Katz Mira L, Heaner Sarah, Reiter Paul, van Putten Julie, Murray Lee, McDougle Leon, Cegala Donald J, Post Douglas, David Prabu, Slater Michael, Paskett Electra D
Am J Health Educ. 2009 Jul;40(4):220-228. doi: 10.1901/jaba.2009.40-220.
Low rates of colorectal cancer (CRC) screening persist due to individual, provider and system level barriers. PURPOSE: To develop and obtain initial feedback about a CRC screening educational video from community members and medical professionals. METHODS: Focus groups of patients were conducted prior to the development of an educational video and focus groups of patients provided initial feedback about the developed CRC screening educational video. Medical personnel reviewed the video and made recommendations prior to final editing of the video. RESULTS: Patients identified CRC screening barriers and made suggestions about the information to include in the educational video. Their suggestions included using a healthcare provider to state the importance of completing CRC screening, demonstrate how to complete the fecal occult blood test, and that men and women from diverse ethnic groups and races could be included in the same video. Participants reviewed the developed video and mentioned that their suggestions were portrayed correctly, the video was culturally appropriate, and the information presented in the video was easy to understand. Medical personnel made suggestions on ways to improve the content and the delivery of the medical information prior to final editing of the video. DISCUSSION: Participants provided valuable information in the development of an educational video to improve patient knowledge and patient-provider communication about CRC screening. The educational video developed was based on the Protection Motivation Theory and addressed the colon cancer screening barriers identified in this mostly minority and low-income patient population. Future research will determine if CRC screening increases among patients who watch the educational video. TRANSLATION TO HEALTH EDUCATION PRACTICE: Educational videos can provide important information about CRC and CRC screening to average-risk adults.
由于个人、医疗服务提供者和系统层面的障碍，结直肠癌（CRC）筛查率一直很低。目的：开发一个关于CRC筛查的教育视频，并从社区成员和医学专业人员那里获得初步反馈。方法：在开发教育视频之前，对患者进行焦点小组访谈，并让患者焦点小组对已开发的CRC筛查教育视频提供初步反馈。医务人员在视频最终编辑之前审查了视频并提出了建议。结果：患者指出了CRC筛查的障碍，并就教育视频中应包含的信息提出了建议。他们的建议包括让医疗服务提供者说明完成CRC筛查的重要性，演示如何完成粪便潜血试验，以及同一视频中可以纳入不同种族和族裔的男性和女性。参与者观看了已开发的视频，并提到他们的建议得到了正确呈现，视频在文化上是合适的，视频中呈现的信息易于理解。医务人员在视频最终编辑之前就改进医疗信息的内容和呈现方式提出了建议。讨论：参与者在教育视频的开发过程中提供了有价值的信息，以提高患者对CRC筛查的认识以及患者与医疗服务提供者之间的沟通。所开发的教育视频基于保护动机理论，并解决了在这个主要为少数族裔和低收入患者群体中发现的结肠癌筛查障碍。未来的研究将确定观看教育视频的患者中CRC筛查率是否会提高。对健康教育实践的转化：教育视频可以向平均风险的成年人提供关于CRC和CRC筛查的重要信息。
