journal-title":"Front Aging Neurosci"},{"key":"B13","doi-asserted-by":"publisher","first-page":"2050312119871066","DOI":"10.1177\/2050312119871066","article-title":"Public knowledge and attitude toward LP among adults in Riyadh, Saudi Arabia: a cross-sectional study","volume":"7","author":"Aldayel","year":"2019","journal-title":"SAGE Open Med"},{"key":"B14","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1038\/nrneurol.2016.27","article-title":"HIV-associated neurocognitive disorder\u2013pathogenesis and prospects for treatment","volume":"12","author":"Saylor","year":"2016","journal-title":"Nat Rev Neurol"},{"key":"B15","doi-asserted-by":"publisher","first-page":"e2610","DOI":"10.1212\/WNL.0000000000010752","article-title":"Global prevalence and burden of HIV-associated neurocognitive disorder: a meta-analysis","volume":"95","author":"Wang","year":"2020","journal-title":"Neurology"},{"key":"B16","doi-asserted-by":"publisher","first-page":"e0157160","DOI":"10.1371\/journal.pone.0157160","article-title":"Increased intrathecal immune activation in virally suppressed HIV-1 infected patients with neurocognitive impairment","volume":"11","author":"Ed\u00e9n","year":"2016","journal-title":"PLoS One"},{"key":"B17","doi-asserted-by":"publisher","first-page":"617","DOI":"10.1097\/QAI.0000000000002484","article-title":"Cognitive and neuronal link with inflammation: a longitudinal study in people with and without HIV infection","volume":"85","author":"Anderson","year":"2020","journal-title":"J Acquir Immune Defic Syndr"},{"key":"B18","doi-asserted-by":"publisher","first-page":"1052","DOI":"10.4269\/ajtmh.22-0699","article-title":"Patient, provider, and health systems factors leading to LP nonperformance in Zambia: a qualitative investigation of the \u201ctap gap\u201d","volume":"108","author":"Saylor","year":"2023","journal-title":"Am J Trop Med Hyg"},{"key":"B19","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1093\/trstmh\/trab124","article-title":"A qualitative study of patient, caregiver, doctor and nurse views of factors influencing LP uptake in Zambia","volume":"116","author":"Elafros","year":"2022","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"B20","first-page":"4179","article-title":"Public acceptability of LP in the diagnosis of Alzheimer\u2019s disease: a questionnaire-based single center study in China","volume":"15","author":"Guo","year":"2023","journal-title":"Am J Transl Res"},{"key":"B21","doi-asserted-by":"publisher","first-page":"681319","DOI":"10.3389\/fpubh.2021.681319","article-title":"The impact of video-based educational interventions on cervical cancer, pap smear and HPV vaccines","volume":"9","author":"Drokow","year":"2021","journal-title":"Front Public Health"},{"key":"B22","doi-asserted-by":"publisher","first-page":"1728","DOI":"10.1080\/0284186X.2017.1355108","article-title":"The effect of video information on anxiety levels in women attending colposcopy: a randomized controlled trial","volume":"56","author":"Ketelaars","year":"2017","journal-title":"Acta Oncol"},{"key":"B23","doi-asserted-by":"publisher","first-page":"CD006013","DOI":"10.1002\/14651858.CD006013.pub3","article-title":"Interventions for reducing anxiety in women undergoing colposcopy","volume":"2011","author":"Galaal","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"B24","doi-asserted-by":"publisher","first-page":"1135","DOI":"10.1007\/s10461-018-2330-z","article-title":"Effect of an educational video to increase calls and screening into an anal cancer clinical trial among HIV+ hispanics in PR: results from a randomized controlled behavioral trial","volume":"23","author":"Ortiz","year":"2019","journal-title":"AIDS Behav"}],"container-title":["Frontiers in Digital Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fdgth.2025.1508163\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T07:10:27Z","timestamp":1739430627000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fdgth.2025.1508163\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,13]]},"references-count":24,"alternative-id":["10.3389\/fdgth.2025.1508163"],"URL":"https:\/\/doi.org\/10.3389\/fdgth.2025.1508163","relation":{},"ISSN":["2673-253X"],"issn-type":[{"type":"electronic","value":"2673-253X"}],"subject":[],"published":{"date-parts":[[2025,2,13]]},"article-number":"1508163"}}