Development Of Educational Materials Research Articles

Process of developing a cervical cancer education program for female university students in a Health and Physical Education teacher training course: an action research

BackgroundThe purpose of this study was to develop a cervical cancer education program for students and evaluate the process for female students of an HPE teacher education university who were training to become Japanese Health and Physical Education teachers.MethodsThis study used Action Research (AR) methodology. In developing program, we analyzed the description of the teaching material development process, the lectures, and the students’ report contents, which was the main activity in the program development. Thirty five third- and fourth-year students majoring in health promotion at a Health and Physical Education teacher education university, which trains Health and Physical Education teachers in Tokyo, Japan, participated in this study.ResultsAfter a review of the prototype version of the cervical cancer education material, six out of nine reviewers determined that it can be published. In the revised cervical cancer education materials, messages from students, university lecturers, and gynecologists have been added as a column in the section on 'how to prevent cervical cancer. Analysis of the contents of the texts (16,792 characters in total) of 35 student reports resulted in the generation of 51 codes, 3 categories, and 15 subcategories.ConclusionsThis study reflects the intentions of female university students to contribute their knowledge to the development of educational materials on cervical cancer, which, alongside the lectures, have deepened the knowledge and awareness of cervical cancer. Based on this, the teaching material development process, lectures by experts, and students’ mindset after learning about cervical cancer is reported in this study. There is a need for more educational programs on cervical cancer that are implemented through the education of female university students.

Cannabis use among cancer survivors in 22 states: Results from the Behavioral Risk Factor Surveillance System, 2020.

This study identified factors associated with recent cannabis use and cannabis use for medical purposes among cancer survivors relative to individuals without a history of cancer. Data from the Behavioral Risk Factor Surveillance System were analyzed for the 22 states completing the optional cannabis module in 2020. Weighted multiple logistic regression was performed to explore variables associated with past 30-day cannabis use and cannabis use for medical purposes, stratified by history of cancer. Covariates included state-level cannabis policy, sociodemographic characteristics, health status indicators, and substance use. Cannabis use was lower among cancer survivors compared to individuals with no history of cancer (7.57% vs. 10.83%). However, a higher proportion of cancer survivors reported use for medical purposes (82.23% vs. 62.58%). After adjusting for state-level policy, biological sex, age, educational attainment, self-reported race/ethnicity, home ownership, mental health status and physical health status, current smoking (odds ratio [OR], 5.14 vs. 3.74) and binge drinking (OR, 2.71 vs. 2.69) were associated with cannabis use in both groups. Characteristics associated with medical cannabis use varied for the two groups; however, daily use (20-30days; OR, 1.72 vs. 2.43) was associated with cannabis use for medical purposes in both groups after adjusting for other variables in the model. A high proportion of individuals report cannabis use for medical purposes with higher rates among cancer survivors. Findings support the urgent need for ongoing cannabis research to better understand and inform its use for medical purposes, as well as the development of high-quality standardized education materials and clinical practice guidelines.

Development of Card News as an Educational Material for the Proper Use of Plant-Based Milk Alternatives Reflecting Adult Consumption Characteristics through Focus Group Interview

This study aimed to develop educational material on the proper use of plant-based milk alternatives in the form of a card news, based on a focus group interview(FGI) with adult consumers. The FGI participants were individuals who had directly purchased cow's milk, soy milk, or other plant-based milk alternatives within the past three months and consumed them at least once a month. The study consisted of 17 adults between the ages of 19 and 63 years who met these criteria(9 males and 8 females). It was identified what participants were curious about, interested in, and needed information regarding the proper use of plant-based milk alternatives through FGI. A 10-page card news was developed that was highly usable, taking into account the FGI results and the latest literature. In conclusion, this study developed a card news aimed at promoting the proper use of plant-based milk alternatives, which can be easily disseminated online in line with the trends in food consumption and digitization. The results of this study suggest that the continuous development and distribution of educational materials that reflect food consumption trends and maximize their usability should be provided for dietary life education, such as school subjects or out-of-school programs.

Co-Production: Journey to Wellness Guide.

As rates of substance use and mental disorders continue to rise, individuals with mental health and substance use challenges and their supporters could benefit from practical, accessible, cost-effective, wellness-focused tools outlining simple daily strategies to promote long-term recovery. The current article describes such a tool, the Journey to Wellness Guide, based on the Wellness Model, and developed through a co-production process. Co-production refers to a process of research, service design, and educational materials development where people with lived experience of mental health and/or substance use challenges share decision-making power throughout all stages of production, including the sharing of results. The co-production process resulted in a well-received wellness tool and tip guides for personal use, supporting others, and use in a group context. The value of this tool for psychosocial nursing and behavioral health care worker self-care and practice is outlined. [Journal of Psychosocial Nursing and Mental Health Services, 61(9), 24-30.].

