Educational Intervention for Breast Cancer Risk

Recruiting at 1 trial location

Age: 18+

Sex: Female

Trial Phase: Academic

Sponsor: University of Illinois at Chicago

Disqualifiers: Non-English speakers, Prior genetic counseling, Prisoners

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 1

960 Participants Needed

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Educational video for breast cancer risk?

Research shows that educational videos can improve patients' understanding of breast cancer and help them feel more confident in making treatment decisions. In one study, 62% of patients reported improved knowledge and 30% reported reduced distress after watching a breast cancer video. ^{1 2 3 4 5}

Is video-based educational intervention safe for patients?

Video-based educational interventions have been shown to be safe, with most patients finding them helpful and only a small percentage feeling worried by the extra information. ^{1 2 6 7 8}

How is the educational intervention for breast cancer risk different from other treatments?

This educational intervention is unique because it uses multimedia tools and culturally tailored videos to educate specific groups, like low-income Latinas and Chinese American immigrants, about breast cancer and screening. Unlike traditional medical treatments, it focuses on increasing knowledge and encouraging preventive actions, such as mammography, through community-based workshops and peer-led sessions. ^{7 9 10 11 12}

What is the purpose of this trial?

A feasibility study incorporating an educational intervention with cancer genetic risk assessment (CGRA) in the UI Health mammography center

Research Team

Kent F. Hoskins

Principal Investigator

University of Illinois at Chicago

Eligibility Criteria

This trial is for African American women aged 25-69 who are recommended for genetic counseling based on a cancer risk assessment done during their mammogram at UI Health. They must not have had breast cancer before or previous genetic counseling for hereditary breast cancer risk, and they should be able to consent and complete surveys in English.

Inclusion Criteria

I have never had breast cancer before.

I was advised to get genetic counseling after my mammogram.

I am an African American woman, aged 25-69, going for a mammogram at UI Health.

Exclusion Criteria

I have undergone genetic counseling for breast cancer risk.

Prisoners

Unable to complete the informed consent and survey in English

Timeline

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks

Educational Intervention

Participants view an educational video on genetic counseling and complete surveys before and after the video

1 hour

1 visit (in-person)

Follow-up

Participants' attendance at a genetic counseling session is reviewed 3-6 months after enrollment

3-6 months

Treatment Details

Interventions

• Educational video

Trial Overview The study is testing the effectiveness of an educational video intervention used alongside a genetic risk assessment during mammography appointments to see if it increases the uptake of genetic counseling among participants.

Participant Groups

Group I: Open Label Experimental Treatment 1 Intervention

Educational genetic counseling video

Who Is Running the Clinical Trial?

University of Illinois at Chicago

Lead Sponsor

Trials

653

Recruited

1,574,000+

Findings from Research

This pilot study involving 28 newly diagnosed breast cancer patients found that personalized video education prior to their first oncology consultation is feasible and may enhance understanding of their specific diagnosis, particularly regarding tumor subtype.

While patients receiving personalized videos showed improvements in perceived understanding and decision-making, the overall differences between personalized video education and standard materials were not statistically significant, indicating the need for further research to optimize educational approaches.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Evaluating the Effect of a Video Education Curriculum for First Time Breast Cancer Patients: a Prospective RCT Feasibility Study. Sulakvelidze, N., Burdick, B., Kaklamani, V., et al.[2020]

A video intervention significantly increased knowledge about prostate cancer screening and treatment among 52 patients in the experimental group, compared to no change in the control group, indicating its effectiveness as an educational tool.

The video also influenced patients' preferences for prostate-specific antigen (PSA) screening, with 31% of the experimental group changing their preference compared to only 2% in the control group, demonstrating its impact on patient decision-making without causing confusion or fear.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Efficacy of a video for teaching patients about prostate cancer screening and treatment. Ruthman, JL., Ferrans, CE.[2018]

An educational video significantly improved ovarian cancer knowledge among patients, with participants answering more questions correctly compared to those who watched a placebo video (p=0.0004).

