. 2020 Jan;11(1):85-99.

doi: 10.1007/s12687-019-00423-w. Epub 2019 May 18.

Developing a culturally targeted video to enhance the use of genetic counseling in Latina women at increased risk for hereditary breast and ovarian cancer

Alejandra Hurtado-de-Mendoza^{1

2}, Kristi D Graves^{3

4}, Sara Gómez-Trillos^{3

4}, Minna Song³, Lyndsay Anderson⁵, Claudia Campos⁶, Pilar Carrera⁷, Nancy Ostrove⁸, Beth N Peshkin^{3

4}, Marc D Schwartz^{3

4}, Nan Ficca⁹, Ana-Paula Cupertino¹⁰, Nathaly Gonzalez^{3

11}, Andrea Otero¹², Elmer Huerta¹³, Vanessa B Sheppard¹⁴

Affiliations

¹ Department of Oncology, Georgetown Lombardi Comprehensive Cancer Center, Georgetown University, 3300 Whitehaven Street, Suite 4100, Washington, DC, 20007, USA. ahd28@georgetown.edu.
² Jess and Mildred Fisher Center for Hereditary Cancer and Clinical Cancer Genomics, Washington, DC, USA. ahd28@georgetown.edu.
³ Department of Oncology, Georgetown Lombardi Comprehensive Cancer Center, Georgetown University, 3300 Whitehaven Street, Suite 4100, Washington, DC, 20007, USA.
⁴ Jess and Mildred Fisher Center for Hereditary Cancer and Clinical Cancer Genomics, Washington, DC, USA.
⁵ Department of Nursing, California State University, Sacramento, USA.
⁶ Nueva Vida, DC Office-Alexandria, 206 N. Washington St. Suite 300, Alexandria, VA, 22314, USA.
⁷ Department of Psychology, Universidad Autonoma de Madrid, Madrid, Spain.
⁸ EXPRE, LLC, Gaithersburg, MD, USA.
⁹ National Conservatory of Dramatic Arts, Washington, DC, USA.
¹⁰ Cancer Prevention and Control Program, John Theurer Cancer Center, Hackensack University Medical Center, Hackensack, NJ, USA.
¹¹ Capital Breast Cancer Center, 1000 New Jersey Ave, SE, Washington, DC, USA.
¹² Instituto de Medicina Oncológica y Molecular de Asturias (IMOMA), Av. Richard Grandío, 33193, Oviedo (Asturias), Spain.
¹³ Cancer Preventorium, Washington Cancer Institute, MedStar Washington Hospital Center, 110 Irving St, NW, Washington, DC, USA.
¹⁴ Department of Health Behavior Policy, Virginia Commonwealth University, Richmond, VA, USA.

PMID: 31104207
PMCID: PMC6962403
DOI: 10.1007/s12687-019-00423-w

Developing a culturally targeted video to enhance the use of genetic counseling in Latina women at increased risk for hereditary breast and ovarian cancer

Alejandra Hurtado-de-Mendoza et al. J Community Genet. 2020 Jan.

. 2020 Jan;11(1):85-99.

doi: 10.1007/s12687-019-00423-w. Epub 2019 May 18.

Authors

Affiliations

¹ Department of Oncology, Georgetown Lombardi Comprehensive Cancer Center, Georgetown University, 3300 Whitehaven Street, Suite 4100, Washington, DC, 20007, USA. ahd28@georgetown.edu.
² Jess and Mildred Fisher Center for Hereditary Cancer and Clinical Cancer Genomics, Washington, DC, USA. ahd28@georgetown.edu.
³ Department of Oncology, Georgetown Lombardi Comprehensive Cancer Center, Georgetown University, 3300 Whitehaven Street, Suite 4100, Washington, DC, 20007, USA.
⁴ Jess and Mildred Fisher Center for Hereditary Cancer and Clinical Cancer Genomics, Washington, DC, USA.
⁵ Department of Nursing, California State University, Sacramento, USA.
⁶ Nueva Vida, DC Office-Alexandria, 206 N. Washington St. Suite 300, Alexandria, VA, 22314, USA.
⁷ Department of Psychology, Universidad Autonoma de Madrid, Madrid, Spain.
⁸ EXPRE, LLC, Gaithersburg, MD, USA.
⁹ National Conservatory of Dramatic Arts, Washington, DC, USA.
¹⁰ Cancer Prevention and Control Program, John Theurer Cancer Center, Hackensack University Medical Center, Hackensack, NJ, USA.
¹¹ Capital Breast Cancer Center, 1000 New Jersey Ave, SE, Washington, DC, USA.
¹² Instituto de Medicina Oncológica y Molecular de Asturias (IMOMA), Av. Richard Grandío, 33193, Oviedo (Asturias), Spain.
¹³ Cancer Preventorium, Washington Cancer Institute, MedStar Washington Hospital Center, 110 Irving St, NW, Washington, DC, USA.
¹⁴ Department of Health Behavior Policy, Virginia Commonwealth University, Richmond, VA, USA.

PMID: 31104207
PMCID: PMC6962403
DOI: 10.1007/s12687-019-00423-w

Abstract

Disparities for genetic cancer risk assessment (GCRA) for hereditary breast and ovarian cancer (HBOC) persist between Latina and non-Hispanic Whites. There are few tested culturally targeted interventions. We developed a culturally targeted video to enhance GCRA uptake in at-risk Latinas. Interviews with healthcare providers (n = 20) and at-risk Latinas (n = 20) were conducted as formative research to inform the development of the video. Findings from the formative research, health behavior conceptual models, and evidence-based risk communication strategies informed the messages for the script. Then, we conducted a focus group with at-risk Latinas (n = 7) to obtain feedback for final refinement of the script. The final video was piloted for acceptability and potential dissemination in a sample of Latino community health workers (CHWs) (n = 31). Providers and at-risk Latinas suggested using simple language and visual aids to facilitate comprehension. Participants in the focus group identified areas for further clarification (e.g., cost). The result was an 18-min video that illustrates "Rosa's" story. Rosa learns about HBOC risk factors and overcomes barriers to attend genetic counseling. CHWs reported high overall satisfaction with the video (M = 9.61, SD = .88, range 1-10). A culturally targeted video has the potential to reach underserved populations with low literacy and English proficiency.

Keywords: Genetic counseling; Health disparities; Hereditary breast and ovarian cancer; Intervention, translational genomics, health communication; Latinas.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

**Fig. 1**
Flow chart. ^aSocial cognitive theory. ^bTheory of planned behavior

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Comment in

Developing effective and efficient genomic educational tools for our diverse population.
Wynn J, Chung WK. Wynn J, et al. Ann Transl Med. 2019 Dec;7(Suppl 8):S304. doi: 10.21037/atm.2019.10.98. Ann Transl Med. 2019. PMID: 32016023 Free PMC article. No abstract available.

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Developing a culturally targeted video to enhance the use of genetic counseling in Latina women at increased risk for hereditary breast and ovarian cancer

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Developing a culturally targeted video to enhance the use of genetic counseling in Latina women at increased risk for hereditary breast and ovarian cancer

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