Journal of Cancer Education

, Volume 34, Issue 6, pp 1234–1240 | Cite as

Evaluating the Effect of a Video Education Curriculum for First Time Breast Cancer Patients: a Prospective RCT Feasibility Study

  • Nika SulakvelidzeEmail author
  • Brian Burdick
  • Virginia Kaklamani
  • Kay Tilton
  • Kelsey Baker
  • Janice Kim
  • Sara Javid
  • Julie R. Gralow


Newly diagnosed breast cancer patients seek information through a variety of sources. In this small pilot study, we evaluated the feasibility of providing personalizable breast cancer video education prior to the first oncology consultation and compared outcomes to patients receiving standard of care educational materials. Personalized videos included detailed information on a patient’s specific grade, stage, and tumor subtype (e.g., grade 2, stage 3, triple negative breast cancer) in addition to general videos that defined the terms of grade, stage, and cancer subtype. Newly diagnosed breast cancer patients who were scheduled for an initial oncology appointment at two sites were enrolled in this prospective, randomized control trial. Twenty-eight patients were assigned to receive either video education (experimental group) with the possibility of personalization or a video explaining how to view cancer education materials at the cancer center website (control group). Sixteen oncologists at the two centers also participated in evaluating patient outcomes. Pre- and post-education surveys queried patient-perceived understanding of breast cancer and treatment, perceived ability for decision-making, confidence in providers, and anxiety and depression symptoms. We observed that patients given video education had greater improvements in some of these areas, with the biggest improvement seen in patients who received a personalized video on their specific tumor subtype (based on tumor receptor status). Overall, however, there were no statistically significant differences between the study groups. We conclude that providing personalized video education during the time prior to first oncologic consultation is feasible and may provide benefit for patients, especially for explaining complex components of a diagnosis, such as a cancer subtype. Further research is needed to determine how to optimally provide education tailored to a given patient and tumor type, and how to leverage patients’ electronic devices as an education delivery vehicle.


Breast cancer Breast cancer education Video education Cancer education 



The authors would like to gratefully acknowledge Katie Fitzmaurice at the Seattle Cancer Care Alliance for her generous administrative support throughout this project.

Compliance with Ethical Standards

Ethical Approval

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 and its later amendments or comparable ethical standards.

Supplementary material

13187_2019_1578_MOESM1_ESM.docx (162 kb)
ESM 1 (DOCX 162 kb)
13187_2019_1578_MOESM2_ESM.docx (16 kb)
ESM 2 (DOCX 16 kb)


  1. 1.
    Klikovac T, Djurdjevic A (2010) Psychological aspects of the cancer patients’ education: thoughts, feelings, behavior and body reactions of patients faced with diagnosis of cancer. J BUON 15:153–156PubMedGoogle Scholar
  2. 2.
    Mitchell A, Chan M, Bhatti H et al (2011) Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies. Lancet Oncol 12:160–174CrossRefGoogle Scholar
  3. 3.
    National Assessment of Adult Literacy (NAAL). National Center for Education Statistics, U.S. Department of Education, 2003,
  4. 4.
    Singh J (2003) Reading grade level and readability of printed cancer education materials. Oncol Nurs Forum 30:867–870CrossRefGoogle Scholar
  5. 5.
    Rawl SM, Given BA, Given CW, Champion VL, Kozachik SL, Barton D, Emsley CL, Williams SD (2002) Intervention to improve psychological functioning for newly diagnosed patients with cancer. Oncol Nurs Forum 29(6):967–975CrossRefGoogle Scholar
  6. 6.
    Hahn CA, Fish LJ, Dunn RH et al (2004) Prospective trial of a video educational tool for radiation oncology patients. Int J Radiat Oncol Biol Phys 60(1):S554–S555CrossRefGoogle Scholar
  7. 7.
    Thomas R, Daly M, Perryman B, Stockton D (2000) Forewarned is forearmed—benefits of preparatory information on video cassette for patients receiving chemotherapy or radiotherapy—a randomized controlled trial. Eur J Cancer 36(12):1536–1543CrossRefGoogle Scholar
  8. 8.
    Matsuyama RK, Lyckholm LJ, Molisani A, Moghanaki D (2013) The value of an educational video before consultation with a radiation oncologist. J Cancer Educ 28(2):306–313CrossRefGoogle Scholar
  9. 9.
    Dawdy K, Bonin K, Russell S et al (2016) Developing and evaluating multimedia patient education tools to better prepare prostate-cancer patients for radiotherapy treatment (randomized study). J Cancer Educ 33(3):551–556CrossRefGoogle Scholar
  10. 10.
    Du W, Mood D, Gadgeel S, Simon MS (2009) An educational video to increase clinical trials enrollment among breast cancer patients. Breast Cancer Res Treat 117:339–347CrossRefGoogle Scholar
  11. 11.
    Kinnane N, Stuart E, Thompson L, Evans K et al (2008) Evaluation of the addition of video-based education for patients receiving standard pre-chemotherapy education. Eur J Cancer Care 17:328–339CrossRefGoogle Scholar
  12. 12.
    Partin MR, Nelson D, Radosevich D, Nelson D, Radosevich D, Nugent S, Flood AB, Dillon N, Holtzman J, Haas M, Wilt TJ (2004) Randomized trial examining the effect of two prostate cancer screening educational interventions on patient knowledge, preferences, and behaviors. J Gen Intern Med 19:835–842CrossRefGoogle Scholar
  13. 13.
    Bouton ME, Shirah GR, Nodora J, Pond E, Hsu C-H, Klemens AE, Martinez ME, Komenaka IK (2012) Implementation of educational video improves patient understanding of basic breast cancer concepts in an undereducated county hospital population. J Surg Oncol 105:48–54CrossRefGoogle Scholar
  14. 14.
    Highest educational levels reached by adults in the U.S. since 1940. (2017). United States Census Bureau.

Copyright information

© American Association for Cancer Education 2019

Authors and Affiliations

  1. 1.University of Washington School of MedicineSeattleUSA
  2. 2.Department of Medicine, Division of Hematology and OncologyUniversity of Texas Health Science Center - San AntonioSan AntonioUSA
  3. 3.Division of Breast OncologySeattle Cancer Care AllianceSeattleUSA
  4. 4.Division of Clinical ResearchFred Hutchinson Cancer Research CenterSeattleUSA
  5. 5.Department of Radiation OncologyUniversity of Washington School of MedicineSeattleUSA
  6. 6.Department of Surgery, Division of OncologyUniversity of Washington School of MedicineSeattleUSA
  7. 7.Department of Medicine, Division of Medical OncologyUniversity of Washington School of MedicineSeattleUSA

Personalised recommendations