However, the video also led to more negative attitudes towards learning about cancer and increased intrusive thinking, indicating that while it can enhance knowledge, it may also heighten emotional distress for some patients.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Learning about ovarian cancer at the time of diagnosis: video versus usual care. Geller, MA., Downs, LS., Judson, PL., et al.[2010]

A breast cancer educational video (BCV) significantly improved knowledge about breast cancer in 62% of patients and reduced distress in 30% of those who watched it, based on a study of 69 patients.

The BCV was well-received by 94-98% of participants in a second group of 87 patients, who felt it helped them think critically and ask questions about their treatment options, indicating its effectiveness in enhancing shared decision-making in clinical practice.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The Effect of Previsit Education in Breast Cancer Patients: A Study of a Shared-decision-making Tool. Serpico, V., Liepert, AE., Boucher, K., et al.[2016]

A study involving 220 patients undergoing chemotherapy or radiotherapy found that those who received a video information cassette reported significantly lower anxiety and depression scores compared to those who did not receive the video, indicating that the video effectively reduced treatment-related anxiety.

The majority of patients (81%) found the video helpful, suggesting that well-designed video aids can be a valuable tool in enhancing patient education and satisfaction in oncology care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Forewarned is forearmed--benefits of preparatory information on video cassette for patients receiving chemotherapy or radiotherapy--a randomised controlled trial. Thomas, R., Daly, M., Perryman, B., et al.[2019]

Patients who received an educational video alongside standard pre-chemotherapy education showed improved recall of important side effects and management strategies, such as fever and mouth problems, compared to those who only received standard education.

The video group was more proactive in reporting symptoms like nausea and signs of infection, indicating that the video not only enhanced understanding but also encouraged better communication about treatment-related issues.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Evaluation of the addition of video-based education for patients receiving standard pre-chemotherapy education. Kinnane, N., Thompson, L.[2019]

A study involving 62 women over 60 years old showed that video self-instruction kits significantly improved proficiency in breast self-examination (BSE) and knowledge about breast cancer after 30 days.

Participants demonstrated marked improvements in both skill demonstrations and lump detection, indicating that tailored educational programs can effectively empower older women in breast cancer awareness and self-screening practices.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Breast self-examination proficiency in older women: measuring the efficacy of video self-instruction kits. Wood, RY.[2019]

References

1. England pubmed.ncbi.nlm.nih.gov

Evaluating the Effect of a Video Education Curriculum for First Time Breast Cancer Patients: a Prospective RCT Feasibility Study. [2020]

2. Germany pubmed.ncbi.nlm.nih.gov

The effects of a video-based education in women with newly diagnosed breast cancer in Singapore. [2018]

3. United States pubmed.ncbi.nlm.nih.gov

Efficacy of a video for teaching patients about prostate cancer screening and treatment. [2018]

4. United States pubmed.ncbi.nlm.nih.gov

Learning about ovarian cancer at the time of diagnosis: video versus usual care. [2010]

5. United States pubmed.ncbi.nlm.nih.gov

The Effect of Previsit Education in Breast Cancer Patients: A Study of a Shared-decision-making Tool. [2016]

6. England pubmed.ncbi.nlm.nih.gov

Forewarned is forearmed--benefits of preparatory information on video cassette for patients receiving chemotherapy or radiotherapy--a randomised controlled trial. [2019]

7. Ireland pubmed.ncbi.nlm.nih.gov

Comparing narrative and informational videos to increase mammography in low-income African American women. [2022]

8. England pubmed.ncbi.nlm.nih.gov

Evaluation of the addition of video-based education for patients receiving standard pre-chemotherapy education. [2019]

9. England pubmed.ncbi.nlm.nih.gov

Impact of a multimedia breast cancer education intervention on use of mammography by low-income Latinas. [2021]

10. United States pubmed.ncbi.nlm.nih.gov

Breast self-examination proficiency in older women: measuring the efficacy of video self-instruction kits. [2019]

11. United States pubmed.ncbi.nlm.nih.gov

Pilot test of a peer-led small-group video intervention to promote mammography screening among Chinese American immigrants. [2022]

12. Netherlands pubmed.ncbi.nlm.nih.gov

A multimedia breast cancer education intervention for low-income Latinas. [2021]