Feasibility and Acceptability of an Interactive Cancer-communicationVideo Program Using African American Breast Cancer SurvivorStories

To examine the feasibility and acceptability of an interactive video program of African American breast cancer survivor stories, we explored story reactions among African American women with newly diagnosed breast cancer and associations between patient factors and intervention use. During a randomized controlled trial, patients in the intervention arm completed a baseline/preintervention interview, received the video intervention, and completed a post-intervention 1-month follow-up interview. Additional video exposures and post-exposure interviews occurred at 6and 12-month follow-ups. Multivariable linear mixed-effects models examined interview and clinical data in association with changes in minutes and actions using the program. After Exposure1, 104 of 108 patients allocated to the intervention reported moderate-to-high levels of positive emotional reactions to stories and identification with storytellers. Exposure1 mean usage was high (139 minutes) but declined over time (p< .0001). Patients receiving surgery plus radiation logged about 50 more minutes and actions over 12-month follow-up than patients receiving surgery only (p<.05); patients reporting greater trust in storytellers logged 18.6 fewer actions over time (p = .04). Patients’ topical interests evolved, with patients watching more follow-up care and survivorship videos at Exposure3. The intervention was feasible and evaluated favorably. New videos might satisfy patients’ changing interests. Corresponding Author: Maria Pérez, Washington University School of Medicine, 660 S. Euclid, St. Louis, Missouri 63110, Phone: (314) 286-1917, Fax: (314) 286-1919, mperez@wustl.edu. Declaration of Interest Statement: The authors declare that they have no conflicts of interest, financial or otherwise. HHS Public Access Author manuscript J Health Commun. Author manuscript; available in PMC 2021 October 13. Published in final edited form as: J Health Commun. 2020 July 02; 25(7): 566–575. doi:10.1080/10810730.2020.1821132. A uhor M anscript

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