Educational Media Interventions for Cancer
(ADELANTE Trial)
Recruiting in Palo Alto (17 mi)
+1 other location
Overseen byLisa Kachnic, MD
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Columbia University
Disqualifiers: Deafness, Blindness, Psychosis, Dementia, Metastatic, others
No Placebo Group
Trial Summary
What is the purpose of this trial?The study aims to develop educational media interventions to prepare Latinx Spanish-speaking radiation oncology patients for a course of breast or prostate cancer radiation therapy and to foster receptivity and informed decision-making around cancer clinical trial participation.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It is best to discuss this with the trial coordinators or your doctor.
What data supports the effectiveness of the treatment Audiovisual Intervention- Cancer Clinical Trials Education, Audiovisual Intervention- Radiation Therapy Education?
Research shows that audiovisual programs can help cancer patients understand their disease better, reduce anxiety, and improve communication with healthcare staff. Additionally, many patients find video-based information helpful and report learning new information from it.
12345Is the educational media intervention for cancer safe for humans?
The studies reviewed did not report any safety concerns related to the use of audiovisual programs for educating cancer patients and their families. These programs were found to help reduce anxiety and improve understanding of cancer and its treatments.
35678How does the Audiovisual Intervention for Cancer Education differ from other treatments?
The Audiovisual Intervention for Cancer Education is unique because it uses video-based educational materials to improve patients' understanding and confidence about cancer treatments, such as radiation therapy. Unlike traditional treatments that focus solely on medical procedures, this intervention aims to reduce anxiety and enhance communication by providing accessible information through engaging audiovisual content.
3591011Eligibility Criteria
This trial is for Latinx Spanish-speaking individuals with a confirmed diagnosis of non-metastatic breast or prostate cancer. They must have a Karnofsky performance status of 70 or above, indicating they are able to care for themselves. Women who can bear children need pregnancy tests as per guidelines. Participants should be planning to receive or currently undergoing curative radiation therapy and must consult using a certified interpreter.Inclusion Criteria
My cancer has not spread beyond my prostate or breast.
I am currently being treated for breast or prostate cancer, or was recently.
I have undergone a pregnancy test as per the guidelines.
+6 more
Exclusion Criteria
You have a mental illness such as psychosis or dementia.
I have received radiation therapy for areas other than my breast or prostate.
I have previously undergone radiation therapy.
+3 more
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
1 week
1 visit (in-person)
Radiation Therapy Education
Participants receive educational material (either written brochures or audiovisual intervention) to prepare for radiation therapy
1-4 weeks
2 visits (in-person)
Radiation Therapy
Participants undergo radiation therapy for breast or prostate cancer
4-9 weeks
Multiple visits (in-person)
Follow-up
Participants are monitored for safety and effectiveness after treatment, including clinical trial enrollment and perceptivity
8-12 weeks
1 visit (in-person)
Long-term Follow-up
Participants' medical records are reviewed to ascertain subsequent cancer clinical trial enrollment
up to 5 years
Participant Groups
The study is testing educational media interventions designed to help Latinx patients understand radiation therapy for breast or prostate cancer and encourage informed participation in clinical trials. It includes an audiovisual education program on radiation therapy and brochures from ASTRO and NCI about cancer treatments and research studies.
4Treatment groups
Experimental Treatment
Active Control
Group I: Audiovisual Intervention- Radiation Therapy EducationExperimental Treatment1 Intervention
Audiovisual video will be provided to the subjects as educational material.
Group II: Audiovisual Intervention- Cancer Clinical TrialsExperimental Treatment1 Intervention
Audiovisual video will be provided to the subjects as educational material.
Group III: Written Brochure- Radiation Therapy EducationActive Control1 Intervention
Written brochures will be provided to the subjects as educational material.
Group IV: Written Brochure- Cancer Clinical TrialsActive Control1 Intervention
Written brochures will be provided to the subjects as educational material.
