Adaptation of a Multimedia Chemotherapy Educational Intervention for Latinos: Letting Patient Narratives Speak for Themselves

Richard E Leiter; Maria Teresa Bejarano Varas; Keysha Miralda; Yudy Muneton-Castano; Grace Furtado; Anna Revette; Christine Cronin; Heloisa P Soares; Athalia Lopez; Laura L Hayman; Ana Cristina Lindsay; Deborah Schrag; Andrea C Enzinger

doi:10.1007/s13187-023-02270-3

Adaptation of a Multimedia Chemotherapy Educational Intervention for Latinos: Letting Patient Narratives Speak for Themselves

J Cancer Educ. 2023 Aug;38(4):1353-1362. doi: 10.1007/s13187-023-02270-3. Epub 2023 Feb 11.

Authors

Richard E Leiter^{1

2

3}, Maria Teresa Bejarano Varas^{4

5}, Keysha Miralda⁶, Yudy Muneton-Castano⁷, Grace Furtado⁸, Anna Revette⁹, Christine Cronin⁹, Heloisa P Soares¹⁰, Athalia Lopez¹¹, Laura L Hayman¹², Ana Cristina Lindsay¹³, Deborah Schrag¹⁴, Andrea C Enzinger^{15

16

17

9}

Affiliations

¹ Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, 450 Brookline Ave, Jimmy Fund 805A, MA, 02215, Boston, USA. Richard_leiter@dfci.harvard.edu.
² Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA. Richard_leiter@dfci.harvard.edu.
³ Harvard Medical School, Boston, MA, USA. Richard_leiter@dfci.harvard.edu.
⁴ Department of Oncology Hospital Medicine, Dana-Farber Cancer Institute, Boston, MA, USA.
⁵ Department of Medicine, Boston Medical Center, Boston, MA, USA.
⁶ Department of Nursing and Patient Care Services, Dana-Farber Cancer Institute, Boston, MA, USA.
⁷ Social Work Department, Boston Children's Hospital, Boston, MA, USA.
⁸ College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, MA, USA.
⁹ Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
¹⁰ Division of Oncology, Huntsman Cancer Institute at University of Utah, Salt Lake City, UT, USA.
¹¹ Department of Patient Care Services, Brigham and Women's Hospital, Boston, MA, USA.
¹² Department of Nursing, College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, MA, USA.
¹³ Department of Exercise and Health Sciences, College of Nursing and Health Sciences, University of Massachusetts Boston, Boston, MA, USA.
¹⁴ Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
¹⁵ Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, 450 Brookline Ave, Jimmy Fund 805A, MA, 02215, Boston, USA.
¹⁶ Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
¹⁷ Harvard Medical School, Boston, MA, USA.

Abstract

This study aims to adapt a video-based, multimedia chemotherapy educational intervention to meet the needs of US Latinos with advanced gastrointestinal malignancies. A five-step hybrid adaptation process involved (1) creating a multidisciplinary team with diverse Latino subject experts, (2) appraising the parent intervention, (3) identifying key cultural considerations from a systematic literature review and semi-structured Latino patient/caregiver interviews, (4) revising the intervention, highlighting culturally relevant themes through video interviews with Latino cancer patients, and (5) target population review with responsive revisions. We developed a suite of videos, booklets, and websites available in English and Spanish, which convey the risks and benefits of common chemotherapy regimens. After revising the English materials, we translated them into Spanish using a multi-step process. The intervention centers upon conversations with 12 Latino patients about their treatment experiences; video clips highlight culturally relevant themes (personalismo, familismo, faith, communication gaps, prognostic information preferences) identified during the third adaptation step. The adapted intervention materials included a new section on coping, and one titled "how to feel the best you can feel," which reviews principles of side effect management, self-advocacy, proactive communication, and palliative care. Ten Latinos with advanced malignancies reviewed the intervention and found it to be easily understandable, relatable, and helpful. A five-step hybrid model was successful in adapting a chemotherapy educational intervention for Latinos. Incorporation of video interviews with Latino patients enabled the authentic representation of salient cultural themes. Use of authentic patient narratives can be useful for cross-cultural intervention adaptations.

Keywords: Chemotherapy; Communication; Decision-making; Disparities; Hispanics/Latinos; Medical oncology.

Publication types

Systematic Review
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

MeSH terms

Drug Therapy
Hispanic or Latino
Humans
Multimedia*
Neoplasms* / drug therapy
Patient Education as Topic*

Abstract

Publication types

MeSH terms

Grants and funding