Relationship between Grateful Disposition and Subjective Happiness of Korean Young Adults: Focused on Double Mediating Effect of Social Support and Positive Interpretation

This study aimed to identify the relationship between grateful disposition and the subjective happiness of young adults; it examined a sequential double mediating effect model of social support and positive interpretation on this relationship. The study participants included 389 male and female Korean young adults. The Korean version of Gratitude Questionnaire-6, a modified subscale of the SU Mental Health Test, Iverson et al.'s scale for social support, and the Subjective Happiness Scale were used. PROCESS Macro 3.5 Model 6 was used to analyze the double mediating effect. The correlation analysis showed that grateful disposition was positively correlated with social support, positive interpretation, and subjective happiness in young adults. Moreover, social support was positively correlated with positive interpretation and subjective happiness, whereas positive interpretation was positively correlated with subjective happiness. In addition, the sequential mediating effect of social support and positive interpretation on grateful disposition and the subjective happiness of young adults was significant. This study confirmed the determinant roles of social support and positive interpretation in grateful disposition and the subjective happiness of young adults, providing useful information for planning future studies and developing education materials and interventions for cultivating grateful disposition in childhood and promoting happiness in young adults.

Implementation in action: developing implementation strategies for an evidence-based prevention program.

In this commentary, I introduce existing literature on implementation mapping and the development of implementation strategies. I argue that educational materials describing essential features of a prevention program are needed regardless of the program site and therefore may be a good starting point in the implementation process. I use the development of educational materials and resources for the Stroll Safe outdoor falls prevention program as an example to illustrate the process used.

Behavioral Intentions of Bystanders to Image-Based Sexual Abuse: A Preliminary Focus Group Study with a University Student Sample

ABSTRACT Image-based sexual abuse (IBSA) represents a form of technology-facilitated sexual abuse that encompasses the taking, creating, and/or sharing (including threats to share) of nude or sexual images without consent. Unlike physical sexual violence contexts, little is known regarding if and how bystanders intervene in IBSA contexts. The current preliminary study aimed to address this gap in the literature. Specifically, seven focus groups with a sample of 35 university students (31 females, 4 males) were conducted to explore how they think they would behave (i.e., their behavioral intentions) if they were bystanders to three different IBSA scenarios: non-consensual taking, non-consensual sharing, and threatening to share nude or sexual images. Transcripts were analyzed using thematic analysis and the following themes were identified: perpetrator-centered action, victim-centered action, justice-centered action, and intervention as a well-informed and controlled process. Participants discussed how they would intervene by approaching the perpetrator, either in a confrontational or non-confrontational way, or approach the victim to inform them of what was happening, provide advice, or to support them. They also discussed involving the police. However, some group members were against these forms of intervention, particularly approaching the perpetrator and involving the police. Finally, many participants indicated that their actions need to be well-informed. These findings highlight a wide range of bystander actions in IBSA contexts that have implications for the development of policies, educational materials, and measures of bystander intervention behavior in future research.

Development and Validation of Nutrition and Food Safety Educational Material for Fish Processors in Nigeria

fish can be an affordable and accessible animal-source food in many Low- and Middle-Income Countries (LMIC). Traditional fish processing methods pose a risk of exposing fish to various contaminants that may reduce their nutritional benefit. In addition, a lack of literacy may increase women fish processors' vulnerability to malnutrition and foodborne diseases. The overall aim of the project was to educate women and youth fish processors in Delta State, Nigeria about the benefit of fish in the human diet and to develop low literacy tools to help them better market their products. The objective of this study was to describe the development and validation of a low-literacy flipbook designed to teach women fish processors about nutrition and food safety. developing and validating instructional material requires understanding the population, high-quality and relevant graphics, and the involvement of relevant experts to conduct the content validation using the Content Validity Index (CVI) and the index value translated with the Modified Kappa Index (k). The Item-level Content Validity Index (I-CVI) value of all domains evaluated at the initial stage was 0.83 and the Scale-level Content Validity Index (S-CVI) was 0.90. At the final stage, the material was validated with CVI 0.983 by four experts and satisfied the expected minimum CVI value for this study (CVI ≥ 0.83, p-value = 0.05). The overall evaluation of the newly developed and validated flipbook was "excellent". the developed material was found to be appropriate for training fish processors in Nigeria in nutrition and food safety and could be modified for a population of fish processors in other LMICs.

Development of Pancasila Educational Teaching Materials and Environment Based Citizenship Wetland

This study aims to determine the validity, effectiveness and practicality of teaching materials on Pancasila Education and Citizenship on the subject of Archipelagic Insight based on wetlands. The research was conducted at Sungai Tabuk 1 Public High School, Banjar Regency, South Kalimantan for the 2021/2022 academic year. This research is a development research using the Tessmer model. Data collection was carried out by means of questionnaires, interviews and observations. Data analysis was carried out in a quantitative descriptive manner. The results of this study indicate that the teaching materials for Pancasila Education and Archipelagic Citizenship Based on Wetland Environment are declared valid. This is based on the results of expert reviews on the suitability of the material, the composition of the material, the consistency of writing, the display of photos/images, the display of tables, the shape and size of letters, conformity with the writing of Indonesian language rules, and suitability of the images with the material. Teaching materials are also stated to be practical to use. This is known from the results of individual trials and small group trials. Some of the things asked for by students' opinions were about the ease of understanding the content of the material, clarity in understanding instructions in doing group assignments, and clarity in understanding individual assignments. In addition, teaching materials are also declared effective. This is known from field or large-scale trials conducted on intact classes. From the results of the effectiveness test of teaching materials, it is known that they are in the good and very good categories.