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
Columbia University Irving Medical Center- Department of Radiation OncologyNew York, NY
Columbia University Irving Medical CenterNew York, NY
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Who Is Running the Clinical Trial?
Columbia UniversityLead Sponsor
VarianCollaborator
Varian Medical SystemsIndustry Sponsor
References
Effectiveness of multimedia courses in improving self-care among patients with breast cancer undergoing radiotherapy. [2023]Ninety percent of patients receiving radiation therapy experience side effects. Busy schedules and intensive health education programs may lead to incomplete education content delivery and inaccurate patient self-care implementation. This study investigated whether multimedia health education improves the accuracy of patient self-care implementation compared with paper-based education.
Evaluating patient education materials about radiation therapy. [2022]Targeted treatment education for cancer patients has the potential to promote adjustment through assisting patients to participate in treatment decision making, comply with treatment regimens and cope more effectively with treatment side effects. A quasi-experimental longitudinal pre-test post-test and follow-up design was used to assess the effect of a patient education video about radiation therapy on patients' psychological distress, knowledge about radiation therapy, self-efficacy about coping with treatment and physical symptoms. Patients with head and neck (n=26) and breast cancer (n=66) were recruited into the study and allocated into control and intervention groups. No significant differences were found between the control and intervention groups on any of the outcome variables. However, patients in the intervention group reported high levels of satisfaction with the video and all reported that they would recommend the video to other patients preparing for radiation therapy. As well, 90% of patients in the intervention group reported that some or all of the information in the video was new to them. Education materials that have excellent face validity and that are well received by patients may fail to produce significant change using standard controlled study designs. Future research in this area may need to consider alternative paradigms for evaluating the helpfulness of such materials.
Effect of audiovisual cancer programs on patients and families. [2021]Four new audiovisual programs about cancer and cancer treatment were evaluated. A total of 240 cancer patients, their families, and their friends were asked to complete self-report questionnaires before and after watching a program to determine the effects of the program on their knowledge of cancer, anxiety levels, and perceived ability to communicate with the staff. Education and race were the only demographic or medical variables that contributed to knowledge scores. Patients' anxiety levels were significantly lower than those of families. Neither anxiety nor knowledge was a function of time from diagnosis. This study demonstrates that audiovisual programs can effectively increase patients' understanding of their disease, decrease anxiety, and facilitate communication with staff.
Patients' preferences for video cassette recorded information: effect of age, sex and ethnic group. [2019]The emotional turmoil patients endure following a diagnosis of cancer can impair their ability to retain complex treatment-related information. Manoeuvres which increase the intensity of information have been shown to increase the amount retained. Providing details of treatment in a video format is one method of intensifying information provision, but the attitudes of patients to this format have not previously been evaluated. In this pilot study, the attitudes of 300 patients to video directed information were evaluated via questionnaires, of which 210 (70%) were returned. Eighty-nine per cent had easy access to a video cassette player. A highly significant number felt that the video would be very helpful or helpful (78%) compared to not helpful, worrying or equivocal 21% (P
Site-Specific Education Using Digital Media to Improve Patient Understanding of the Radiotherapy Trajectory: An Interventional Study. [2022]The study assessed the effectiveness of a site-specific video educational material in improving patient understanding and confidence regarding radiation therapy trajectory.
Association Between Patient Education Videos and Knowledge of Radiation Treatment. [2021]Patient knowledge of radiation therapy (RT) before consult is typically limited, with many having misconceptions or fears. There exists a need to improve patient education in RT. Our purpose was to study the impact of patient education videos on patient-reported knowledge of RT, anxiety/fear, and satisfaction.
Initial clinical outcomes of audiovisual-assisted therapeutic ambience in radiation therapy (AVATAR). [2018]Radiation therapy is an important component of treatment for many childhood cancers. Depending upon the age and maturity of the child, pediatric radiation therapy often requires general anesthesia for immobilization, position reproducibility, and daily treatment delivery. We designed and clinically implemented a radiation therapy-compatible audiovisual system that allows children to watch streaming video during treatment, with the goal of reducing the need for daily anesthesia through immersion in video.
