Skip to main content

Advertisement

SpringerLink
Log in

Development and evaluation of a sustainable video health education program for newly diagnosed breast cancer patients in Malaysia

  • Original Article
  • Published:
Supportive Care in Cancer Aims and scope Submit manuscript

Abstract

Purpose

Wider breast cancer (BC) treatment options, short consultation time with physicians, lack of knowledge, and poor coping skills at the time of diagnosis may affect patients’ decisions causing treatment delays and non-adherence. To address this gap, a breast care nurse video orientation program was started. Our aim was to evaluate the video on patients’ knowledge, satisfaction, and treatment adherence.

Methods

The video was developed using the BC delay explanatory model. A self-administered pre- and post-survey on 241 newly diagnosed BC patients in University Malaya Medical Center was performed. The Wilcoxon matched paired signed rank test was used to evaluate patients’ pre and post perceived knowledge using a Likert scale 0 to 4 (0 = “no knowledge,” 4 = “a great degree of knowledge”). Treatment adherence among participants were measured after 1-year follow-up.

Results

Eighty percent of the patients reported that the video met or exceeded their expectations. In total 80.5% reported that the video was very effective and effective in improving their perspective on BC treatments. There was improvement in perceived knowledge for treatment options (mean scores; M = 0.93 versus M = 2.97) (p < 0.001) and also for perceived knowledge on types of operation, information on chemotherapy, radiotherapy, hormone therapy, healthy diet, physical activity after treatments, and care of the arm after operation(p < 0.001). In total 89.4%, 79.3%, and 85.9% adhered to surgical, chemotherapy, and radiotherapy recommended treatment, respectively.

Conclusion

The video improved patients’ perceived knowledge and satisfaction. The program improved access not only to new BC patients but also the public and found sustainable using the YouTube platform.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Ahmad NA et al (2017) Prevalence and determinants of disability among adults in Malaysia: results from the National Health and Morbidity Survey (NHMS) 2015. BMC Public Health 17(1):756

    Article  Google Scholar 

  2. Abdullah NA et al (2013) Survival rate of breast cancer patients in Malaysia: a population-based study. Asian Pac J Cancer Prev 14(8):4591–4594

    Article  Google Scholar 

  3. Taib NA, Yip CH, Low WY (2014) A grounded explanation of why women present with advanced breast cancer. World J Surg 38(7):1676–1684

    Article  Google Scholar 

  4. Richard MA, Westcombe AM, Love SB et al (1999) Influences of delay on survival in patients with breast cancer: a systematic review. Lancet 353:1119–1126

    Article  Google Scholar 

  5. Lim JN et al (2015) Barriers to early presentation of self-discovered breast cancer in Singapore and Malaysia: a qualitative multicentre study. BMJ Open 5(12):e009863

    Article  Google Scholar 

  6. Dahlui M et al (2013) Breast screening and health issues among rural females in Malaysia: how much do they know and practice? Prev Med 57(Suppl):S18–S20

    Article  Google Scholar 

  7. Yeoh ZY et al (2018) Feasibility of patient navigation to improve breast cancer care in Malaysia. J Glob Oncol 4:1–13

    PubMed  Google Scholar 

  8. Blodt S et al (2018) Understanding the role of health information in patients’ experiences: secondary analysis of qualitative narrative interviews with people diagnosed with cancer in Germany. BMJ Open 8(3):e019576

    Article  Google Scholar 

  9. Padrnos L et al (2018) Living with cancer: an educational intervention in cancer patients can improve patient-reported knowledge deficit. J Cancer Educ 33(3):653–659

    Article  Google Scholar 

  10. Chan CM et al (2015) Prevalence and characteristics associated with default of treatment and follow-up in patients with cancer. Eur J Cancer Care (Engl) 24(6):938–944

    Article  CAS  Google Scholar 

  11. Cheng ML et al (2019) Adherence rate and the factors contribute toward the surgical adherence of breast cancer in Malaysia. Breast J. https://doi.org/10.1111/tbj.13617

  12. Chan CMH et al (2014) Default of cancer treatment association with psychological distress and desire for psychological support. J Clin Oncol 32(15):9567–9567. https://doi.org/10.1200/jco.2014.32.15_suppl.9567

    Article  Google Scholar 

  13. Puts MT et al (2014) Factors influencing adherence to cancer treatment in older adults with cancer: a systematic review. Ann Oncol 25(3):564–577

    Article  CAS  Google Scholar 

  14. Freund KM et al (2014) Impact of patient navigation on timely cancer care: the patient navigation research program. J Natl Cancer Inst 106(6). https://doi.org/10.1093/jnci/dju115

  15. Bleicher RJ et al (2016) Time to surgery and breast cancer survival in the United States. JAMA Oncol 2(3):330–339

    Article  Google Scholar 

  16. Rastogi P et al (2008) Preoperative chemotherapy: updates of National Surgical Adjuvant Breast and Bowel Project Protocols B-18 and B-27. J Clin Oncol 26(5):778–785

    Article  Google Scholar 

  17. (EBCTCG)., E.B.C.T.C.G (2012) Comparisons between different polychemotherapy regimens for early breast cancer: meta-analyses of long-term outcome among 100000 women in 123 randomised trials. Lancet 379(9814):432–444

    Article  Google Scholar 

  18. Srokowski TR et al (2008) Completion of adjuvant radiation therapy among women with breast cancer. Cancer 113(1):22–29

    Article  Google Scholar 

  19. Gupta D, Bhatnagar S, Mishra S (2007) Defaulting oncology patient in a multispecialty state-run hospital in India. Am J Hosp Palliat Care 24(1):59–62

