Systematic Review of Video Education in Underrepresented Minority Cancer Survivors.
Rachel Hirschey, Ashley Leak Bryant, Jennifer S Walker and 1 others
PMID 32467430WHAT IT FOUND
Culturally targeted videos for underrepresented minority cancer survivors were well received and sometimes improved knowledge and pain communication short term.
Effects were not sustained and some outcomes did not change, so use them as one nurse-led education tool, not a disparity fix.
Key findings
01Video interventions were culturally targeted, developed with survivors and stakeholders, and delivered in clinic settings.
02In some studies, videos improved knowledge, treatment adherence, communication, and physician accuracy about pain at three to four weeks, but these effects were not sustained at six to seven weeks.
03Across studies, there were no effects on perceived pain control or functional status, and quality of life effects varied.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only seven independent studies were included, with 352 cancer survivors in total, so the review is based on a small evidence base. The included studies were often limited by small samples, lack of randomization, and lack of control groups. Effects were not sustained at six to seven weeks, and some outcomes showed no change. The review protocol was not published or registered, and the search excluded non-English studies, studies outside the United States, and caregiver samples. Quality ratings for included studies were fair to good, not high.
Declared interests
The authors reported no conflicts of interest. The article metadata lists research support from NIH and non-U.S. government sources.
The easy way to misread this
Do not conclude that video education is proven to improve long-term cancer outcomes or reduce disparities. The review found short-term benefits in some studies, but effects were not sustained at six to seven weeks, there were no effects on perceived pain control or functional status, and the included studies were small and often lacked controls.