Use of Video Education Interventions to Increase Racial and Ethnic Diversity in Cancer Clinical Trials: A Systematic Review.
Timiya S Nolan, Ana' M Bell, Ya-Ning Chan and 3 others
PMID 34561957WHAT IT FOUND
Culturally tailored videos for BIPOC cancer survivors were acceptable and sometimes increased trial readiness or enrollment, but results varied.
The review does not show video education reliably improves enrollment.
Key findings
01Seven articles describing six distinct video interventions met inclusion criteria, with sample sizes ranging from 35 to 200.
02The interventions reduced barriers to trial participation across all studies, but studies reporting specific metrics found variable results on readiness and actual participation.
03Actual enrollment results were mixed: a study reported likelihood of enrollment increasing from 45.4% to 79.6%, another reported likelihood improving from 52% to 66%, while another found no difference between intervention and control groups.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The included studies were mostly observational rather than randomized controlled trials or meta-analyses, so they cannot show that video education causes higher enrollment. The review included only seven articles describing six distinct interventions, and sample sizes ranged from 35 to 200. Most participants had breast cancer, so results may not apply to people with other cancers. The collective sample was mostly Black, Hispanic, or Native American people, so results may not apply to other BIPOC groups. Interventions included video with booklets, patient navigator care coordination, or coordinators, so the effect of video alone cannot be separated. It was unclear why some interventions were more effective than others.
The easy way to misread this
Do not conclude that video education alone reliably increases cancer clinical trial enrollment. Some interventions included booklets, patient navigator care coordination, or coordinators, and the review included mostly observational studies with variable enrollment results.