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Empowerment Through Participation in a Cancer Prevention Exhibit: Evidence from the Hygée Lab Intervention

Abstract

While many countries have launched cancer prevention initiatives to improve the public’s understanding of risk and protective factors, few are systematically evaluated. Hygée Lab, a living lab in a socioeconomically deprived area of France, is designed to interactively communicate evidence-based information about cancer prevention and treatment with the goal to improve visitors’ understanding of cancer risk and prevention factors, reduce fatalism in regard to cancer, and increase feelings of empowerment. Pre- and post-visit data were collected during the first 18 months of the exhibit’s opening from two segments of the population: adolescents from local schools (N = 134) and the general public (N = 112). Adolescents from the same schools who did not participate in the visit comprised the control group (N = 94). A further 232 general public visitors completed post-surveys only. Pre-post-visit comparisons reveal significant changes in both adolescent and general public visitors: cancer understanding improves, fatalism in regard to cancer is reduced, and feelings of empowerment increase. This systematic evaluation of Hygée Lab offers promise for how interactive exhibits may be used for cancer prevention amongst low health literacy populations.

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References

  1. 1.

    World Health Organization (WHO). 2017. Cancer fact sheet. http://www.who.int/mediacentre/factsheets/fs297/en/. Accessed 15 September, 2019.

  2. 2.

    Institut National du Cancer (INCa). 2018. Les chiffres du cancer en France. http://www.e-cancer.fr/Professionnels-de-sante/Les-chiffres-du-cancer-en-France. Accessed 15 September, 2019.

  3. 3.

    Rogers SE, Ralph RO, Salzer MS (2010) Validating the empowerment scale with a multisite sample of consumers of mental health services. Psychiatr Serv. https://doi.org/10.1176/appi.ps.61.9.933

  4. 4.

    Segal SP, Silverman C, Temkin T (1995) Measuring empowerment in client-run self-help agencies. Community Ment Health J. https://doi.org/10.1007/bf02188748

  5. 5.

    Berkman ND, Davis TC, McCormack L (2010) Health literacy: what is it? J Health Commun. https://doi.org/10.1080/10810730.2010.499985

  6. 6.

    Mantwill S, Monestel-Umaña S, Schulz PJ (2015) The relationship between health literacy and health disparities: a systematic review. PLoS One. https://doi.org/10.1371/journal.pone.0145455

  7. 7.

    Menvielle G, Leclerc A, Chastang J-F, Luce D (2008) Inégalités sociales de mortalité par cancer en France: Etats des lieux et évolution temporelle. Bulletin Épidémiologique Hebdomadaire 33:289

  8. 8.

    Régnier Denois V, Bourmaud A, Nekaa M et al (2018) The impact of social inequalities on children’s knowledge and representation of health and cancer. Eur J Pediatr 177(8):1219. Eur J Pediatr. https://doi.org/10.1007/s00431-018-3173-3

  9. 9.

    Emanuel AS, Godinho CA, Steinman C, Updegraff JA (2016) Education differences in cancer fatalism: the role of information-seeking experiences. J Health Psychol. https://doi.org/10.1177/1359105316664129

  10. 10.

    Rustveld LO, Valverde I, Chenier RS, McLaughlin RJ, Waters VS, Sullivan J, Jibaja-Weiss ML (2013) A novel colorectal and cervical cancer education program: findings from the community network for cancer prevention Forum Theater program. J Cancer Educ. https://doi.org/10.1007/s13187-013-0530-9

  11. 11.

    Powe BD, Finnie R (2003) Cancer fatalism: the state of the science. Cancer Nurs. https://doi.org/10.1097/00002820-200312000-00005

  12. 12.

    Institut National de la Statistique et des Etudes Economiques (INSEE). 2019. Intercommunalité-Métropole de Saint-Etienne Métropole (244200770). https://www.insee.fr/fr/statistiques/2011101?geo=EPCI-244200770#chiffre-cle-3. Accessed 21 August 2019.

