Process evaluation of a culturally targeted video for Latinas at risk of hereditary breast and ovarian cancer

• Published in: Journal of genetic counseling 2021-06, Vol.30 (3), p.730-741
• Main Authors: Hurtado‐de‐Mendoza, Alejandra, Gómez‐Trillos, Sara, Graves, Kristi D., Carrera, Pilar, Campos, Claudia, Anderson, Lyndsay, Gronda, Andrés, Orellana, Halyn, Peshkin, Beth N., Schwartz, Marc D., Cupertino, Paula, Ostrove, Nancy, Luta, George, Gonzalez, Nathaly, Sheppard, Vanessa B.
• Format: Article
• Language: English
• Subjects: At risk populations; Behavior change; Breast cancer; Breast Neoplasms - genetics; Dissemination; education; Emotions; Evaluation; Female; Genetic Counseling; Health education; Health literacy; hereditary breast and ovarian cancer; High school graduates; Hispanic or Latino; Humans; Implementation; Intervention; Latin American cultural groups; latinx; Middle Aged; Misconceptions; Narratives; Ovarian cancer; Ovarian Neoplasms - genetics; Personality; Positive emotions; Qualitative research; Secondary schools; Social media; Surveys and Questionnaires; underrepresented populations; Uptake; Women; Womens health
• ISSN: 1059-7700; 1573-3599
• DOI: 10.1002/jgc4.1361

This paper presents a process evaluation of a culturally targeted narrative video about hereditary breast and ovarian cancer (HBOC) for Latina women at risk for HBOC. Spanish‐speaking Latina women at risk for HBOC participated in a single arm study (n = 40). Participants watched the video developed by the authors and responded to surveys. We used mixed methods to assess theoretical constructs that are hypothesized mediators of narrative interventions (i.e., transportation or engagement, identification with characters, emotions) and implementation outcomes (e.g., acceptability). Descriptive statistics summarized theoretical constructs and implementation outcomes. We conducted Mann–Whitney U tests to assess the differences in theoretical and implementation outcomes between participants who were affected versus. unaffected and participants with different levels of education and health literacy. We used the consensual qualitative research framework to analyze qualitative data. Participants’ mean age was 47.1 years (SD = 9.48). Most participants were high school graduates or less (62.5%). Acceptability of the video was extremely high (Md = 10.0, IQR = 0.2, scale 1–10). Most (82.5%) suggested video dissemination be through social media. Participants were highly engaged (Md = 5.7, IQR = 1.5, scale 1–7), strongly identified with the main character (Md = 8.7, IQR = 2.6, scale 1–10), and reported experiencing mostly positive emotions (Md = 9.5, IQR = 2.8, scale 1–10). Participants with low health literacy and affected participants reported a significantly higher identification with the main character (p