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Culturally Targeted Video Improves Psychosocial Outcomes in Latina Women at Risk of Hereditary Breast and Ovarian Cancer

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  • Alejandra Hurtado-de-Mendoza

    (Department of Oncology, Georgetown University Medical Center, 3300 Whitehaven Street, Suite 4100, Washington, DC 20007, USA
    Jess and Mildred Fisher Center for Hereditary Cancer and Clinical Genomics Research, 3300 Whitehaven Street, Suite 4100, Washington, DC 20007, USA)

  • Kristi D. Graves

    (Department of Oncology, Georgetown University Medical Center, 3300 Whitehaven Street, Suite 4100, Washington, DC 20007, USA
    Jess and Mildred Fisher Center for Hereditary Cancer and Clinical Genomics Research, 3300 Whitehaven Street, Suite 4100, Washington, DC 20007, USA)

  • Sara Gómez-Trillos

    (Department of Oncology, Georgetown University Medical Center, 3300 Whitehaven Street, Suite 4100, Washington, DC 20007, USA
    Jess and Mildred Fisher Center for Hereditary Cancer and Clinical Genomics Research, 3300 Whitehaven Street, Suite 4100, Washington, DC 20007, USA)

  • Pilar Carrera

    (Department of Social Psychology and Methodology, Universidad Autónoma de Madrid, 28049 Madrid, Spain)

  • Claudia Campos

    (Nueva Vida, DC Office—801 N Pitt St., Suite 113, Alexandria, VA 22314, USA)

  • Lyndsay Anderson

    (College of Health and Human Services, School of Nursing, California State University, Sacramento, CA 95819, USA)

  • George Luta

    (Department of Oncology, Georgetown University Medical Center, 3300 Whitehaven Street, Suite 4100, Washington, DC 20007, USA
    Department of Biostatistics, Bioinformatics and Biomathematics, 4000 Reservoir Rd., NW, Washington, DC 20057, USA)

  • Beth N. Peshkin

    (Department of Oncology, Georgetown University Medical Center, 3300 Whitehaven Street, Suite 4100, Washington, DC 20007, USA
    Jess and Mildred Fisher Center for Hereditary Cancer and Clinical Genomics Research, 3300 Whitehaven Street, Suite 4100, Washington, DC 20007, USA)

  • Marc D. Schwartz

    (Department of Oncology, Georgetown University Medical Center, 3300 Whitehaven Street, Suite 4100, Washington, DC 20007, USA
    Jess and Mildred Fisher Center for Hereditary Cancer and Clinical Genomics Research, 3300 Whitehaven Street, Suite 4100, Washington, DC 20007, USA)

  • Ana-Paula Cupertino

    (Cancer Prevention and Control Program, John Theurer Cancer Center, Hackensack University Medical Center, 40 Prospect Avenue, Office number 316, Hackensack, NJ 07601, USA)

  • Nathaly Gonzalez

    (Capital Breast Care Center, 1000 New Jersey Ave, SE, Washington, DC 20003, USA)

  • Vanessa B. Sheppard

    (Department of Health Behavior Policy, Virginia Commonwealth University, Richmond, VA 23298, USA
    Massey Cancer Center, Office of Health Equity and Disparities Research, Richmond, VA 23298, USA)

Abstract

Latina women at risk of hereditary breast and ovarian cancer (HBOC) have lower awareness, knowledge, and use of genetic counseling and testing services (GCT) than non-Latina Whites. Few interventions have been developed to reduce these disparities among at-risk Latinas. This pilot study assessed the impact of a culturally targeted narrative video developed by our team. The study included 40 Latina immigrants living in the United States who were at risk of HBOC, including affected and unaffected women. We assessed pre-post differences in psychosocial outcomes. Participants were 47.35 years old on average (SD = 9.48). Most (70%) were unaffected with cancer, had an annual income of $40,000 or less (65%), an education of High School or less (62.5%), and were uninsured (77.5%). The video significantly enhanced knowledge ( p < 0.001), positive attitudes ( p < 0.05), anticipatory positive emotions ( p < 0.05), and intentions to participate in counseling ( p < 0.001). Importantly, the video also significantly reduced negative attitudes ( p < 0.05), and attitudinal ambivalence ( p < 0.001). The culturally targeted video shows preliminary evidence in improving psychosocial outcomes related to GCT uptake in Latinas at risk for HBOC. This intervention is a promising easily-disseminable strategy to address disparities in GCT utilization.

Suggested Citation

  • Alejandra Hurtado-de-Mendoza & Kristi D. Graves & Sara Gómez-Trillos & Pilar Carrera & Claudia Campos & Lyndsay Anderson & George Luta & Beth N. Peshkin & Marc D. Schwartz & Ana-Paula Cupertino & Nath, 2019. "Culturally Targeted Video Improves Psychosocial Outcomes in Latina Women at Risk of Hereditary Breast and Ovarian Cancer," IJERPH, MDPI, vol. 16(23), pages 1-14, November.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:23:p:4793-:d:292240
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    References listed on IDEAS

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    1. Murphy, S.T. & Frank, L.B. & Chatterjee, J.S. & Moran, M.B. & Zhao, N. & De Herrera, P.A. & Baezconde-Garbanati, L.A., 2015. "Comparing the relative efficacy of narrative vs nonnarrative health messages in reducing health disparities using a randomized trial," American Journal of Public Health, American Public Health Association, vol. 105(10), pages 2117-2123.
    2. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
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