Systematic Review of Video Education in Underrepresented Minority Cancer Survivors. Issue 4 (July 2020)

• Record Type: Journal Article
• Authors: Hirschey, Rachel; Bryant, Ashley Leak; Walker, Jennifer S.; Nolan, Timiya S.
• Is Part Of: Cancer nursing. Volume 43:Issue 4(2020)
• Publication Date: 2020-07
• Subjects: Cancer disparities -- Cancer survivors -- Health communication -- Health education -- Minorities -- Multimedia -- Underrepresented populations -- Video recordings; Cancer -- Nursing -- Periodicals; 610.736
• DOI: 10.1097/NCC.0000000000000829
• Languages: English
• ISSNs: 0162-220X

Abstract

Abstract : Background: Underrepresented minority (URM) cancer survivors experience disparities in mortality and quality of life, compared with non-Hispanic whites. Disparities are associated with poor social determinants of health, enhanced by mistrust of the healthcare system. Trust can be facilitated by provider-patient racial/ethnic concordance, yet URM survivors rarely experience concordance. Effective health communication is needed for this vulnerable population. Objective: The aim of this study was to systematically review evidence on the composition and utility of health education videos among adult URM survivors. Methods: Literature searches were conducted in Web of Science, Embase, PubMed, Cochrane, PsycInfo, and CINAHL databases. Articles that included adult URM cancer survivor samples and either described or tested a video intervention aimed to improve health outcomes were included. Two researchers independently screened articles for inclusion and quality appraisal and abstracted and synthesized relevant data to identify themes. Results: Eight articles, detailing 7 independent studies, met inclusion criteria. Quality appraisal of the included studies was fair to good. Six themes were identified: (1) video development with stakeholders, (2) focus on designing culturally appropriate videos, (3) in-clinic video delivery, (4) video intervention effects, (5) provider and URM survivors support video interventions, and (6) building trust through personal stories. Conclusions: Video interventions are well received by URMs and improve outcomes yet are underutilized. More rigorous studies are warranted to develop best practices for video development and application. Implications for Practice: Videos serve as an easy, effective tool to achieve favorable outcomes in the care of URM survivors. Abstract : Supplemental digital content is available in the text.