School of Medicine, Department of Medicine, Washington University in St. Louis , Saint Louis, Missouri, USA.
The Brown School, Washington University in St. Louis , Saint Louis, Missouri, USA.
J Health Commun. 2020 Jul 2;25(7):566-575. doi: 10.1080/10810730.2020.1821132. Epub 2020 Oct 13.
To examine the feasibility and acceptability of an interactive video program of African American breast cancer survivor stories, we explored story reactions among African American women with newly diagnosed breast cancer and associations between patient factors and intervention use. During a randomized controlled trial, patients in the intervention arm completed a baseline/pre-intervention interview, received the video intervention, and completed a post-intervention 1-month follow-up interview. Additional video exposures and post-exposure interviews occurred at 6- and 12-month follow-ups. Multivariable linear mixed-effects models examined interview and clinical data in association with changes in minutes and actions using the program. After Exposure1, 104 of 108 patients allocated to the intervention reported moderate-to-high levels of positive emotional reactions to stories and identification with storytellers. Exposure1 mean usage was high (139 minutes) but declined over time ( <.0001). Patients receiving surgery plus radiation logged about 50 more minutes and actions over 12-month follow-up than patients receiving surgery only ( <.05); patients reporting greater trust in storytellers logged 18.6 fewer actions over time ( =.04). Patients' topical interests evolved, with patients watching more follow-up care and survivorship videos at Exposure3. The intervention was feasible and evaluated favorably. New videos might satisfy patients' changing interests.
为了检验非裔美国乳腺癌幸存者故事互动视频节目（IAVBPS）的可行性和可接受性，我们探索了新诊断为乳腺癌的非裔美国女性对故事的反应，以及患者因素与干预使用之间的关联。在一项随机对照试验中，干预组的患者完成了基线/干预前访谈，接受了视频干预，并在干预后 1 个月进行了随访访谈。在 6 个月和 12 个月的随访中，还进行了额外的视频接触和接触后访谈。多变量线性混合效应模型根据使用该程序的分钟数和动作变化，结合访谈和临床数据进行了检验。在 Exposure1 之后，108 名分配到干预组的患者中有 104 名报告对故事有中度到高度的积极情绪反应，并认同故事讲述者。Exposure1 的平均使用量较高（139 分钟），但随着时间的推移而下降（<.0001）。接受手术加放疗的患者在 12 个月的随访中记录的使用时间和动作比仅接受手术的患者多 50 多分钟（<.05）；报告对故事讲述者信任度更高的患者随着时间的推移记录的动作减少了 18.6 次（=.04）。患者的主题兴趣发生了变化，患者在 Exposure3 观看了更多的后续治疗和生存视频。该干预措施是可行的，并得到了很好的评价。新的视频可能会满足患者不断变化的兴趣。
