Adams Monica, Higgins Madeline G, Vemuru Sudheer R, Huynh Victoria, Coons Helen L, Baurle Erin, Rojas Kristin E, Hampanda Karen, Zimmaro Lauren, Arkema Ashley, Bozzuto Laura, Fleagle Elizabeth, Makela Kimberly, Singer Keith, Tevis Sarah E
Adult and Child Consortium for Health Outcomes Research and Delivery Science (ACCORDS), University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Department of Psychological, Health, and Learning Science, University of Houston, Houston, TX, USA.
Support Care Cancer. 2025 Jul 28;33(8):724. doi: 10.1007/s00520-025-09790-2.
Although breast cancer negatively impacts many patients' sexual health, clinician-provided sexual health educational materials are lacking. This study describes the novel development of educational materials intended to prepare patients for the potential sexual health side effects of their treatment.
Based on focus group results, educational scripts and video segments were created to provide sexual health and general breast cancer education. The content was iteratively modified through collaboration among patients, breast surgeons, medical oncologists, plastic surgeons, sexual health psychologists, and registered nurses. The understandability of the videos was tested among previous focus group participants.
Script feedback. A multidisciplinary team developed the initial video scripts. Patients (n = 2) and an external clinical expert (n = 1) provided feedback on the scripts in semi-structured interviews. Patients recommended changes in terminology and additional content on body image. The clinical expert recommended additional content on arousal, prevention of sexually transmitted infections, and body image. Video-based educational materials. A non-profit organization began filming videos in Fall 2022 and completed filming in Summer 2023. In total, 56 videos were filmed (79 min, 15 s of content, 01:25 mean duration). Speakers included patients, clinicians, sexual health experts, and advocates. Video feedback. The multidisciplinary development team reviewed the videos and recommended reorganizing video segments, changing stock video clips, and simplifying complex terminology. Additional filming to incorporate feedback was completed in May 2023. PEMAT-A/V. Overall, the videos had an understandability score of 93.9 ± 4.7. Individual subscales also had favorable understandability scores > 88.9.
We developed a novel educational video series for patients undergoing breast cancer treatment. The initial testing of this video-based intervention highlights its potential to enhance knowledge and improve quality of life for the millions of women living with breast cancer by addressing critical aspects of sexual health. Further work to evaluate the feasibility, appropriateness, and acceptability of this video-based intervention to improve sexual health in breast cancer patients is necessary.
尽管乳腺癌对许多患者的性健康产生负面影响，但临床医生提供的性健康教育材料却很缺乏。本研究描述了旨在让患者为其治疗可能产生的性健康副作用做好准备的教育材料的新开发情况。
基于焦点小组的结果，创作了教育脚本和视频片段，以提供性健康和一般乳腺癌教育。通过患者、乳腺外科医生、医学肿瘤学家、整形外科医生、性健康心理学家和注册护士之间的合作，对内容进行了反复修改。在之前的焦点小组参与者中测试了视频的可理解性。
脚本反馈。一个多学科团队制定了初始视频脚本。患者（n = 2）和一位外部临床专家（n = 1）在半结构化访谈中对脚本提供了反馈。患者建议更改术语并增加有关身体形象的内容。临床专家建议增加有关性唤起、预防性传播感染和身体形象的内容。基于视频的教育材料。一个非营利组织于2022年秋季开始拍摄视频，并于2023年夏季完成拍摄。总共拍摄了56个视频（79分钟15秒的内容，平均时长01:25）。发言者包括患者、临床医生、性健康专家和倡导者。视频反馈。多学科开发团队审查了视频，并建议重新组织视频片段、更换库存视频剪辑以及简化复杂的术语。2023年5月完成了纳入反馈的额外拍摄。PEMAT - A/V。总体而言，这些视频的可理解性得分为93.9±4.7。各个子量表的可理解性得分也都高于88.9。
我们为接受乳腺癌治疗的患者开发了一个新颖的教育视频系列。这种基于视频的干预措施初步测试突出了其通过解决性健康的关键方面，增强数百万乳腺癌患者的知识并改善其生活质量的潜力。有必要进一步开展工作，以评估这种基于视频的干预措施在改善乳腺癌患者性健康方面的可行性、适宜性和可接受性。
