Implementation of educational video improves patient understanding of basic breast cancer concepts in an undereducated county hospital population

J Surg Oncol. 2012 Jan;105(1):48-54. doi: 10.1002/jso.22046. Epub 2011 Aug 31.

Abstract

Background: The purpose of this study was to evaluate the effect of a video on patient understanding of basic breast cancer concepts.

Methods: An 11 item tool of breast cancer concepts was devised. A previous study obtained baseline information on patient knowledge. Subsequently an 8 min video was designed to facilitate the understanding of these concepts. The next 40 consecutive patients who saw the video were then administered the same 11 item questionnaire.

Results: Eighty-one women agreed to participate in the study, 41 before and 40 after the implementation of the video. Fifty-one percent had less than a high school education. The group who saw the video had a higher mean number of questions correct (6.7 vs. 8.9, P = 0.0007). Interestingly 90% of all respondents correctly answered the question on the value of screening mammography, however, only 37% of these patients underwent screening mammograms. A multiple linear regression model adjusting for years of education, language, and seeing the video, revealed that having seen the video (P = 0.0029) and years of education (P = 0.0002) remained significantly associated with higher score.

Conclusions: Implementation of an educational video significantly improved understanding of breast cancer concepts in an undereducated population.

MeSH terms

  • Adult
  • Aged
  • Arizona / epidemiology
  • Breast Neoplasms / diagnostic imaging
  • Breast Neoplasms / epidemiology*
  • Breast Neoplasms / prevention & control*
  • Carcinoma, Ductal, Breast / diagnostic imaging
  • Carcinoma, Ductal, Breast / epidemiology
  • Carcinoma, Ductal, Breast / prevention & control
  • Carcinoma, Lobular / diagnostic imaging
  • Carcinoma, Lobular / epidemiology
  • Carcinoma, Lobular / prevention & control
  • Comprehension
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Hospitals, County*
  • Humans
  • Mammography / statistics & numerical data*
  • Mass Screening
  • Middle Aged
  • Patient Education as Topic*
  • Prognosis
  • Surveys and Questionnaires
  • Videotape Recording*