Educational Intervention for Breast Cancer Risk

Not currently 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

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to evaluate how effectively an educational video helps African American women understand their genetic risk for breast cancer. Conducted at the UI Health mammography center, the study involves women attending for a mammogram who have been recommended for genetic counseling based on an assessment. The treatment includes watching a video that explains genetic counseling. Suitable participants have never had breast cancer, are visiting the clinic for a mammogram, and have been flagged for genetic counseling. As an unphased trial, this study offers participants the chance to contribute to important research that could enhance genetic counseling for others.

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 prior data suggests that this educational intervention is safe?

Research has shown that using videos for genetic counseling is safe and effective for patients. One study found that videos serve as a good alternative to in-person counseling for individuals with breast, ovarian, pancreatic, and metastatic cancers. The study reported no negative effects or problems from watching these videos, indicating that the method is manageable and safe for participants. ^{1 2 3}

Why are researchers excited about this trial?

Researchers are excited about the educational video for breast cancer risk because it offers a unique approach by providing genetic counseling through a visual and easily accessible format. Unlike traditional in-person counseling sessions, which can be time-consuming and limited by geographic and scheduling constraints, this video can be accessed anytime and anywhere, making it a flexible and scalable option. This method has the potential to reach a wider audience, empowering more individuals with the knowledge to understand their genetic risk and take proactive measures for their health.

What evidence suggests that this educational video is effective for breast cancer risk assessment?

Research has shown that educational videos can enhance genetic counseling. In one study, patients who watched these videos reported greater satisfaction with their counseling experience. Another study found that these videos might encourage more patients, particularly those at risk for breast and other cancers, to opt for genetic testing. This trial incorporates an educational video into the breast cancer risk assessment process, aiming to improve understanding and decision-making. Overall, educational videos appear to help patients feel more informed and satisfied with their care. ^{3 4}

Who Is on the Research Team?

Kent F. Hoskins

Principal Investigator

University of Illinois at Chicago

Are You a Good Fit for This Trial?

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 for a Trial Participant

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

What Are the Treatments Tested in This Trial?

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.

How Is the Trial Designed?

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+

Published Research Related to This Trial

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 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]

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]

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]

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]

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 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]

Citations

1. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC12275682/

Educational videos in genetic counseling: Meeting patients ... This study examined the effects of self-developed educational videos on patient satisfaction and the physician-patient relationship in genetic outpatient ...

2. ascopubs.org ascopubs.org/doi/10.1200/OP-24-00809

Results From a Randomized Study | JCO Oncology Practice This paper shows that VE is a viable option, which may increase GT uptake for patients with breast, ovarian, pancreatic, or metastatic prostate cancer.

3. medconnection.ucsfhealth.org medconnection.ucsfhealth.org/videos/a-better-understanding-of-breast-cancer-risk-how-to-find-the-best-options-for-individual-patients

A Better Understanding of Breast Cancer Risk: How to Find ... Karen Goodwin, DO, covers everything from how to answer patients' questions on mammogram frequency to how to counsel them on breast cancer ...

4. youtube.com youtube.com/watch?v=Y4eM9DI1gds

Episode 2: Breast Cancer Risk Patient Education Webinar Watch our breast care experts investigate the role genetics and lifestyle may play in your breast cancer risk and our panel of physicians ...