Paper
Thursday, July 12, 2007
This presentation is part of : Nursing Informatics Initiatives
Development and Testing of an Interactive DVD
Susan Steele, DNS, APRN, AOCN, School of Nursing, LSU Health Sciences Center, New Orleans, LA, USA, Victoria Champion, DNS, RN, FAAN, Center for Research and Scholarship, Indiana University: School of Nursing, Indianapolis, IN, USA, Celette Sugg Skinner, PhD, Duke Comprehensive Cancer Center, Duke University, Durham, NC, USA, Susan Rawl, PhD, RN, School of Nursing, Indiana University, Indianapolis, IN, USA, Jeffrey K. Springston, PhD, College of Journalism and Mass Communication, University of Georgia, Athens, GA, USA, and Adam H. Buchanan, MS, MPH, Duke Comprehensive Cancer Center, Duke University Medical Center, Durham, NC, USA.
Learning Objective #1: discuss the development and testing of a theory based tailored interactive medium.
Learning Objective #2: relate the role of interactive computerized programs to screening education.

Purpose:  The purpose of this paper is to report on the development and testing of a tailored interactive DVD to promote mammography adherence.  Vignettes from the DVD will be incorporated into the presentation.

Background/Rationale: Interactive tailored media is a new innovative approach to deliver health teaching messages.   The recent literature supports the use of interactive computerized programs as a medium for tailored health promotion interventions to allow individuals to use the program's information in accordance with their individual needs and interests. 

Development and Testing: Using the Health Belief Model, a tailored interactive DVD was developed by multi-disciplinary researcher team and an experienced professional multimedia firm to promote breast cancer screening.  The DVD's usability was evaluated by assessing ease of use, content (leveling and appropriateness), aesthetic appeal, and cultural relevance through focus groups and individual telephone interviews.  A total of 26 women, twenty Caucasian and six African American, who ranged from 40 to 65, evaluated the experiential user interface of the DVD.  The responses of participants and the content experts guided fine-tuning of the narrative and program operation.

Conclusion: Overall the women found the DVD was easy to use with clear and readable graphs, provided meaningful information, and was believable and understandable.  Based on user input, women recommended revisions to the DVD, which included realism related to the actresses' role functions and personal histories, adding additional positive reinforcement for women with limited barriers to mammography, and suggestions to enhance flow and resonance.

Implications and Recommendations:  Development of tailored interactive media is costly and labor intensive; however, its utility as an effective intervention strategy may be beneficial.  A randomized controlled research study is currently comparing the effect of the DVD compared to telephone counseling to promote mammography adherence. 

Funding Source:  5R01NR008434-02

 

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