Development and pilot testing of a culturally sensitive multimedia program to improve breast cancer screening in Latina women.
OBJECTIVE
Our study goal was to assess the effects of a brief patient video on breast cancer knowledge and attitudes among Latina women at a community health center.


METHODS
We conducted pre- and post-testing of knowledge and attitudes in women aged 40 years or older with active screening referrals (n=91). We compared pre- and post-test knowledge and attitudes overall and by baseline values.


RESULTS
Mean knowledge increased from 5.8/10 to 6.9/10 (p<0.05), with the greatest increases in those with low baseline knowledge (p<.001). There were no changes in mean attitudes, which were high at baseline (3.8/5); however, among the 16 women with negative/neutral attitudes, 50% developed positive attitudes after watching the video (p<0.05). Baseline intention to complete screening was high at 98%.


CONCLUSIONS
Although the overall effects were modest, the greatest improvements were in those with low baseline knowledge scores and negative/neutral baseline attitudes. Future testing should examine the effects in a community-based sample.


CONCLUSIONS
A brief patient video has promise for influencing patient knowledge and perhaps attitudes while being amenable to integration into clinical flow.
Goel
Mita Sanghavi
MS
Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, USA. mgoel@nmff.org
Gracia
Gaby
G
Baker
David W
DW
D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000208:ethnology; D003153:Community Health Services; D003466:Cultural Characteristics; D055088:Early Detection of Cancer; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino / Q000193:education / Q000523:psychology*; D006801:Humans; D008403:Mass Screening; D008875:Middle Aged; D019212:Multimedia; D010353:Patient Education as Topic / Q000379:methods*; D010865:Pilot Projects; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014741:Video Recording