  13. 13.

    Institut de Veille Sanitaire (InVS). 2019. Cancers données par territoire. http://invs.santepubliquefrance.fr/Dossiers-thematiques/Maladies-chroniques-et-traumatismes/Cancers/Donnees-par-territoire. Accessed 21 August 2019.

  14. 14.

    Barrault M, Michel G, Cousson-Gélie F (2010) Impact d’une campagne de sensibilisation sur le cancer sur un échantillon de femmes en traitement pour un premier cancer du sein. Annales Médico-psychologiques, revue psychiatrique. https://doi.org/10.1016/j.amp.2010.04.017

  15. 15.

    Economou M (1998) The evaluation of museum multimedia applications: lessons from research. Museum Manage Curatorship. https://doi.org/10.1080/09647779800501702

  16. 16.

    Allen S (2004) Designs for learning: studying science exhibits that do more than entertain. Sci Educ. https://doi.org/10.1002/sce.20016

  17. 17.

    Day LL, Rodriguez EC (2002) Impact of a field trip to a health museum on children’s health-related behaviors and perceived control over illness. Am J Health Educ. https://doi.org/10.1080/19325037.2002.10609423

  18. 18.

    Robles G, Ana, Hirvikoski T, Schuurman D, Stokes L (2015) Introducing ENoLL and its Living Lab community. https://issuu.com/enoll/docs/enoll-print. Accessed 21 August 2019.

  19. 19.

    MITbigdata. 2016. Living lab. http://livinglab.mit.edu/. Accessed 21 August 2019.

  20. 20.

    Schuurman, Dimitri, De Marez L, Ballon P (2017) Living Labs: a systematic literature review. In Open living lab days research day conference proceedings 2017. European Network of Living Labs. https://biblio.ugent.be/publication/7026155/file/7026171 Accessed 15 September 2019.

  21. 21.

    Mazer B, Kairy D, Guindon A, Girard M, Swaine B, Kehayia E, Labbé D (2015) Rehabilitation living lab in the mall community of practice: learning together to improve rehabilitation, participation and social inclusion for people living with disabilities. Int J Environ Res Public Health. https://doi.org/10.3390/ijerph120404439

  22. 22.

    Hou S-I, Cao X (2018) A systematic review of promising strategies of faith-based cancer education and lifestyle interventions among racial/ethnic minority groups. J Cancer Educ. https://doi.org/10.1007/s13187-017-1277-5

  23. 23.

    Woodruff RC, Hermstad A, Honeycutt S, Brown M, Kegler MC (2017) Results from an evaluation of the Georgia Colorectal Cancer Control Program’s community education and outreach events, 2013. J Cancer Educ. https://doi.org/10.1007/s13187-015-0966-1

  24. 24.

    Valdez A, Napoles AM, Stewart SL, Garza A (2018) A randomized controlled trial of a cervical cancer education intervention for Latinas delivered through interactive, multimedia kiosks. J Cancer Educ. https://doi.org/10.1007/s13187-016-1102-6

  25. 25.

    Beeken RJ, Simon AE, von Wagner C, Whitaker KL, Wardle J (2011) Cancer fatalism: deterring early presentation and increasing social inequalities? Cancer Epidemiol Biomark Prev. https://doi.org/10.1080/10810730.2010.499985

  26. 26.

    Befort CA, Nazir N, Engelman K, Choi W (2013) Fatalistic cancer beliefs and information sources among rural and urban adults in the USA. J Cancer Educ. https://doi.org/10.1007/s13187-013-0496-7

  27. 27.

    Niederdeppe J, Levy AG (2007) Fatalistic beliefs about cancer prevention and three prevention behaviors. Cancer Epidemiol Prev Biomarkers. https://doi.org/10.1158/1055-9965.EPI-06-0608

  28. 28.

    Wallerstein N (1992) Powerlessness, empowerment, and health: implications for health promotion programs. Am J Health Promot. https://doi.org/10.4278/0890-1171-6.3.197

  29. 29.

