Advertisement

Impact of a Multimedia e-Learning Module on Colon Cancer Literacy: A Community-Based Pilot Study

      Background

      We aimed to determine if an e-learning module could improve colon cancer literacy in a community-based cohort, while obtaining variability estimates for subsequent study.

      Methods

      A convenience sample of subjects attending a health-education fair was surveyed to determine colon cancer literacy before-and-after viewing a colon cancer e-learning module. The difference in cancer literacy scores was assessed for significance using univariate analysis.

      Results

      Twenty-two eligible subjects completed the survey: mean age 77.2±7.5 y, 55% women; 67% had at least some graduate-level education. Baseline colon cancer literacy was 72.6% ± 11.6%; after the e-learning module, the mean colon cancer literacy score was 75.5% ± 12.2%, representing a 3% improvement (P=0.33). After excluding a single problematic item identified by item analysis, the adjusted improvement was 7% (P=0.04). Invasiveness, malignant, and metastatic remained poorly understood concepts, while a large improvement (45%) was seen regarding the role of routine lymphadenectomy. Subject satisfaction with the module was universally (100%) high or very high.

      Conclusions

      Use of an e-learning module is associated with high patient satisfaction, and has potential to improve colon cancer literacy in laypersons. Randomized study is warranted to determine the incremental impact of this and other multimedia educational interventions.

      Key Words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Surgical Research
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Cook D.A.
        • McDonald F.S.
        E-learning: Is there anything special about the “E”?.
        Perspect Biol Med. 2008; 51: 5
        • Agre P.
        • Dougherty J.
        • Pirone J.
        Creating a CD-ROM program for cancer-related patient education.
        Oncol Nurs Forum. 2002; 29: 573
        • Goodwin J.S.
        • Samet J.M.
        • Hunt W.C.
        Determinants of survival in older cancer patients.
        J Natl Cancer Inst. 1996; 88: 1031
        • Sturdee D.W.
        The importance of patient education in improving compliance.
        Climacteric. 2000; 3: 9
        • Geller B.M.
        • Skelly J.M.
        • Dorwaldt A.L.
        • et al.
        Increasing patient/physician communications about colorectal cancer screening in rural primary care practices.
        Med Care. 2008; 46: S36
        • Kim J.
        • Whitney A.
        • Hayter S.
        • et al.
        Development and initial testing of a computer-based patient decision aid to promote colorectal cancer screening for primary care practice.
        BMC Med Inform Decis Mak. 2005; 5: 36
        • DePalma A.
        Prostate cancer shared decision: A CD-ROM educational and decision-assisting tool for men with prostate cancer.
        Semin Urol Oncol. 2000; 18: 178
        • Molenaar S.
        • Sprangers M.A.
        • Rutgers E.J.
        • et al.
        Decision support for patients with early-stage breast cancer: Effects of an interactive breast cancer CDROM on treatment decision, satisfaction, and quality of life.
        J Clin Oncol. 2001; 19: 1676
      1. Etzioni D, B. R., Ault G. The impact of an aging population on the demand for colorectal aervices. Proceedings of the American Society of Colorectal Surgeons, Tripartite Meeting, Boston, MA, June 2008.

        • Williams Jr., T.E.
        • Ellison E.C.
        Population analysis predicts a future critical shortage of general surgeons.
        Surgery. 2008; 144 (discussion 554): 548
        • Meade C.D.
        • McKinney W.P.
        • Barnas G.P.
        Educating patients with limited literacy skills: The effectiveness of printed and videotaped materials about colon cancer.
        Am J Public Health. 1994; 84: 119
        • Devine E.C.
        Effects of psychoeducational care for adult surgical patients: A meta-analysis of 191 studies.
        Patient Educ Couns. 1992; 19: 129
        • Daltroy L.H.
        • Morlino C.I.
        • Eaton H.M.
        • et al.
        Preoperative education for total hip and knee replacement patients.
        Arthritis Care Res. 1998; 11: 469
        • Iversen M.D.
        • Daltroy L.H.
        • Fossel A.H.
        • et al.
        The prognostic importance of patient preoperative expectations of surgery for lumbar spinal stenosis.
        Patient Educ Couns. 1998; 34: 169
        • Schroy III, P.C.
        • Glick J.T.
        • Wilson S.
        • et al.
        An effective educational strategy for improving knowledge, risk perception, and risk communication among colorectal adenoma patients.
        J Clin Gastroenterol. 2008; 42: 708
        • Kolasa K.M.
        • Jobe A.C.
        • Miller M.G.
        Using computer technology for nutrition education and cancer prevention.
        Acad Med. 1996; 71: 525
        • Thompson A.R.
        • Savidge M.A.
        • Fulper-Smith M.
        • et al.
        Testing a multimedia module in cancer pain management.
        J Cancer Educ. 1999; 14: 161
        • Wang C.
        • Gonzalez R.
        • Milliron K.J.
        • et al.
        Genetic counseling for BRCA1/2: A randomized controlled trial of two strategies to facilitate the education and counseling process.
        Am J Med Genet A. 2005; 134: 66
        • Cumbo A.
        • Agre P.
        • Dougherty J.
        • et al.
        Online cancer patient education: Evaluating usability and content.
        Cancer Pract. 2002; 10: 155
        • Cima R.R.
        • Anderson K.J.
        • Larson D.W.
        • et al.
        Internet use by patients in an inflammatory bowel disease specialty clinic.
        Inflamm Bowel Dis. 2007; 13: 1266
        • Lambing A.
        • Markey C.A.
        • Neslund-Dudas C.M.
        • et al.
        Completing a life: Comfort level and ease of use of a CD-ROM among seriously ill patients.
        Oncol Nurs Forum. 2006; 33: 999
        • Kinsey T.
        • Jemal A.
        • Liff J.
        • et al.
        Secular trends in mortality from common cancers in the United States by educational attainment, 1993-2001.
        J Natl Cancer Inst. 2008; 100: 1003
        • Albano J.D.
        • Ward E.
        • Jemal A.
        • et al.
        Cancer mortality in the United States by education level and race.
        J Natl Cancer Inst. 2007; 99: 1384
        • Lincourt A.E.
        • Sing R.F.
        • Kercher K.W.
        • et al.
        Association of demographic and treatment variables in long-term colon cancer survival.
        Surg Innov. 2008; 15: 17
        • Cambell R.J.
        • Wabby J.
        The elderly and the internet: A case study.
        Internet J Health. 2003; : 3