Development, acceptability and usability of culturally appropriate survivor narrative videos for breast cancer treatment in Botswana: a pilot study
Objectives Narrative communication has demonstrated effectiveness in promoting positive health behaviours, delivering support and coping with complex decision-making. Formal research evaluating this intervention for cancer treatment in Africa is lacking. We aimed to develop, and assess acceptability...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-01-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/1/e073867.full |
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| author | Lawrence N Shulman Yehoda M Martei Dipho I Setlhako Lebogang Mokokwe Ngwao Ngwako Keaobaka Kebuang Goitsemang Gabaatlhole Bontswanetse Baaitse Tumisang Segadimo Frances Barg Babe E Gaolebale |
| author_facet | Lawrence N Shulman Yehoda M Martei Dipho I Setlhako Lebogang Mokokwe Ngwao Ngwako Keaobaka Kebuang Goitsemang Gabaatlhole Bontswanetse Baaitse Tumisang Segadimo Frances Barg Babe E Gaolebale |
| author_sort | Lawrence N Shulman |
| collection | DOAJ |
| description | Objectives Narrative communication has demonstrated effectiveness in promoting positive health behaviours, delivering support and coping with complex decision-making. Formal research evaluating this intervention for cancer treatment in Africa is lacking. We aimed to develop, and assess acceptability and usability of survivor video narrative interventions for breast cancer treatment in Botswana.Design A pilot study design.Setting Single-centre, tertiary hospital, sub-Saharan Africa.Participants Eight women, ≥18 years old, with stages I–III breast cancer were enrolled for the video intervention. 106 women, ≥18 years old, with stages I–IV breast cancer viewed the narrative videos and 98 completed the acceptability and usability surveys.Intervention Survivor narrative videos were developed using the theory of planned behaviour and using a purposive sample of Batswana, Setswana-speaking, breast cancer survivors, who had completed systemic treatment and surgery with high rates of adherence to the prescribed treatment plan.Primary outcomes We assessed acceptability and usability among prospectively enrolled patients presenting for routine breast cancer care at Princess Marina Hospital in Botswana, using a 13-item survey.Results Participants expressed high acceptability and usability of the videos, including 99% (97/98) who strongly agreed/agreed that the video presentations were easy to understand, 92% (90/98) who would recommend to other survivors and 94% (92/98) who wished there were more videos. Additionally, 89% (87/98) agreed or strongly agreed that the one-on-one instruction on how to use the tablet was helpful and 87% (85/98) that the video player was easy to use.Conclusion Culturally appropriate survivor video narratives have high acceptability and usability among patients with breast cancer in Botswana. There is an opportunity to leverage this intervention in routine breast cancer care for treatment support. Future studies will test the implementation and effectiveness of narrative videos on a wider scale, including for patients being treated for other cancers. |
| format | Article |
| id | doaj-art-0b6eee5aeba54a01ade3f16c089782bf |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-0b6eee5aeba54a01ade3f16c089782bf2025-08-20T03:12:36ZengBMJ Publishing GroupBMJ Open2044-60552024-01-0114110.1136/bmjopen-2023-073867Development, acceptability and usability of culturally appropriate survivor narrative videos for breast cancer treatment in Botswana: a pilot studyLawrence N Shulman0Yehoda M Martei1Dipho I Setlhako2Lebogang Mokokwe3Ngwao Ngwako4Keaobaka Kebuang5Goitsemang Gabaatlhole6Bontswanetse Baaitse7Tumisang Segadimo8Frances Barg9Babe E Gaolebale10Department of Medicine (Hematology - Oncology Division), University of Pennsylvania, Philadelphia, Pennsylvania, USADepartment of Medicine (Hematology - Oncology Division), University of Pennsylvania, Philadelphia, Pennsylvania, USAPrincess Marina Hospital, Gaborone, BotswanaBotswana University of Pennsylvania Partnership, Gaborone, BotswanaUniversity of Botswana, Gaborone, BotswanaPrincess Marina Hospital, Gaborone, BotswanaBotswana University of Pennsylvania Partnership, Gaborone, BotswanaPrincess Marina Hospital, Gaborone, BotswanaPrincess Marina Hospital, Gaborone, BotswanaDepartment of Family Medicine and Community Health, University of Pennsylvania, Philadelphia, Pennsylvania, USAPrincess Marina Hospital, Gaborone, BotswanaObjectives Narrative communication has demonstrated effectiveness in promoting positive health behaviours, delivering support and coping with complex decision-making. Formal research evaluating this intervention for cancer treatment in Africa is lacking. We aimed to develop, and assess acceptability and usability of survivor video narrative interventions for breast cancer treatment in Botswana.Design A pilot study design.Setting Single-centre, tertiary hospital, sub-Saharan Africa.Participants Eight women, ≥18 years old, with stages I–III breast cancer were enrolled for the video intervention. 106 women, ≥18 years old, with stages I–IV breast cancer viewed the narrative videos and 98 completed the acceptability and usability surveys.Intervention Survivor narrative videos were developed using the theory of planned behaviour and using a purposive sample of Batswana, Setswana-speaking, breast cancer survivors, who had completed systemic treatment and surgery with high rates of adherence to the prescribed treatment plan.Primary outcomes We assessed acceptability and usability among prospectively enrolled patients presenting for routine breast cancer care at Princess Marina Hospital in Botswana, using a 13-item survey.Results Participants expressed high acceptability and usability of the videos, including 99% (97/98) who strongly agreed/agreed that the video presentations were easy to understand, 92% (90/98) who would recommend to other survivors and 94% (92/98) who wished there were more videos. Additionally, 89% (87/98) agreed or strongly agreed that the one-on-one instruction on how to use the tablet was helpful and 87% (85/98) that the video player was easy to use.Conclusion Culturally appropriate survivor video narratives have high acceptability and usability among patients with breast cancer in Botswana. There is an opportunity to leverage this intervention in routine breast cancer care for treatment support. Future studies will test the implementation and effectiveness of narrative videos on a wider scale, including for patients being treated for other cancers.https://bmjopen.bmj.com/content/14/1/e073867.full |
| spellingShingle | Lawrence N Shulman Yehoda M Martei Dipho I Setlhako Lebogang Mokokwe Ngwao Ngwako Keaobaka Kebuang Goitsemang Gabaatlhole Bontswanetse Baaitse Tumisang Segadimo Frances Barg Babe E Gaolebale Development, acceptability and usability of culturally appropriate survivor narrative videos for breast cancer treatment in Botswana: a pilot study BMJ Open |
| title | Development, acceptability and usability of culturally appropriate survivor narrative videos for breast cancer treatment in Botswana: a pilot study |
| title_full | Development, acceptability and usability of culturally appropriate survivor narrative videos for breast cancer treatment in Botswana: a pilot study |
| title_fullStr | Development, acceptability and usability of culturally appropriate survivor narrative videos for breast cancer treatment in Botswana: a pilot study |
| title_full_unstemmed | Development, acceptability and usability of culturally appropriate survivor narrative videos for breast cancer treatment in Botswana: a pilot study |
| title_short | Development, acceptability and usability of culturally appropriate survivor narrative videos for breast cancer treatment in Botswana: a pilot study |
| title_sort | development acceptability and usability of culturally appropriate survivor narrative videos for breast cancer treatment in botswana a pilot study |
| url | https://bmjopen.bmj.com/content/14/1/e073867.full |
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