    Segal L (1998) The importance of patient empowerment in health system reform. Health Policy. https://doi.org/10.1016/S0168-8510(98)00007-4

  30. 30.

    Power E, Van Jaarsveld CHM, McCaffery K, Miles A, Atkin W, Wardle J (2008) Understanding intentions and action in colorectal cancer screening. Ann Behav Med. https://doi.org/10.1007/s12160-008-9034-y

  31. 31.

    Boyer TW, Byrnes JP (2009) Adolescent risk-taking: integrating personal, cognitive, and social aspects of judgement. J Appl Dev Psychol. https://doi.org/10.1016/j.appdev.2008.10.009

  32. 32.

    Beck, François, Gautier A (2010) Baromètre cancer 2010. Institut National de Prévention et d’Education pour la Santé (INPES). http://inpes.santepubliquefrance.fr/CFESBases/catalogue/pdf/1405.pdf. Accessed 1 October 2019.

  33. 33.

    Institut National de Prévention et d’Education pour la Santé (INPES). 2010. Baromètre santé 2010. http://inpes.santepubliquefrance.fr/Barometres/barometre-sante-2010/index.asp. Accessed 1 October 2019.

  34. 34.

    Publique S (2019) Baromètre cancer 2015. https://www.santepubliquefrance.fr/etudes-et-enquetes/barometres-de-sante-publique-france/barometre-cancer-2015. Accessed 1 October 2019.

  35. 35.

    Morris NS, Field TS, Wagner JL, Cutrona SL, Roblin DW, Gaglio B, Williams AE, Han PJK, Costanza ME, Mazor KM (2013) The association between health literacy and cancer-related attitudes, behaviors, and knowledge. J Health Commun. https://doi.org/10.1080/10810730.2013.825667

  36. 36.

    National Cancer Institute (2007) Health Information National Trends Survey (HINTS). ICPSR Data Holdings. https://doi.org/10.3886/icpsr25262

  37. 37.

    Kobayashi LC, Smith SG (2016) Cancer fatalism, literacy, and cancer information seeking in the American public. Health Educ Behav. https://doi.org/10.1177/1090198115604616

  38. 38.

    Moodie C, MacKintosh AM, Gallopel-Morvan K, Hastings G, Ford A (2017) Adolescents’ perceptions of an on-cigarette health warning. Nicotine Tob Res. https://doi.org/10.1093/ntr/ntw165

  39. 39.

    Ménard, Colette, Thuret A (2018) Baromètre cancer 2015 - Les ultraviolets, naturels ou artificiels. Connaissances, croyances et pratiques de la population en 2015. Santé publique France. http://inpes.santepubliquefrance.fr/CFESBases/catalogue/pdf/1857.pdf. Accessed 1 October 2019.

  40. 40.

    Pasquereau, Anne, Deutsch A, Richard J-B, Guignard R, Andler R, Estaquio C (2019) Tabac et cancer. Perception des risques en 2015 et évolutions récentes. Baromètre cancer 2015. Santé publique France. http://inpes.santepubliquefrance.fr/CFESBases/catalogue/pdf/1873.pdf. Accessed 1 October 2019.

  41. 41.

    Peretti-Watel P, Fressard L, Bocquier A, Verger P (2016) Perceptions of cancer risk factors and socioeconomic status A French study. Prev Med Rep. https://doi.org/10.1016/j.pmedr.2016.01.008

  42. 42.

    Falk J, Storksdieck M (2005) Using the contextual model of learning to understand visitor learning from a science center exhibition. Sci Educ. https://doi.org/10.1002/sce.20078

  43. 43.

    Wolf MS, Wilson EAH, Rapp DN, Waite KR, Bocchini MV, Davis TC, Rudd RE (2009) Literacy and learning in healthcare. Pediatrics. https://doi.org/10.1542/peds.2009-1162C

  44. 44.

