This paper presents a process evaluation of a culturally targeted narrative video about hereditary breast and ovarian cancer (HBOC) for Latina women at risk for HBOC. Spanish-speaking Latina women at risk for HBOC participated in a single arm study (n = 40). Participants watched the video developed by the authors and responded to surveys. We used mixed methods to assess theoretical constructs that are hypothesized mediators of narrative interventions (i.e., transportation or engagement, identification with characters, emotions) and implementation outcomes (e.g., acceptability). Descriptive statistics summarized theoretical constructs and implementation outcomes. We conducted Mann–Whitney U tests to assess the differences in theoretical and implementation outcomes between participants who were affected versus. unaffected and participants with different levels of education and health literacy. We used the consensual qualitative research framework to analyze qualitative data. Participants’ mean age was 47.1 years (SD = 9.48). Most participants were high school graduates or less (62.5%). Acceptability of the video was extremely high (Md = 10.0, IQR = 0.2, scale 1–10). Most (82.5%) suggested video dissemination be through social media. Participants were highly engaged (Md = 5.7, IQR = 1.5, scale 1–7), strongly identified with the main character (Md = 8.7, IQR = 2.6, scale 1–10), and reported experiencing mostly positive emotions (Md = 9.5, IQR = 2.8, scale 1–10). Participants with low health literacy and affected participants reported a significantly higher identification with the main character (p<.05). Qualitative data reinforced the quantitative findings. Women reported gaining knowledge, correcting misconceptions, and feeling empowered. Our culturally targeted video is highly acceptable and targets mechanisms of behavior change for narrative interventions. The video is easily disseminable and can be used as an education tool for patients including affected and unaffected women and patients with different education and health literacy levels. Future studies should test the impact of the video in enhancing genetic counseling and testing uptake.

中文翻译：

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针对有遗传性乳腺癌和卵巢癌风险的拉丁裔的文化针对性视频的过程评估

本文介绍了针对有 HBOC 风险的拉丁裔女性的关于遗传性乳腺癌和卵巢癌 (HBOC) 的具有文化针对性的叙事视频的过程评估。有 HBOC 风险的讲西班牙语的拉丁裔女性参加了一项单臂研究（n = 40）。参与者观看了作者制作的视频并对调查做出回应。我们使用混合方法来评估理论结构，这些理论结构是假设的叙事干预（即交通或参与、对角色的认同、情绪）和实施结果（例如，可接受性）的中介。描述性统计总结了理论结构和实施结果。我们进行了 Mann-Whitney U 检验，以评估受影响的参与者与未受影响的参与者之间在理论和实施结果上的差异。未受影响和具有不同教育水平和健康素养的参与者。我们使用共识定性研究框架来分析定性数据。参与者的平均年龄为 47.1 岁 ( SD = 9.48）。大多数参与者是高中毕业或以下（62.5%）。视频的可接受性非常高（Md  = 10.0，IQR  = 0.2，等级 1-10）。大多数 (82.5%) 建议通过社交媒体传播视频。参与者的参与度很高（Md  = 5.7，IQR  = 1.5，量表 1-7），强烈认同主角（Md  = 8.7，IQR  = 2.6，量表 1-10），并报告主要体验积极情绪（Md  = 9.5 , IQR  = 2.8, 等级 1–10)。健康素养低的参与者和受影响的参与者报告了对主要角色的明显更高的认同（p<.05). 定性数据强化了定量研究结果。女性报告说获得了知识、纠正了误解并感到被赋予了权力。我们以文化为目标的视频是高度可接受的，并且针对叙事干预的行为改变机制。该视频易于传播，可用作患者的教育工具，包括受影响和未受影响的妇女以及具有不同教育和健康素养水平的患者。未来的研究应该测试视频在加强遗传咨询和检测吸收方面的影响。