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ABSTRACT: Objectives
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.Design
A pilot study design.Setting
Single-centre, tertiary hospital, sub-Saharan Africa.Participants
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.Intervention
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.Primary outcomes
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.Results
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.Conclusion
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.
SUBMITTER: Martei YM
PROVIDER: S-EPMC10828869 | biostudies-literature | 2024 Jan
REPOSITORIES: biostudies-literature
Martei Yehoda M YM Mokokwe Lebogang L Ngwako Ngwao N Kebuang Keaobaka K Setlhako Dipho I DI Gabaatlhole Goitsemang G Baaitse Bontswanetse B Segadimo Tumisang T Shulman Lawrence N LN Barg Frances F Gaolebale Babe E BE
BMJ open 20240130 1
<h4>Objectives</h4>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.<h4>Design</h4>A pilot study design.<h4>Setting</h4>Single-centre, tertiary hospital, sub-Sahar ...[more]