Development and evaluation of a sustainable video health education program for newly diagnosed breast cancer patients in Malaysia
Document Type
Article
Publication Date
5-1-2021
Abstract
Purpose Wider breast cancer (BC) treatment options, short consultation time with physicians, lack of knowledge, and poor coping skills at the time of diagnosis may affect patients' decisions causing treatment delays and non-adherence. To address this gap, a breast care nurse video orientation program was started. Our aim was to evaluate the video on patients' knowledge, satisfaction, and treatment adherence. Methods The video was developed using the BC delay explanatory model. A self-administered pre- and post-survey on 241 newly diagnosed BC patients in University Malaya Medical Center was performed. The Wilcoxon matched paired signed rank test was used to evaluate patients' pre and post perceived knowledge using a Likert scale 0 to 4 (0 = ``no knowledge,'' 4 = ``a great degree of knowledge''). Treatment adherence among participants were measured after 1-year follow-up. Results Eighty percent of the patients reported that the video met or exceeded their expectations. In total 80.5% reported that the video was very effective and effective in improving their perspective on BC treatments. There was improvement in perceived knowledge for treatment options (mean scores;M= 0.93 versusM= 2.97) (p< 0.001) and also for perceived knowledge on types of operation, information on chemotherapy, radiotherapy, hormone therapy, healthy diet, physical activity after treatments, and care of the arm after operation(p< 0.001). In total 89.4%, 79.3%, and 85.9% adhered to surgical, chemotherapy, and radiotherapy recommended treatment, respectively. Conclusion The video improved patients' perceived knowledge and satisfaction. The program improved access not only to new BC patients but also the public and found sustainable using the YouTube platform.
Keywords
Breast cancer, Navigation, Video orientation, Education, Adherence
Divisions
fac_med
Funders
Breast Cancer Research Incentive Funds,Department of Surgery and Oncology Dept., UMMC,High Impact Research Grant from the Ministry of Education, Malaysia [UM.C/HIR/MOHE/06]
Publication Title
Supportive Care in Cancer
Volume
29
Issue
5
Publisher
Springer
Publisher Location
ONE NEW YORK PLAZA, SUITE 4600, NEW YORK, NY, UNITED STATES