title: Development and pilot testing of a culturally sensitive multimedia program to improve breast cancer screening in Latina women.
abstract: 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.
authors.affiliation: Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, USA. mgoel@nmff.org
authors.forename: Mita Sanghavi
authors.initials: MS
authors.lastname: Goel
authors.forename: Gaby
authors.initials: G
authors.lastname: Gracia
authors.forename: David W
authors.initials: DW
authors.lastname: Baker
mesh_terms: 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