A video intervention to improve patient understanding of tumor genomic testing in patients with cancer

Abstract Introduction Tumor genomic testing (TGT) is standard‐of‐care for most patients with advanced/metastatic cancer. Despite established guidelines, patient education prior to TGT is frequently omitted. The purpose of this study was to evaluate the impact of a concise 4 min video for patient edu...

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Main Authors: Deloris J. Veney, Lai Y. Wei, Amanda E. Toland, Carolyn J. Presley, Heather L. Hampel, Tasleem J. Padamsee, Clara N. Lee, William J. Irvin Jr, Michael J. Bishop, James J. Kim, Shelly R. Hovick, Leigha A. Senter, Daniel G. Stover
Format: Article
Language:English
Published: Wiley 2024-09-01
Series:Cancer Medicine
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Online Access:https://doi.org/10.1002/cam4.70095
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author Deloris J. Veney
Lai Y. Wei
Amanda E. Toland
Carolyn J. Presley
Heather L. Hampel
Tasleem J. Padamsee
Clara N. Lee
William J. Irvin Jr
Michael J. Bishop
James J. Kim
Shelly R. Hovick
Leigha A. Senter
Daniel G. Stover
author_facet Deloris J. Veney
Lai Y. Wei
Amanda E. Toland
Carolyn J. Presley
Heather L. Hampel
Tasleem J. Padamsee
Clara N. Lee
William J. Irvin Jr
Michael J. Bishop
James J. Kim
Shelly R. Hovick
Leigha A. Senter
Daniel G. Stover
author_sort Deloris J. Veney
collection DOAJ
description Abstract Introduction Tumor genomic testing (TGT) is standard‐of‐care for most patients with advanced/metastatic cancer. Despite established guidelines, patient education prior to TGT is frequently omitted. The purpose of this study was to evaluate the impact of a concise 4 min video for patient education prior to TGT. Methods Based on a quality improvement cycle, an animated video was created to be applicable to any cancer type, incorporating culturally diverse images, available in English and Spanish. Patients undergoing standard‐of‐care TGT were enrolled at a tertiary academic institution and completed survey instruments prior to video viewing (T1) and immediately post‐viewing (T2). Instruments included: (1) 10‐question objective genomic knowledge; (2) 10‐question video message‐specific knowledge; (3) 11‐question Trust in Provider; (4) attitudes regarding TGT. Results A total of 150 participants were enrolled. For the primary objective, there was a significant increase in video message‐specific knowledge (median 10 point increase; p < 0.0001) with no significant change in genomic knowledge/understanding (p = 0.89) or trust in physician/provider (p = 0.59). Results for five questions significantly improved, including the likelihood of TGT impact on treatment decision, incidental germline findings, and cost of testing. Improvement in video message‐specific knowledge was consistent across demographic groups, including age, income, and education. Conclusions A concise, 3–4 min, broadly applicable video incorporating culturally diverse images administered prior to TGT significantly improved video message‐specific knowledge across all demographic groups. This resource is publicly available at http://www.tumor‐testing.com, with a goal to efficiently educate and empower patients regarding TGT while addressing guidelines within the flow of clinical practice.
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spelling doaj-art-0f51ff3d583d483a9f9096298c4b26562025-02-07T09:08:08ZengWileyCancer Medicine2045-76342024-09-011317n/an/a10.1002/cam4.70095A video intervention to improve patient understanding of tumor genomic testing in patients with cancerDeloris J. Veney0Lai Y. Wei1Amanda E. Toland2Carolyn J. Presley3Heather L. Hampel4Tasleem J. Padamsee5Clara N. Lee6William J. Irvin Jr7Michael J. Bishop8James J. Kim9Shelly R. Hovick10Leigha A. Senter11Daniel G. Stover12Division of Medical Oncology Ohio State University Comprehensive Cancer Center Columbus Ohio USADepartment of Biomedical Informatics Ohio State University Columbus Ohio USADivision of Human Genetics, Department of Internal Medicine The Ohio State University Comprehensive Cancer Center Columbus Ohio USADivision of Medical Oncology Ohio State University Comprehensive Cancer Center Columbus Ohio USADivision of Clinical Cancer Genomics, Department of Medical Oncology and Therapeutics Research City of Hope National Medical Center Duarte California USADivision of Health Services Management and Policy College of Public Health, The Ohio State University Columbus Ohio USADivision of Health Services Management and Policy College of Public Health, The Ohio State University Columbus Ohio USABon Secours Cancer Institute at St. Francis Richmond Virginia USABon Secours‐Mercy Health Lima Lima Ohio USABon Secours‐Mercy Health St. Elizabeth Youngstown Ohio USASchool of Communication, Ohio State University Columbus Ohio USADivision of Human Genetics, Department of Internal Medicine The Ohio State University Comprehensive Cancer Center Columbus Ohio USADivision of Medical Oncology Ohio State University Comprehensive Cancer Center Columbus Ohio USAAbstract Introduction Tumor genomic testing (TGT) is standard‐of‐care for most patients with advanced/metastatic cancer. Despite established guidelines, patient education prior to TGT is frequently omitted. The purpose of this study was to evaluate the impact of a concise 4 min video for patient education prior to TGT. Methods Based on a quality improvement cycle, an animated video was created to be applicable to any cancer type, incorporating culturally diverse images, available in English and Spanish. Patients undergoing standard‐of‐care TGT were enrolled at a tertiary academic institution and completed survey instruments prior to video viewing (T1) and immediately post‐viewing (T2). Instruments included: (1) 10‐question objective genomic knowledge; (2) 10‐question video message‐specific knowledge; (3) 11‐question Trust in Provider; (4) attitudes regarding TGT. Results A total of 150 participants were enrolled. For the primary objective, there was a significant increase in video message‐specific knowledge (median 10 point increase; p < 0.0001) with no significant change in genomic knowledge/understanding (p = 0.89) or trust in physician/provider (p = 0.59). Results for five questions significantly improved, including the likelihood of TGT impact on treatment decision, incidental germline findings, and cost of testing. Improvement in video message‐specific knowledge was consistent across demographic groups, including age, income, and education. Conclusions A concise, 3–4 min, broadly applicable video incorporating culturally diverse images administered prior to TGT significantly improved video message‐specific knowledge across all demographic groups. This resource is publicly available at http://www.tumor‐testing.com, with a goal to efficiently educate and empower patients regarding TGT while addressing guidelines within the flow of clinical practice.https://doi.org/10.1002/cam4.70095biomarkerscancer educationcancer managementgenomics
spellingShingle Deloris J. Veney
Lai Y. Wei
Amanda E. Toland
Carolyn J. Presley
Heather L. Hampel
Tasleem J. Padamsee
Clara N. Lee
William J. Irvin Jr
Michael J. Bishop
James J. Kim
Shelly R. Hovick
Leigha A. Senter
Daniel G. Stover
A video intervention to improve patient understanding of tumor genomic testing in patients with cancer
Cancer Medicine
biomarkers
cancer education
cancer management
genomics
title A video intervention to improve patient understanding of tumor genomic testing in patients with cancer
title_full A video intervention to improve patient understanding of tumor genomic testing in patients with cancer
title_fullStr A video intervention to improve patient understanding of tumor genomic testing in patients with cancer
title_full_unstemmed A video intervention to improve patient understanding of tumor genomic testing in patients with cancer
title_short A video intervention to improve patient understanding of tumor genomic testing in patients with cancer
title_sort video intervention to improve patient understanding of tumor genomic testing in patients with cancer
topic biomarkers
cancer education
cancer management
genomics
url https://doi.org/10.1002/cam4.70095
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