Department of Medicine (Hematology - Oncology Division), University of Pennsylvania, Philadelphia, Pennsylvania, USA
Botswana University of Pennsylvania Partnership, Gaborone, Botswana.
BMJ Open. 2024 Jan 30;14(1):e073867. doi: 10.1136/bmjopen-2023-073867.
Narrative communication has demonstrated effectiveness in promoting positive health behaviours, delivering support and coping with complex decision-making. Formal research evaluating this intervention for cancer treatment in Africa is lacking. We aimed to develop, and assess acceptability and usability of survivor video narrative interventions for breast cancer treatment in Botswana.
A pilot study design.
Single-centre, tertiary hospital, sub-Saharan Africa.
Eight women, ≥18 years old, with stages I-III breast cancer were enrolled for the video intervention. 106 women, ≥18 years old, with stages I-IV breast cancer viewed the narrative videos and 98 completed the acceptability and usability surveys.
Survivor narrative videos were developed using the theory of planned behaviour and using a purposive sample of Batswana, Setswana-speaking, breast cancer survivors, who had completed systemic treatment and surgery with high rates of adherence to the prescribed treatment plan.
We assessed acceptability and usability among prospectively enrolled patients presenting for routine breast cancer care at Princess Marina Hospital in Botswana, using a 13-item survey.
Participants expressed high acceptability and usability of the videos, including 99% (97/98) who strongly agreed/agreed that the video presentations were easy to understand, 92% (90/98) who would recommend to other survivors and 94% (92/98) who wished there were more videos. Additionally, 89% (87/98) agreed or strongly agreed that the one-on-one instruction on how to use the tablet was helpful and 87% (85/98) that the video player was easy to use.
Culturally appropriate survivor video narratives have high acceptability and usability among patients with breast cancer in Botswana. There is an opportunity to leverage this intervention in routine breast cancer care for treatment support. Future studies will test the implementation and effectiveness of narrative videos on a wider scale, including for patients being treated for other cancers.
叙事交流已被证明能有效促进积极的健康行为、提供支持和应对复杂的决策。在非洲，针对癌症治疗的这种干预措施的正式研究还很缺乏。我们旨在开发针对博茨瓦纳乳腺癌治疗的生存者视频叙事干预措施，并评估其可接受性和可用性。
试点研究设计。
撒哈拉以南非洲的单一中心、三级医院。
纳入了 8 名年龄≥18 岁、患有 I-III 期乳腺癌的女性接受视频干预。106 名年龄≥18 岁、患有 I-IV 期乳腺癌的女性观看了叙事视频，其中 98 名完成了可接受性和可用性调查。
生存者叙事视频是使用计划行为理论开发的，并使用博茨瓦纳、茨瓦纳语、已完成系统治疗和手术且对规定治疗方案高度依从的乳腺癌幸存者的目的性样本。
我们在博茨瓦纳 Princess Marina 医院对接受常规乳腺癌护理的前瞻性入组患者进行了评估，使用了 13 项调查。
参与者对视频的可接受性和可用性评价很高，包括 99%（97/98）的人强烈同意/同意视频演示易于理解，92%（90/98）的人会推荐给其他幸存者，94%（92/98）的人希望有更多的视频。此外，89%（87/98）的人同意或强烈同意关于如何使用平板电脑的一对一指导很有帮助，87%（85/98）的人认为视频播放器易于使用。
在博茨瓦纳，乳腺癌患者对文化上合适的生存者视频叙事具有较高的可接受性和可用性。有机会在常规乳腺癌护理中利用这种干预措施提供治疗支持。未来的研究将在更广泛的范围内测试叙事视频的实施和效果，包括针对接受其他癌症治疗的患者。
