Perceived usefulness of online videos for hereditary breast cancer communication in Japan: Patient and provider perspectives.

چکیده اصلی

OBJECTIVES: Evidence-based online videos may supplement hereditary breast cancer (BC) communication, but their perceived usefulness in Japan is unclear. We assessed information sources, perceived comprehension, family communication intentions, and stated willingness to use online videos among women in an online cancer peer-support community and healthcare providers. STUDY DESIGN: Cross-sectional online survey. METHODS: We surveyed female patients in a Japanese online peer-support community for women with breast, cervical, or ovarian cancers (January-February 2024) and healthcare providers recruited at a national BC meeting (June-July 2023). Items addressed information sources, perceived understanding of BC genetics, shared treatment decision-making, family communication intentions, preferred educational formats, and willingness to use evidence-based online videos. Analyses were descriptive, and item-specific denominators were used. RESULTS: Among 375 patient respondents, 88.7% (251/283) reported understanding of BC genetics, whereas 28.1% (64/228) reported difficulty understanding some aspects. Physicians and medical institutions were the most trusted information source, although internet use was common. Among respondents to the decision-making item, 51.8% (118/228) reported being able to make their own treatment decisions and 30.7% (70/228) reported being able to do so to some extent. Most respondents intended to share genetic information with adult family members (72.5%, 272/375) and, where applicable, adolescent family members (65.5%, 74/113). Among providers, 20.0% (6/30) felt able to convey all necessary information in routine practice, while 86.7% (26/30) were interested in using online video resources. Providers prioritized clarity, evidence-based content, and text-and-illustration materials. CONCLUSIONS: In two selected samples, patients and providers supported evidence-based online videos as an adjunct to hereditary BC communication. Findings reflect self-selected respondents already engaged with digital health information or educational resources and should not be generalized to broader Japanese patient or provider populations. Prospective studies using validated measures are needed to evaluate implementation strategies and effects on knowledge, decisional conflict, anxiety, and family communication.

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