Abstract
Treating latent tuberculosis infection (LTBI) in those at risk is an important yet challenging cornerstone of TB elimination. We evaluated a culturally-tailored, multi-lingual, 4.5-min, health promotional video on LTBI. Mixed methods study assessed use of the video with web-analytics, acceptability of content through interviews and survey questions, and compared knowledge scores in viewers and non-viewers using a survey. The video was viewed 6999 times in six languages over 1 year. Of 1598 survey respondents, 193 viewers had a mean knowledge score of 59%, compared to 38% in non-viewers. Eighty-four percent of viewers rated the video as helpful. When controlling for other factors, viewing the video was associated with a 1.04 (95% CI 0.85–1.26) or a 21% increase in a knowledge score. Qualitative data suggested the video was acceptable and may facilitate behavior change. This online, educational video shows promise as a tool to supplement clinical care.
Similar content being viewed by others
References
WHO. Tuberculosis [Internet]. WHO. [cited 2014 Dec 30]. http://www.who.int/mediacentre/factsheets/fs104/en/.
Public Health Agency of Canada & The Lung Association,. Canadian Tuberculosis Standards, 7th ed. [Internet]. 2014 [cited 2015 Feb 13]. http://strauss.ca/OEMAC/wp-content/uploads/2013/11/Canadian_TB_Standards_7th-edition_English.pdf.
BC Centre for Disease Control. TB in British Columbia: Annual Surveillance Report 2012–2013. [Internet]. 2014 [cited 2016 Apr 28]. http://www.bccdc.ca/resource-gallery/Documents/Statistics%20and%20Research/Statistics%20and%20Reports/TB/TB_Annual_Report_2012-2013.pdf.
BC Centre for Disease Control TB Surveillance Data Steward. Personal communication. 2014.
Roth D, Johnston J, Cook VJ. TB in foreign-born patients. BC Med J. BCMJ. 2012;54(8):387–8.
BC Centre for Disease Control. Tuberculosis Control 2005–2008 Annual Report [Internet]. 2008 [cited 2016 May 7]. http://www.bccdc.ca/resource-gallery/Documents/Statistics%20and%20Research/Statistics%20and%20Reports/TB/2005_2008MultiAnnualTBReport_LowResAmended_Nov10.pdf.
WHO | Framework towards tuberculosis elimination in low-incidence countries [Internet],. WHO. [cited 2015 Apr 21]. http://www.who.int/tb/publications/elimination_framework/en/.
Getahun H, Matteelli A, Abubakar I, Aziz MA, Baddeley A, Barreira D, et al. Management of latent Mycobacterium tuberculosis infection: WHO guidelines for low tuberculosis burden countries. Eur Respir J. 2015;46(6):1563–76.
Colson PW, Franks J, Sondengam R, Hirsch-Moverman Y, El-Sadr W. Tuberculosis knowledge, attitudes, and beliefs in foreign-born and US-born patients with latent tuberculosis infection. J Immigr Minor Health. 2010;12(6):859–66.
Ailinger RL, Moore JB, Nguyen N, Lasus H. Adherence to Latent tuberculosis infection therapy among latino immigrants. Public Health Nurs. 2006;23(4):307–13.
Hirsch-Moverman Y, Daftary A, Franks J, Colson PW. Adherence to treatment for latent tuberculosis infection: systematic review of studies in the US and Canada [Review article]. Int J Tuberc Lung Dis. 2008;12(11):1235–54.
Targeted tuberculin testing and treatment of latent tuberculosis infection. Am J Respir Crit Care Med. 2000;161(supplement_3):S221–47.
WHO | ADHERENCE TO LONG-TERM THERAPIES: EVIDENCE FOR ACTION [Internet]. WHO. [cited 2014 Dec 31]. http://www.who.int/chp/knowledge/publications/adherence_report/en/.
Ailinger RL, Armstrong R, Nguyen N, Lasus H. Latino Immigrants’ Knowledge of Tuberculosis. Public Health Nurs. 2004;21(6):519–23.
Yamada S, Caballero J, Matsunaga DS, Agustin G, Magana M. Attitudes regarding tuberculosis in immigrants from the Philippines to the United States. Fam Med. 1999;31(7):477–82.
Gibson N, Cave A, Doering D, Ortiz L, Harms P. Socio-cultural factors influencing prevention and treatment of tuberculosis in immigrant and Aboriginal communities in Canada. Soc Sci Med. 2005;61(5):931–42.
