Implementation of human papillomavirus video education for women participating in mass cervical cancer screening in Tanzania

Cooper, Emma; Maher, Justine; Naaseh, Ariana; Crawford, Elizabeth; Chinn, Justine; Runge, Ava; Lucas, Alexa; Zezoff, Danielle; Bera, Kevin; Dinicu, Andreea; White, Kevin S.; Tewari, Sujata E.; Hari, Anjali; Bernstein, Mark; Chang, Jenny; Ziogas, Argyrios; Pearre, Diana C.; Tewari, Krishnansu S.

doi:10.1016/j.ajog.2020.07.018

Cited by 15 publications

(29 citation statements)

References 16 publications

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“…Cancer educational videos and educational tablets are a low-cost and entertaining way to educate and empower patients with cancer in resource-constrained settings, but published literature from SSA is scarce and limited to cervical cancer and Kaposi sarcoma. [14][15][16][17][18] The videos developed for this patient education intervention provided comprehensive standardized cancer-specific, site-specific patient education and reduced the education responsibilities of clinicians and nurses. However, our experience highlights major misconceptions about cancer even in the context of the educational videos and standard counseling.…”

Section: Discussionmentioning

confidence: 99%

“…Our data instead evaluate knowledge retention beyond the immediate postintervention period, which other studies have not assessed. [14][15][16][17][18] Overall, patients' knowledge of basic cancer topics is good although this suggests that our survey could be improved by adding questions on specific topics covered in detail in the videos to further assess if the videos improved knowledge.…”

Section: Discussionmentioning

confidence: 99%

“…In SSA, a few studies have successfully incorporated cancerspecific patient educational videos and tablets to improve cancer knowledge, with published data on cervical cancer and Kaposi sarcoma. [14][15][16][17][18] In a resource-constrained setting, such as Malawi, providers are often overworked and clinics are understaffed, so providing comprehensive cancer patient education is not feasible. Health care delivery has historically been driven by providers, and shared decision making is limited.…”

Section: Introductionmentioning

confidence: 99%

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Implementation and Evaluation of Educational Videos to Improve Cancer Knowledge and Patient Empowerment

Tilly

Ellis²,

Chen

et al. 2022

JCO Global Oncology

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PURPOSE Low health literacy is a leading cause of treatment abandonment among patients receiving cancer care at Kamuzu Central Hospital (KCH) in Malawi. METHODS We developed cancer educational videos featuring Malawian providers and played them in the KCH oncology clinic. The videos addressed cancer-related topics, including disease biology, common myths, diagnostic procedures, treatment, side effects, and survivorship. After 6 months of implementation, we compared results from 50 pre- and postintervention surveys to assess change in cancer knowledge and care experience. RESULTS Both pre- and postintervention cancer knowledge were good: a median of nine questions were answered correctly of 11 in both assessments. Despite the intervention, most continued to incorrectly identify cancer as an infection (pre: n = 26, 52%; post: n = 25, 50%; P = 1.0), although improvements were observed in patients' knowledge of correct actions for fever at home (pre: n = 38, 76%; post: n = 43, 86%; P = .31). Care experiences were overall good. Postintervention results indicate that more patients felt always listened to by their providers (pre: n = 18, 36%; post: n = 29, 58%; P < .01). However, we also noted a higher rate of patient dissatisfaction of care as more patients felt that they could not understand chemotherapy counseling (pre: n = 11, 22%; post: n = 22, 44%; P < .01). Assessments of video satisfaction indicate that patients found the videos very helpful in terms of understanding their disease (n = 47, 96%) and side effects (n = 48, 98%) and felt empowered to speak up with their providers (n = 46, 96%). CONCLUSION Standardized education materials for patients that can be feasibly implemented throughout sub-Saharan Africa are urgently needed. Cancer educational videos are a low-cost way to educate and empower patients with cancer in resource-constrained settings although in-person discussions remain a crucial part of care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Implementation and Evaluation of Educational Videos to Improve Cancer Knowledge and Patient Empowerment

Tilly

Ellis²,

Chen

et al. 2022

JCO Global Oncology

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“…As the fourth most common cancer, cervical cancer (CC) is a global health issue [4]. It is estimated that 75% of women will contract a HPV infection during their lifetime [5].…”

Section: Prevalence and Incidence Of Hpvmentioning

confidence: 99%

“…So, to are the disparities in detection and death of HPV. Tanzania reports 10,000 cases with 7000 death per year [4]. In Korean women, CC ranks as the seventh most common cancer [7].…”

Section: Prevalence and Incidence Of Hpvmentioning

confidence: 99%

Preventing Human Papilloma Virus through Community Education and Vaccination

Baldwin¹,

Rinke²

2021

Cervical Cancer - A Global Public Health Treatise

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Human Papilloma Virus (HPV) affects many members of the community. To better educate the community in a participatory manner, engaging those outside of the health care arena is necessary. To prevent the spread of the disease in the United States, reaching the parents of children at the vulnerable age of 9–11 years of age is critical. The barriers to education of parents and children around the spread of a sexually transmitted disease are vast and difficult to overcome. However, the use of proven vaccinations give healthcare providers and community advocates the main tool for prevention of the spread of the disease. It is often taboo to discuss anything related to sexual promiscuity or sexual activity in the United States in the public schools. The biggest myth includes the fear parents and grandparents have is that if HPV is talked about, then the child may become sexually active sooner. This myth needs to be challenged with science and reality including taking on the those vehemently opposed to vaccines, known as “Anti-Vaxers” that obstruct vaccine education. The strategies utilized in public health outreach to the community should be reviewed and uniquely developed for each diverse community to overcome the challenges in the prevention of HPV.

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The effectiveness of health education interventions on cervical cancer prevention in Africa: A systematic review

Makadzange¹,

Peeters²,

Joore³

et al. 2022

Preventive Medicine

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Implementation of human papillomavirus video education for women participating in mass cervical cancer screening in Tanzania

Cited by 15 publications

References 16 publications

Implementation and Evaluation of Educational Videos to Improve Cancer Knowledge and Patient Empowerment

Implementation and Evaluation of Educational Videos to Improve Cancer Knowledge and Patient Empowerment

Preventing Human Papilloma Virus through Community Education and Vaccination

The effectiveness of health education interventions on cervical cancer prevention in Africa: A systematic review

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