Development, acceptability and usability of culturally appropriate survivor narrative videos for breast cancer treatment in Botswana: a pilot study.

Development, acceptability and usability of culturally appropriate survivor narrative videos for breast cancer treatment in Botswana: a pilot study.
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博茨瓦纳乳腺癌治疗中与文化相适应的幸存者叙事视频的开发、可接受性和可用性:一项初步研究。

DOI:
10.1136/bmjopen-2023-073867
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发表时间:
2024-01-30
期刊:
影响因子:
2.9
通讯作者:
Gaolebale, Babe E.
Gaolebale, Babe E.
中科院分区:
医学3区
文献类型:
--
作者:
Martei, Yehoda M.;Mokokwe, Lebogang;Ngwako, Ngwao;Kebuang, Keaobaka;Setlhako, Dipho, I;Gabaatlhole, Goitsemang;Baaitse, Bontswanetse;Segadimo, Tumisang;Shulman, Lawrence N.;Barg, Frances;Gaolebale, Babe E.

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叙述式沟通在促进积极的健康行为、提供支持和应对复杂决策方面已显示出效力。评估这种干预措施在非洲癌症治疗的正式研究还缺乏。我们的目的是开发和评估博茨瓦纳乳腺癌治疗幸存者视频叙事干预的可接受性和可用性。初步研究设计。撒哈拉以南非洲单一中心三级医院。8名年龄≥18岁的I-III期乳腺癌女性入组视频干预。106名年龄≥18岁的I-IV期乳腺癌女性观看了叙事视频,98名完成了可接受性和可用性调查。幸存者叙事视频开发使用计划行为的理论,并使用一个有目的的样本的Batteria,Setswana发言,乳腺癌幸存者,谁已经完成了系统性治疗和手术,高比例的遵守规定的治疗计划。我们使用一项13项调查,评估了在博茨瓦纳公主码头医院接受常规乳腺癌治疗的前瞻性入选患者的可接受性和可用性。参与者对视频的可接受性和可用性表示高度满意,其中99%(97/98)的人非常同意/同意视频演示易于理解,92%(90/98)的人会推荐给其他幸存者,94%(92/98)的人希望有更多的视频。此外,89%(87/98)的人同意或强烈同意如何使用平板电脑的一对一指导是有帮助的,87%(85/98)的人认为视频播放器很容易使用。文化上适当的幸存者视频叙事在博茨瓦纳乳腺癌患者中具有很高的可接受性和可用性。有机会在常规乳腺癌护理中利用这种干预措施提供治疗支持。未来的研究将在更大范围内测试叙事视频的实施和有效性,包括正在接受其他癌症治疗的患者。
Narrative communication has demonstrated effectiveness in promoting positive health behaviours, delivering support and coping with complex decision-making. Formal research evaluating this intervention for cancer treatment in Africa is lacking. We aimed to develop, and assess acceptability and usability of survivor video narrative interventions for breast cancer treatment in Botswana. A pilot study design. Single-centre, tertiary hospital, sub-Saharan Africa. Eight women, ≥18 years old, with stages I–III breast cancer were enrolled for the video intervention. 106 women, ≥18 years old, with stages I–IV breast cancer viewed the narrative videos and 98 completed the acceptability and usability surveys. Survivor narrative videos were developed using the theory of planned behaviour and using a purposive sample of Batswana, Setswana-speaking, breast cancer survivors, who had completed systemic treatment and surgery with high rates of adherence to the prescribed treatment plan. We assessed acceptability and usability among prospectively enrolled patients presenting for routine breast cancer care at Princess Marina Hospital in Botswana, using a 13-item survey. Participants expressed high acceptability and usability of the videos, including 99% (97/98) who strongly agreed/agreed that the video presentations were easy to understand, 92% (90/98) who would recommend to other survivors and 94% (92/98) who wished there were more videos. Additionally, 89% (87/98) agreed or strongly agreed that the one-on-one instruction on how to use the tablet was helpful and 87% (85/98) that the video player was easy to use. Culturally appropriate survivor video narratives have high acceptability and usability among patients with breast cancer in Botswana. There is an opportunity to leverage this intervention in routine breast cancer care for treatment support. Future studies will test the implementation and effectiveness of narrative videos on a wider scale, including for patients being treated for other cancers.
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