Dissemination of validated health literacy videos: A tailored approach

• Type of Material: Article
• Authors: Shannon M Blee, Emory University; Jamil Facdol, Grady Memorial Hospital; Margie D Dixon, Emory University; Viraj Master, Emory University; Jeffrey Switchenko, Emory University; Rebecca Pentz, Emory University
• Language: English
• Date: 2022-02-02
• Publisher: WILEY
• Publication Version: Final Published Version
• Copyright Statement: © 2022 The Authors. Cancer Medicine published by John Wiley & Sons Ltd
• License: Creative Commons Attribution 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1002/cam4.4572
• Title of Journal or Parent Work: CANCER MEDICINE
• Volume: 11
• Issue: 7
• Start Page: 1678
• End Page: 1687
• Grant/Funding Information: Research reported in this publication was supported by the Winship Cancer Institute/Davidson College Impact Fellowship and in part by the Biostatistics Shared Resource of Winship Cancer Institute of Emory University and NIH/NCI both under award number P30CA138292. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
• Keywords: educational tools; Science & Technology; dissemination; implementation science; Oncology; educational videos; CANCER PREVENTION; health literacy; Life Sciences & Biomedicine; ADHERENCE
• Research Categories: Health Sciences, Medicine and Surgery; Health Sciences, Public Health; Health Sciences, Oncology

Abstract

Background: Previously, we showed that chemotherapy terminology is difficult for patients to understand. Therefore, we developed short videos explaining key terminology and though proven effective, they will only be helpful if appropriately disseminated. Therefore, we aimed to determine the best dissemination method at three different healthcare settings. Methods: With consent, we interviewed healthcare workers from (1) an academic cancer center, Winship Cancer Institute (Winship) serving higher SES patients, (2) an inner-city, safety-net hospital Grady Memorial (GMH), (3) clinics serving rural Georgia, from the Winship Community Network (Network). All interviews were transcribed and analyzed using a semantic content analysis method. Suggested dissemination plans were then implemented. Results: Twenty-two Winship, 11 GMH, and 4 Network healthcare workers were interviewed. Seventy-two percent (n = 8) of the GMH and 100% (n = 4) of Network healthcare workers felt that the best place for patients to view the videos was in the clinic, compared to 27% (n = 6) of the Winship clinicians. 68% (n = 15) of the Winship clinicians stated an app would be the most useful format, compared to 27% (n = 3) at GMH, and 0% at Network sites. Video viewing increased after dissemination plans were implemented. CONCLUSION: Educational materials explaining oncology treatment terminology enhance patient understanding, yet without proper dissemination, these tools may never reach the intended patient population. Our study shows that dissemination plans need to be tailored to each individual patient population, with rural and lower SES patients needing to view the videos during clinic visits, and patients of more means viewing them using technology at home.