    Article  Google Scholar 

  20. Chalela P et al (2018) Empowering Latina breast cancer patients to make informed decisions about clinical trials: a pilot study. Transl Behav Med 8(3):439–449

    Article  Google Scholar 

  21. Gabitova G, Burke NJ (2014) Improving healthcare empowerment through breast cancer patient navigation: a mixed methods evaluation in a safety-net setting. BMC Health Serv Res 14:407

    Article  Google Scholar 

  22. Keim-Malpass J et al (2018) Impact of patient health literacy on surgical treatment of breast cancer. Breast J 24(4):633–636

    Article  Google Scholar 

  23. Jean-Pierre P et al (2011) Understanding the processes of patient navigation to reduce disparities in cancer care: perspectives of trained navigators from the field. J Cancer Educ 26(1):111–120

    Article  Google Scholar 

  24. Freund KM et al (2008) National Cancer Institute Patient Navigation Research Program: methods, protocol, and measures. Cancer 113(12):3391–3399

    Article  Google Scholar 

  25. Campbell C et al (2010) Implementing and measuring the impact of patient navigation at a comprehensive community cancer center. Oncol Nurs Forum 37(1):61–68

    Article  Google Scholar 

  26. Koh C, Nelson JM, Cook PF (2011) Evaluation of a patient navigation program. Clin J Oncol Nurs 15(1):41–48

    Article  Google Scholar 

  27. Schlueter DF et al (2010) A qualitative evaluation of the Avon Foundation Community Education and Outreach Initiative Patient Navigation Program. J Cancer Educ 25(4):571–576

    Article  Google Scholar 

  28. Tang W et al (2017) Health literacy and functional exercise adherence in postoperative breast cancer patients. Patient Prefer Adherence 11:781–786

    Article  Google Scholar 

  29. Raj A, Ko N, Battaglia TA et al (2012) Patient navigation for underserved patients diagnosed with breast cancer. Oncologist 17:1027–1031

    Article  Google Scholar 

  30. Amudha P, Hamidah H, Ananth N et al (2018) Effective Communication between nurses and doctors: barriers as perceived by nurses. J Nurs Care 2167–1168. https://doi.org/10.4172/2167-1168.1000455

  31. Freeman HP (2012) The origin, evolution, and principles of patient navigation. Cancer Epidemiol Biomark Prev 21(10):1614–1617

    Article  Google Scholar 

  32. Stanley S et al (2013) Reducing barriers to breast cancer care through Avon patient navigation programs. J Public Health Manag Pract 19(5):461–467

    Article  Google Scholar 

  33. Inthira Purusothaman LPH (2013) Development of concept among clinical nurses practitioners (CNS) in Malaysia. Malays J Nurs 5(1):12–15. https://ejournal.lucp.net/index.php/mjn/article/view/540/507

  34. Information and Navigation for Treatment of Breast Cancer in University Malaya Medical Centre https://www.youtube.com/watch?v=iYJJPV_5nw4&t=5s. Accessed 14 Aug 2020

Download references

Acknowledgments

The authors wish to thank UMMC doctors, nurses, technical staff, hospital administration staff, and volunteers who contributed to the project.

Funding

The making of the CD was funded by the Breast Cancer Research Incentive Funds, and the printing of CD was funded by the Department of Surgery and Oncology Dept., UMMC. The study was also supported by High Impact Research Grant (UM.C/HIR/MOHE/06) from the Ministry of Education, Malaysia.

Author information

Authors and Affiliations

  1. Department of Surgery, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia

    Tania Islam, Suhaida Musthaffa, See Mee Hoong, Jasmine Filza, Suniza Jamaris, Mao Li Cheng, Faizah Harun, Noraizam Abdullah Din, Zarinah Abd Rahman, Kamar Noraini Mohamed & Nur Aishah Taib

  2. Department of Oncology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia

    Gwo Fuang Ho

  3. Breast Cancer Welfare Association Malaysia (BCWA), Selangor, Malaysia

    Ranjit Kaur

  4. UM Cancer Research Institute (UMCRI), Kuala Lumpur, Malaysia

    Nur Aishah Taib

Authors
  1. Tania Islam
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Suhaida Musthaffa
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. See Mee Hoong
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jasmine Filza
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Suniza Jamaris
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Mao Li Cheng
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Faizah Harun
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Noraizam Abdullah Din
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Zarinah Abd Rahman
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Kamar Noraini Mohamed
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. Gwo Fuang Ho
    View author publications

    You can also search for this author in PubMed Google Scholar

  12. Ranjit Kaur
    View author publications

    You can also search for this author in PubMed Google Scholar

  13. Nur Aishah Taib
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

Conception and design: Nur Aishah Taib, Ranjit Kaur, and Tania Islam

Collection and assembly of data: See Mee Hoong, Suniza Jamaris, Suhaida Musthaffa, Noraizam Abdullah Din, Zarinah Abd Rahman, Kamar Noraini bt Mohamed, Jasmine Filza, Mao Li Cheng, Faizah Harun, Gwo Fuang Ho, and Tania Islam

Data analysis and interpretation: Tania Islam and Nur Aishah Taib

Manuscript writing: All authors

Final approval of manuscript: All authors

Accountable for all aspects of the work: All authors

Corresponding author

Correspondence to Nur Aishah Taib.

Ethics declarations

The completion and return of the questionnaire was regarded as consent to participate in this study. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration.

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Islam, T., Musthaffa, S., Hoong, S.M. et al. Development and evaluation of a sustainable video health education program for newly diagnosed breast cancer patients in Malaysia. Support Care Cancer 29, 2631–2638 (2021). https://doi.org/10.1007/s00520-020-05776-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00520-020-05776-4

Keywords

Search

Navigation