Sara Gómez-Trillos, Pilar Carrera, Amparo Caballero, Vanessa B Sheppard, Kristi D Graves, Beth N Peshkin, Marc D Schwartz, Claudia Campos, Nathaly Garcés, Alejandra Hurtado de Mendoza
{"title":"“你是什么感觉？”拉丁美洲人使用遗传咨询和测试遗传性癌症风险后，观看文化目标视频和接受病人导航。","authors":"Sara Gómez-Trillos, Pilar Carrera, Amparo Caballero, Vanessa B Sheppard, Kristi D Graves, Beth N Peshkin, Marc D Schwartz, Claudia Campos, Nathaly Garcés, Alejandra Hurtado de Mendoza","doi":"10.1002/pon.70261","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>Culturally targeted narrative education is a promising approach to cancer prevention and control. This study evaluates the uptake of genetic counseling and testing (GCT) in Latinas at risk for hereditary breast and ovarian cancers (HBOC) after watching a culturally targeted narrative video and being navigated to GCT services.</p><p><strong>Methods: </strong>Latina women at increased risk for HBOC were recruited through community-based organizations. Participants responded to surveys before and after watching Spanish-language telenovela-style video. Surveys measured sociodemographic and clinical variables, HBOC and GCT knowledge, transportation with the story, identification with characters, and emotions elicited by the video. After watching video, participants were offered patient navigation services to free or low-cost GCT and completed a 3-month follow-up phone survey to assess GCT uptake.</p><p><strong>Results: </strong>Participants (N = 40) were 47.35 years old on average (SD = 9.48); all were born outside the United States. At the 3-month follow-up (N = 37), 27 (72.9%) and 26 (70.27%) participants had attended genetic counseling and genetic testing, respectively. U Mann Whitney tests found statistically significant differences between women who attended counseling versus those who did not at baseline knowledge (U = 216.00, p = 0.000) and distress elicited by the video (U = 73.5, p = 0.03). A logistic regression with distress elicited by the video as a predictive variable reached statististical significance (β = -0.27, p = 0.037, CI 95% 0.58-0.98).</p><p><strong>Conclusions: </strong>GCT uptake was promising, supporting a role for culturally targeted narrative video education along with a patient navigation component in increasing interest in cancer prevention and reducing healthcare disparities in HBOC genetic services.</p><p><strong>Trial registration: </strong>NCT03075540 (Initial release 2/22/2017).</p>","PeriodicalId":20779,"journal":{"name":"Psycho‐Oncology","volume":"34 9","pages":"e70261"},"PeriodicalIF":3.5000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398325/pdf/","citationCount":"0","resultStr":"{\"title\":\"'How Did That Make You Feel?' 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Participants responded to surveys before and after watching Spanish-language telenovela-style video. Surveys measured sociodemographic and clinical variables, HBOC and GCT knowledge, transportation with the story, identification with characters, and emotions elicited by the video. After watching video, participants were offered patient navigation services to free or low-cost GCT and completed a 3-month follow-up phone survey to assess GCT uptake.</p><p><strong>Results: </strong>Participants (N = 40) were 47.35 years old on average (SD = 9.48); all were born outside the United States. At the 3-month follow-up (N = 37), 27 (72.9%) and 26 (70.27%) participants had attended genetic counseling and genetic testing, respectively. U Mann Whitney tests found statistically significant differences between women who attended counseling versus those who did not at baseline knowledge (U = 216.00, p = 0.000) and distress elicited by the video (U = 73.5, p = 0.03). 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引用次数: 0
摘要