Changes in satisfaction and anxiety about radiotherapy for pediatric cancer by two-step audio-visual instruction. [2023]Although radiotherapy is an essential component of pediatric cancer treatment, inadequate radiotherapy information for childhood cancer and unusual treatment situations can negatively affect parental perceptions and emotions. This study aims to investigate the effect of two-step audio-visual instruction system effects introduced by our institution on parent satisfaction and anxiety when initiating radiotherapy.
The value of an educational video before consultation with a radiation oncologist. [2021]This study aims to assess the efficacy of a radiation therapy (RT) education video for patients referred for treatment. The investigators produced a 23-min guide to radiation therapy DVD, combining didactic material and patient narratives. Patients (n=32) had not yet received their initial consultation. Baseline awareness about cancer and treatment was assessed by surveys including the rapid estimate of adult literacy in medicine. Knowledge about RT was assessed before and after viewing the video with a separate 21 question survey. Differences in benefit for sociodemographic subgroups including age, gender, ethnicity, income, education, and health literacy level were explored. Baseline assessments identified 78 % of patients regardless of sociodemographic status had "little" to "no" basic knowledge of RT. The mean number of correct responses in the 21 question survey assessing how RT works improved from 9.8 to 11.1 after watching the video (p
Video-Based Interventions for Cancer Control: A Systematic Review. [2021]Background. The use of videos for patient and public health education has been widely adopted and well documented in the literature. Aims. To conduct a systematic review of empirical studies that used video-based interventions for cancer prevention and control to document study designs, settings, approaches, targeted cancer sites and behaviors, and outcomes and to identify gaps in research and practice. Method. PubMed, PsychINFO, CINAHL, SCOPUS, and Web of Science were searched for studies published in the 30-year period from 1984 to 2014. Of 1,521 articles identified, duplicates were removed, and titles and abstracts of 779 were examined for eligibility. In all, 315 articles met the inclusion criteria and were coded by three independent coders. Interrater reliability was assessed. Descriptive frequencies and proportions were calculated. Results. Studies evaluating video interventions for cancer prevention and control have increased over time. The majority used randomized controlled trial designs (54%), followed by single-group pre-posttest designs (18%). Most were delivered in health care settings (39%). Detection (30%) and treatment (16%) were the cancer control continuum stages most frequently addressed, with breast cancer (29%) being the most frequently targeted cancer site. The behavior most commonly targeted was screening/early detection (39%). Topics such as caregiving, coping, palliative care, and end of life were rarely addressed. The majority (69%) reported being successful at achieving their stated objectives, though outcomes varied across studies. Conclusions. Video interventions have been widely utilized for cancer prevention and control, with demonstrated successes. Future research should test innovative designs and new delivery platforms and should include underrepresented topics and cancer sites.
Cancer patient education: what, where, and by whom? [2007]Cancer patients and their families experience numerous psychological, physiological, informational, and educational needs. In response to these needs, health care professionals are planning and implementing educational activities that range from standard one-to-one patient teaching sessions to more sophisticated educational programs involving groups of patients and their families. These activities are occurring in hospitals, outpatient clinics, physicians' offices, and in the community. Health care professionals are relying on printed educational materials and a variety of audiovisual resources to reinforce verbal communication with patients and their families. During the diagnostic and treatment phases of the patients' illness, the educational activities are designed to allay apprehensions and provide patients with knowledge about specific tests and procedures. In the posttreatment and rehabilitation phases, patients are given important information and taught self-care techniques and skills to cope with their disease. Innovative teaching strategies, such as imagery, are being used to help meet the special needs of cancer patients. The challenge to the educator is to recognize the patients' varied needs and to determine which educational strategies are most effective generally and are most effective at what stage during the patients' illness.