首页> 美国卫生研究院文献>Journal of Clinical and Translational Science >3125 Acceptability of a Narrative Video to Enhance the Use of Genetic Counseling in Latina Women at-risk of Hereditary Breast and Ovarian Cancer: Community Health Worker’s Perspective
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3125 Acceptability of a Narrative Video to Enhance the Use of Genetic Counseling in Latina Women at-risk of Hereditary Breast and Ovarian Cancer: Community Health Worker’s Perspective

机译:3125叙事视频在遗传性乳腺癌和卵巢癌风险中的拉丁裔女性中提高接受基因咨询的接受度:社区卫生工作者的观点

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摘要

OBJECTIVES/SPECIFIC AIMS: The goal of the study was to assess the acceptability of a culturally targeted narrative video and identify potential avenues for dissemination in a sample of bilingual community health workers who provide services to the Latino community in the United States. METHODS/STUDY POPULATION: We piloted the video in a sample of bilingual community health workers who provide services to Latinos (n=31). After watching the video, participants filled out a survey. The survey captured sociodemographic data (e.g. education), their role and experience working with Latinos (e.g. patient navigators), acceptability of the video (e.g. general satisfaction, length of the video, amount of information), and potential dissemination (e.g., dissemination channels, preferred settings to watch the video, and preferred context). Three open ended questions captured information about how the video could be useful for the Latino community, what they liked the most from the video, and suggestions for improvement. Data was entered in SPSS version 25. We used descriptive statistics to analyze the survey, and content analysis to summarize the feedback from the open-ended questions. RESULTS/ANTICIPATED RESULTS: Participants (n = 31) had an average age of 46 years (SD=16.99), all self-identified as Hispanic or Latinos, most were female (90.3%), and worked as patient navigators (29%) or community outreach workers (25.8%). The video’s general acceptability was very high. Participants reported high ratings for overall satisfaction, how much they liked the video, enjoyed it, and considered it to be interesting (all means >9.6, range 1-10). Most participants strongly agreed or agreed that the length was adequate (80.7%), that the information presented was very helpful (100%), that the video could be useful for the Latina community (96.8%), and that they would share the video with women at-risk of HBOC (100%). The highest endorsed channels for dissemination were Facebook (90.3) and YouTube (87.1%). The highest endorsed settings were community centers (100%), churches (96.8%), and hospitals (80.6%). Most participants (90.3%) considered that the best context to watch the video would be with relatives, followed by watching with other women at-risk of HBOC (71.0%), friends (71.0%), and lastly by oneself (41.9%) DISCUSSION/SIGNIFICANCE OF IMPACT: This study represents a multidisciplinary approach to intervention development that aims to reduce well-documented knowledge gaps and disparities in the use of GCRA among at-risk Latinas. A culturally targeted video has the potential to reach underserved populations with low literacy and English proficiency and it can be widely disseminated. The video was well received by community health workers who reported high acceptability. These findings are promising given that community health workers could play a key role in the dissemination of the video if it is proven to be efficacious.
机译:目标/特定目的:这项研究的目的是评估针对文化的叙事视频的可接受性,并确定在向美国拉丁裔社区提供服务的双语社区卫生工作者样本中传播的潜在途径。方法/研究人群:我们在为拉丁美洲人提供服务的双语社区卫生工作者样本中试用了该视频(n = 31)。观看视频后,参与者填写了一份调查表。该调查收集了社会人口统计学数据(例如教育),与拉丁美洲人(例如患者导航员)合作的作用和经验,视频的可接受性(例如总体满意度,视频长度,信息量)以及潜在的传播(例如传播渠道) ,观看视频的首选设置和首选上下文)。三个开放式问题解答了有关视频如何对拉丁裔社区有用的信息,他们最喜欢视频的信息以及改进建议。数据输入SPSS 25版。我们使用描述性统计数据来分析调查,并使用内容分析来总结开放式问题的反馈。结果/预期结果:参与者(n = 31)的平均年龄为46岁(SD = 16.99),全部自称为西班牙裔或拉丁裔,大多数是女性(90.3%),并且是患者导航员(29%)或社区外展人员(25.8%)。该视频的普遍接受度很高。参与者表示,他们对视频的总体满意度,他们对视频的满意程度,欣赏程度以及认为视频很有趣(均高于9.6,范围1-10),均获得了很高的评价。大多数参与者强烈同意或同意长度足够(80.7%),显示的信息非常有帮助(100%),该视频可能对拉丁裔社区有用(96.8%),并且他们将共享视频女性有HBOC危险(100%)。认可度最高的传播渠道是Facebook(90.3)和YouTube(87.1%)。认可度最高的地区是社区中心(100%),教堂(96.8%)和医院(80.6%)。大多数参与者(90.3%)认为,观看视频的最佳环境是与亲戚一起观看,其次是与其他处于HBOC危险中的女性(71.0%),朋友(71.0%)和最后一个人(41.9%)讨论的意义/意义:本研究代表了一种干预发展的多学科方法,旨在减少有风险的拉美裔人使用GCRA时有据可查的知识差距和差异。具有文化针对性的视频有可能覆盖识字率和英语水平较低的服务水平较低的人群,并且可以广泛传播。该录像带受到社区卫生工作者的好评,并获得了高度认可。考虑到如果视频有效,社区卫生工作者可以在视频的传播中发挥关键作用,这些发现是令人鼓舞的。

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