Ailinger RL, Martyn D, Lasus H, Lima Garcia N. The effect of a cultural intervention on adherence to latent tuberculosis infection therapy in latino immigrants. Public Health Nurs. 2010;27(2):115–20.
Centers for Disease Control and Prevention. Promoting cultural sensitivity: a practical guide for tuberculosis programs that provide services to persons from China. Atlanta, GA: U.S. Department of Health and Human Services [Internet]. Atlanta, GA: U.S. Department of Health and Human Services; 2008 [cited 2014 Apr 16]. http://www.cdc.gov/tb/publications/guidestoolkits/EthnographicGuides/China/chapters/china.pdf.
Goode TD, Sockalingam S, & Snyder LL. Bridging the cultural divide in health care settings: the essential role of cultural broker programs. [Internet]. National Center for Cultural Competence.; 2014. Available from: http://nccc.georgetown.edu/documents/Cultural_Broker_Guide_English.pdf.
Cabrera DM, Morisky DE, Chin S. Development of a tuberculosis education booklet for Latino immigrant patients. Patient Educ Couns. 2002;46(2):117–24.
Gao J, Berry NS, Taylor D, Venners SA, Cook VJ, Mayhew M. Knowledge and perceptions of latent tuberculosis infection among Chinese immigrants in a Canadian Urban Centre. Int J Fam Med [Internet]. 2015 [cited 2016 Feb 24];2015. Available from: http://www.hindawi.com/journals/ijfm/2015/546042/abs/.
BC Centre for Disease Control Health Info/Disease & Conditions/Tuberculosis/Videos [Internet]. 2015 [cited 2015 Apr 12]. Available from: http://www.bccdc.ca/health-info/diseases-conditions/tuberculosis/videos.
Glanz K, Rimer BK, Viswanath K. Health behavior and health education: theory, research, and practice. 4th ed. San Francisco: Jossey-Bass; 2008.
thebccdc. TB Germ - A Cunning World Traveller - English version [Internet]. [cited 2015 Oct 13]. https://www.youtube.com/watch?v=zYKyuGycY28&list=PLlB0G6_n92zzaC9YPg5np5Ymdz8gpMglD.
BC Centre for Disease Control Health Info/Diseases & Conditions/Tuberculosis/More Resources/Pamphlet or handout [Internet]. 2015 [cited 2015 Jul 23]. Available from: http://www.bccdc.ca/health-info/diseases-conditions/tuberculosis/more-resources.
BC Centre for Disease Control Knowledge, attitudes, and beliefs about latent tuberculosis infections in foreign-born individuals at risk for tuberculosis–a clinical survey. BC Center for Disease Control, Vancouver; 2013.
BC Centre for Disease Control Our Services / Our Clinics / Tuberculosis [Internet]. BC Centre for Disease Control. 2015 [cited 2015 Aug 21]. Available from: http://www.bccdc.ca/our-services/our-clinics/tuberculosis.
Bolton K. English in Asia, Asian Englishes, and the issue of proficiency. Engl Today. 2008;24(02):3–12.
BC Centre for Disease Control. Statistics Canada. 2007 [cited 2016 Aug 31]. Available from: http://www.statcan.gc.ca/pub/89-621-x/89-621-x2007005-eng.htm#7.
Ulin PR, Robinson ET, Tolley EE. Qualitative methods in public health: a field guide for applied research. 1st ed. San Francisco: Jossey-Bass; 2004.
Miles MB, Huberman AM. Qualitative data analysis: an expanded sourcebook. Thousand Oaks: Sage Publications; 1994.
Krippendorff K. Content analysis: an introduction to its methodology. 3rd ed. Thousand Oaks: Sage Publications; 2012.
Wieland ML, Nelson J, Palmer T, O’Hara C, Weis JA, Nigron JA, et al. Evaluation of a tuberculosis education video among immigrants and refugees at an adult education center: a community-based participatory approach. J Health Commun. 2013;18(3):343–53.
Mhalu G, Hella J, Doulla B, Mhimbira F, Mtutu H, Hiza H, et al. Do instructional videos on sputum submission result in increased tuberculosis case detection? a randomized controlled trial. PLoS ONE. 2015;10(9):e0138413.
Ito KL. Health culture and the clinical encounter: vietnamese refugees’ responses to preventive drug treatment of inactive tuberculosis. Med Anthropol Q. 1999;13(3):338–64.
