Feasibility trial of a Spanish-language multimedia educational intervention

Abstract

Background Hispanic cancer patients are underrepresented in clinical trials (CTs). Research suggests lack of knowledge and language barriers contribute to low accrual. Audiovisual materials offer advantages to Hispanic populations because they have high acceptability; are easy to disseminate; and can be viewed with family. Purpose Hispanic cancer patients and caregivers participated in focus groups to aid in developing a Spanish language audiovisual intervention. This project explored the feasibility of delivering the intervention in medical oncology clinics. Methods 35 patients were randomized to either the intervention condition where they were given the audiovisual intervention (n=18); or a control condition where they were asked to read the National Cancer Institute's Spanish language brochure (n=17). Self-report data on knowledge, attitudes, and self efficacy for participating in a CT, intention to participate in a CT, and receptivity to CT information, were collected at two time points Results Knowledge in the intervention condition improved (p=0.06). Intention to participate in a CT remained positive in the intervention condition (p=0.484), but declined over time in the control condition (p=0.031). There were no statistical differences in attitudes or self-efficacy for making a decision to participate in a CT. Limitations Preliminary pilot data should be confirmed in a larger randomized control trial as the sample size was small. Although the patients randomized to the intervention group believed themselves to be willing to participate in a CT, this decision was hypothetical. Not all patients were being considered for enrollment in a CT which may have removed any fear or uncertainty from the situation. In addition, the study was conducted with a small sample of Spanish-speaking Hispanic cancer patients at a comprehensive cancer center in Florida. Thus, the results may not generalize to other populations. Conclusion The pilot showed feasibility to deliver an audiovisual intervention in medical oncology clinics. The audiovisual intervention increased Hispanic patients’ knowledge of CTs and positive intention to participate in a CT. An audiovisual may improve quality of care for Hispanic cancer patients who are eligible for CTs.

Strategies for research participant engagement: A synthetic review and conceptual framework

“…When developing our novel framework, we found that the interventions included in our synthetic analysis leveraged a broad range of behavioral strategies beyond financial incentives to boost research participant engagement. Strategies ranged from establishing relationships with research participants through case managers 25 and lay advocates 26 to changing the way that research teams engaged participants, which included leveraging different communication methods—for example, text messaging, 27 phone calls, 28 websites, 29 and video 30 —or locations, such as recruiting in churches. 31 Some strategies influenced the social context in which potential research participants made decisions (e.g.…”

Lower trial participation by culturally and linguistically diverse (CALD) cancer patients is largely due to language barriers

“…While most research to date has focused on English-speaking patients, there is growing evidence that this approach may also benefit both English and nonEnglish speaking CALD groups. 33,34 The electronic delivery of multimedia trial information has additional advantages for working with CALD patients, such as being customizable to multiple languages and able to simultaneously deliver information and assess comprehension.…”

Translation and adaptation of skin cancer genomic risk education materials for implementation in primary care

“…A first step to achieving this goal involves linguistic translation and transcreation. More broadly, health promotion messages are more effective when they undergo a process of transcreation and are made available in the target audience's language (Wells et al 2013). Transcreation goes beyond the linguistic translation of materials; its purpose is to conceptually recreate the text to meet the informational needs of the target population by including culturally relevant terminology, images, or themes (Simmons et al 2011;Solomon et al 2005).…”