目的：有文化针对性的叙事教育是一种很有前景的癌症防治途径。本研究评估了拉丁裔遗传性乳腺癌和卵巢癌（HBOC）风险人群在观看了一段有文化针对性的叙事视频并被引导到GCT服务后对遗传咨询和检测（GCT）的接受情况。方法：通过社区组织招募HBOC风险增加的拉丁裔妇女。参与者在观看西班牙语肥皂剧风格的视频之前和之后对调查进行了回应。调查测量了社会人口学和临床变量、HBOC和GCT知识、对故事的理解、对人物的认同以及视频引发的情感。在观看视频后，为参与者提供免费或低价GCT的患者导航服务，并完成为期3个月的随访电话调查，以评估GCT的接受情况。结果：40名参与者平均年龄47.35岁（SD = 9.48）；他们都是在美国以外出生的。在3个月的随访中（N = 37），分别有27名（72.9%）和26名（70.27%）参与者参加了遗传咨询和基因检测。U - Mann - Whitney测试发现，在基线知识（U = 216.00, p = 0.000）和视频引发的痛苦（U = 73.5, p = 0.03）方面，参加咨询的女性与未参加咨询的女性存在统计学上的显著差异。以视频引发的痛苦作为预测变量的逻辑回归达到了统计学意义（β = -0.27, p = 0.037, CI 95% 0.58-0.98）。结论：GCT的应用是有希望的，支持具有文化针对性的叙事视频教育以及患者导航组件的作用，以增加对癌症预防的兴趣，并减少HBOC遗传服务中的医疗差距。试验注册：NCT03075540（首次发布于2017年2月22日）。
'How Did That Make You Feel?' Latinas' Use of Genetic Counseling and Testing for Hereditary Cancer Risk After Watching a Culturally Targeted Video and Receiving Patient Navigation.
Objective: Culturally targeted narrative education is a promising approach to cancer prevention and control. This study evaluates the uptake of genetic counseling and testing (GCT) in Latinas at risk for hereditary breast and ovarian cancers (HBOC) after watching a culturally targeted narrative video and being navigated to GCT services.
Methods: Latina women at increased risk for HBOC were recruited through community-based organizations. Participants responded to surveys before and after watching Spanish-language telenovela-style video. Surveys measured sociodemographic and clinical variables, HBOC and GCT knowledge, transportation with the story, identification with characters, and emotions elicited by the video. After watching video, participants were offered patient navigation services to free or low-cost GCT and completed a 3-month follow-up phone survey to assess GCT uptake.
Results: Participants (N = 40) were 47.35 years old on average (SD = 9.48); all were born outside the United States. At the 3-month follow-up (N = 37), 27 (72.9%) and 26 (70.27%) participants had attended genetic counseling and genetic testing, respectively. U Mann Whitney tests found statistically significant differences between women who attended counseling versus those who did not at baseline knowledge (U = 216.00, p = 0.000) and distress elicited by the video (U = 73.5, p = 0.03). A logistic regression with distress elicited by the video as a predictive variable reached statististical significance (β = -0.27, p = 0.037, CI 95% 0.58-0.98).
Conclusions: GCT uptake was promising, supporting a role for culturally targeted narrative video education along with a patient navigation component in increasing interest in cancer prevention and reducing healthcare disparities in HBOC genetic services.
期刊介绍：
Psycho-Oncology is concerned with the psychological, social, behavioral, and ethical aspects of cancer. This subspeciality addresses the two major psychological dimensions of cancer: the psychological responses of patients to cancer at all stages of the disease, and that of their families and caretakers; and the psychological, behavioral and social factors that may influence the disease process. Psycho-oncology is an area of multi-disciplinary interest and has boundaries with the major specialities in oncology: the clinical disciplines (surgery, medicine, pediatrics, radiotherapy), epidemiology, immunology, endocrinology, biology, pathology, bioethics, palliative care, rehabilitation medicine, clinical trials research and decision making, as well as psychiatry and psychology.
This international journal is published twelve times a year and will consider contributions to research of clinical and theoretical interest. Topics covered are wide-ranging and relate to the psychosocial aspects of cancer and AIDS-related tumors, including: epidemiology, quality of life, palliative and supportive care, psychiatry, psychology, sociology, social work, nursing and educational issues.
Special reviews are offered from time to time. There is a section reviewing recently published books. A society news section is available for the dissemination of information relating to meetings, conferences and other society-related topics. Summary proceedings of important national and international symposia falling within the aims of the journal are presented.
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