Howley MM, Rouse CD, Katz DJ, Colson PW, Hirsch-Moverman Y, Royce RA, et al. Knowledge and attitudes about tuberculosis among U.S.-born blacks and whites with tuberculosis. J Immigr Minor Health. 2015;17(5):1487–95.
Kessels RPC. Patients’ memory for medical information. J R Soc Med. 2003;96(5):219–22.
Paling J. Strategies to help patients understand risks. BMJ. 2003;327(7417):745–8.
Salzwedel C, Petersen C, Blanc I, Koch U, Goetz AE, Schuster M. The effect of detailed, video-assisted anesthesia risk education on patient anxiety and the duration of the preanesthetic interview: a randomized controlled trial. Anesth Analg. 2008;106(1):202–9. (table of contents).
Ong J, Miller PS, Appleby R, Allegretto R, Gawlinski A. Effect of a preoperative instructional digital video disc on patient knowledge and preparedness for engaging in postoperative care activities. Nurs Clin North Am. 2009;44(1):103–15. (xii).
Webb TL, Sheeran P. Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence. Psychol Bull. 2006;132(2):249–68.
优酷-**领先视频网站,提供视频播放,视频发布,视频搜索 - 优酷视频 [Internet]. [cited 2016 Jun 6]. http://www.youku.com/.
Marks SM, Deluca N, Walton W. Knowledge, attitudes and risk perceptions about tuberculosis: US National Health Interview Survey. Int J Tuberc Lung Dis. 2008;12(11):1261–7.
Nkulu FK, Hurtig A-K, Ahlm C, Krantz I. Screening migrants for tuberculosis-a missed opportunity for improving knowledge and attitudes in high-risk groups: A cross-sectional study of Swedish-language students in Ume\aa, Sweden. BMC Public Health. 2010;10(1):1.
Courtwright A, Turner AN. Tuberculosis and stigmatization: pathways and interventions. Public Health Rep. 2010;125 Suppl 4:34–42.
Newell J, Ullah Z, Khan A, Baral S. Stigma and discrimination associated with TB in Asia: Full Research Report ESRC End of Award Report, RES-167-25-0142 [Internet]. Swindon: ESRC; 2009 [cited 2016 May 5]. Report No.: RES-167-25-0142. http://r4d.dfid.gov.uk/Project/60425/.
Freitas IM de, Popolin MP, Touso MM, Yamamura M, Rodrigues LBB, Santos Neto M, et al. Factors associated with knowledge about tuberculosis and attitudes of relatives of patients with the disease in Ribeirão Preto, São Paulo, Brazil. Rev Bras Epidemiol. 2015;18(2):326–40.
Groves RM. Nonresponse rates and nonresponse bias in household surveys. Public Opin Q. 2006;70(5):646–75.
Aschengrau A, Seage GR. Essentials of epidemiology in public health. 2nd ed. Sudbury:Jones & Bartlett; 2007. p. 516
Topps D, Helmer J, Ellaway R. YouTube as a platform for publishing clinical skills training videos. Acad Med. 2013;88(2):192–7.
LoBue PA, Moser KS. Use of isoniazid for latent tuberculosis infection in a public health clinic. Am J Respir Crit Care Med. 2003;168(4):443–7.
Wang JH, Liang W, Schwartz MD, Lee MM, Kreling B, Mandelblatt JS. Development and evaluation of a culturally tailored educational video: changing breast cancer–related behaviors in Chinese women. Health Educ Behav. 2008;35(6):806–20.
Acknowledgements
We would like to acknowledge the BCCDC Foundation for Public Health for their support of this study. We are eternally grateful to the study participants for their willingness to participate in this research. Finally, special thanks to all staff at TB Services of BC Centre for Disease Control for their assistance in data collection.
Funding
This study was funded by BCCDC Foundation for Public Health Blue Sky Program.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that there is no conflict of interest regarding the publication of this paper.
Ethics 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. Ethics approval was obtained from the Behavioural Research Ethics Board of the University of British Columbia.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Electronic supplementary material
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Gao, J., Cook, V.J. & Mayhew, M. Preventing Tuberculosis in a Low Incidence Setting: Evaluation of a Multi-lingual, Online, Educational Video on Latent Tuberculosis. J Immigrant Minority Health 20, 687–696 (2018). https://doi.org/10.1007/s10903-017-0601-9
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10903-017-0601-9