    Davis P, Horn M, Block F, Phillips B, Evans ME, Diamond J, Shen C (2015) “Whoa! We’re going deep in the trees!”: patterns of collaboration around an interactive information visualization exhibit. Int J Comput-Support Collab Learn. https://doi.org/10.1007/s11412-015-9209-z

  45. 45.

    Koelen MA, Lindstrom B (2005) Making healthy choices easy choices: the role of empowerment. Eur J Clin Nutr. https://doi.org/10.1038/sj.ejcn.1602168

  46. 46.

    Dany LD (2015) La prévention entre continuité et changements: Réflexions psychosociales. In: Peoc’h N, Saint-Jean M, Bastiani B (eds) Accompagner le changement dans le champ de la santé. De Boeck-Estem, Paris, pp 9–22 Sciences du Soin, 978-2843717956

  47. 47.

    Morin M (2010) Du bon usage des campagnes de prévention. In: Halpern C (ed) La Santé: Un enjeu de société. Sciences Humaines Editions, Paris, pp 206–213

  48. 48.

    Mujtaba, Tamjid, Lawrence M, Oliver M, Reiss MJ (2018) Learning and engagement through natural history museums. https://doi.org/10.1080/03057267.2018.1442820.

  49. 49.

    Watson S (ed) (2007) Museums and their communities. Routledge. https://doi.org/10.4324/9780203944752

  50. 50.

    Falk JH, Dierking LD (2017) Recalling the museum experience. In Transforming practice, ed. Joanne S. Hirsch, Lois H. Silverman. Rowman & Littlefield. https://doi.org/10.4324/9781315416496-34.

  51. 51.

    Singhal A, Rogers EM (2002) A theoretical agenda for entertainment-education. Communication Theory. https://doi.org/10.1111/j.1468-2885.2002.tb00262.x

  52. 52.

    Singhal A, Cody MJ, Rogers EM, Sabido M (2004) Entertainment-education and social change: history, research, and practice. Lawrence Erlbaum Associates, Mahwah

  53. 53.

    Jensen JD, Carcioppolo N, King AJ, Scherr CL, Jones CL, Niederdeppe J (2014) The cancer information overload (CIO) scale: establishing predictive and discriminant validity. Patient Educ Couns. https://doi.org/10.1016/j.pec.2013.09.016

  54. 54.

    Lee NR, Kotler P (2015) Social marketing: changing behaviors for good. Sage Publications, Los Angeles

  55. 55.

    Perkins WH (2002) Social norms and the prevention of alcohol misuse in collegiate contexts. J Stud Alcohol Suppl. https://doi.org/10.15288/jsas.2002.s14.164

  56. 56.

    Austin EW, Austin BW, French BF, Cohen MA (2018) The effects of a nutrition media literacy intervention on parents’ and youths’ communication about food. J Health Commun. https://doi.org/10.1080/10810730.2018.1423649

  57. 57.

    Jeong S-H, Cho H, Hwang Y (2012) Media literacy interventions: a meta-analytic review. J Commun. https://doi.org/10.1111/j.1460-2466.2012.01643.x

  58. 58.

    Robinson JK, Friedewald J, Gordon EJ (2016) Perceptions of risk of developing skin cancer for diverse audiences: enhancing relevance of sun protection to reduce the risk. J Cancer Educ. https://doi.org/10.1007/s13187-015-0885-1b

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Correspondence to Cristel Antonia Russell.

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Appendix: Photos of the Hygée Exhibit

Appendix: Photos of the Hygée Exhibit

General overview of the exhibit

figurea

Interactive module on cancer knowledge

figureb

Quiz of cancer-related professions

figurec

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Russell, C.A., Régnier Denois, V., Rouèche, E. et al. Empowerment Through Participation in a Cancer Prevention Exhibit: Evidence from the Hygée Lab Intervention. J Canc Educ (2019). https://doi.org/10.1007/s13187-019-01658-4

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Keywords

  • Empowerment
  • Cancer prevention
  • Intervention
  • Interactive exhibit
  • Living lab