American University of Beirut Medical Center, Beirut, Lebanon.
Department of Hematology and Oncology, American University of Beirut Medical Center, Beirut, Lebanon.
J Cancer Educ. 2023 Oct;38(5):1641-1648. doi: 10.1007/s13187-023-02316-6. Epub 2023 May 30.
Rapid advances in cancer genetics are paving the way towards personalized cancer management, and genetic testing is now an important decision-making tool. Despite the advantages, genetic testing adds a layer of complexity in the management which is difficult to communicate with patients. The variability health literacy among patients may restrict their engagement in genetic procedures. Improving the language and presentation of genomic concepts can influence patients' risk assessment and willingness to undergo testing. The study aimed to compare the knowledge and attitudes of cancer patients presenting to oncology clinics at The American University of Beirut Medical Center before and after watching a short educational video that clarifies the concepts of genetic mutations, genetic testing technique, and its purposes.Twenty-nine adult patients presenting to the oncology clinics and due to receive somatic or germline genetic testing filled a questionnaire which assesses their knowledge and attitudes before and after the educational video was played. The majority of patients had poor baseline knowledge before the intervention. After watching the video, the percentage of patients with poor knowledge decreased to a minimum of 3.4% and a maximum of 39% for each concept. Mean score for attitude questions also increased significantly. Effective patient education and counseling programs in the patients' native language prior to genetic testing can increase knowledge, decrease hesitancy, and improve clinical decision making. A short educational video is an example of a simple intervention towards an inclusive approach in patient care all over the world.
癌症遗传学的快速发展为个性化癌症管理铺平了道路，基因检测现在是一个重要的决策工具。尽管有优势，但基因检测在管理上增加了一层复杂性，难以与患者沟通。患者的健康素养差异可能会限制他们参与基因检测的意愿。改善基因组概念的语言和表述方式可以影响患者的风险评估和接受检测的意愿。本研究旨在比较在贝鲁特美国大学医学中心肿瘤诊所就诊的癌症患者在观看澄清基因突变、基因检测技术及其目的概念的简短教育视频前后的知识和态度。29 名成年患者在肿瘤诊所就诊，因需要进行体细胞或种系基因检测而填写了一份问卷，该问卷评估了他们在观看教育视频前后的知识和态度。大多数患者在干预前的基础知识较差。观看视频后，对每个概念的了解程度较差的患者比例下降到最低 3.4%，最高 39%。态度问题的平均得分也显著增加。在基因检测前用患者的母语进行有效的患者教育和咨询计划可以增加知识、减少犹豫，并改善临床决策。简短的教育视频是一种简单的干预措施，是在全球范围内实现患者关怀包容性方法的一个例子。