Need assessment for the content of educational programs about breast cancer from the viewpoint of unaffected women

BackgroundBreast cancer is the most common cancer among females, and early diagnosis is possible in case the patients seek medical attention on time. For this to come true, they must know about the existence and risks of the disease and be aware of the appropriate attitude and actions toward prevention or early diagnosis. However, we see that women have unanswered questions about these issues. In this study, we sought to investigate healthy women’s information needs about breast cancer from their own perspective.MethodsThis prospective study was carried out by using the maximum variation sampling, and theoretical saturation to reach sample saturation. Women who came to different clinics of Arash Women’s Hospital (except the Breast Clinic) during two months were entered in the study. Participants were asked to write down all the questions and subjects they would like to be explained in a breast cancer educational program. The questions were reviewed and categorized after every fifteen consecutive forms were filled until there was not even one new question. Afterwards, all the questions were reviewed and matched based on their similarity and repeated items were eliminated. Finally, questions were organized according to their common topics and the range of details they comprised.ResultsSixty patients were included in the study, and 194 questions were gathered and categorized according to common scientific terms, resulting in 63 questions in 5 categories.ConclusionsMany studies have been conducted on breast cancer education, but none have addressed healthy women's personal queries. This study outlines the questions of unaffected women about breast cancer that need to be addressed in educational programs. The results can be used for development of educational material at community level.Trial registration: This study was conducted as the preliminary phase of a study approved in Tehran University of Medical Sciences (Approval Code 99-1-101-46,455) and by the Ethics Committee of the University (Ethical Code IR.TUMS.MEDICINE.REC.1399.105).

Development of Pancasila Educational Teaching Materials and Environment Based Citizenship Wetland

Development of Pancasila Educational Teaching Materials and Environment Based Citizenship Wetland

Using animal models to identify clinical risk factors in the older population due to alcohol use and misuse.

The number of people over the age of 65 years old is increasing and understanding health risks associated with the aged population is important. Recent research has revealed that alcohol (ethanol) consumption levels in older demographics remains elevated and often occurs in a dangerous binge pattern. Given ethical constraints on investigating high level or binge pattern alcohol consumption in humans, animal models are often used to study the effects of ethanol. The current review highlights ongoing work revealing that aged rats are often more sensitive to the effects of acute ethanol compared to younger rats. Specifically, aged rats are more sensitive to the motor impairing, hypnotic, hypothermic, and often the cognitive effects of ethanol compared to younger rats. In addition, the development of ethanol tolerance following chronic exposure may have a different temporal pattern in aged rats compared to younger rats. However, the neurobiological mechanisms that cause the increased sensitivity to ethanol in aged animals have yet to be identified. Furthermore, the differential age effects of ethanol highlight clinical risk factors for alcohol misuse in the older human population. Future work is needed to determine underlying CNS mechanisms producing altered effects of ethanol in aged subjects and also the development of educational material concerning ethanol's effects across ages for health care providers working with the aged population.

Abstract P1-08-11: Using co-design to develop culturally and linguistically appropriate breast cancer education materials

Abstract Background: Engaging diverse community members in research is vital to communicate and disseminate information to their communities. Co-design is a participatory approach to design solutions to problems and can be used to develop materials by bringing together individuals from diverse backgrounds. There is currently a gap in research of health education materials (i.e., Infographics) being created that employ a community co-design approach. We describe use of the co-design process to develop an infographic on breast cancer risk factors for broad community dissemination. Methods: The Community Leadership Committee (CLC) that represents the demographics of the Greater Los Angeles area was formed in 2015 and members were drawn from community and advocacy organizations, representing the four largest racial/ethnic groups (African American, Chinese, Latina, and Non-Hispanic White). The primary role of the CLC was to help create teachable, culturally-responsive materials on breast cancer and the environment. To address their communities’ informational needs about breast cancer and the environment, the CLC determined elected to develop infographics. Focus groups were held in summer of 2017 to evaluate the initial drafts of the infographics for clarity, utility, cultural and linguistic appropriateness and effectiveness. Focus group participants were recruited by the CLC members to and were conducted in English, Spanish, or Mandarin Chinese. Results: CLC members (N=18) informed the design and development of the infographic. Members of the CLC member ages ranged from 49 to 79. All members were female, 42%% were foreign-born, 34%% spoke Spanish, 20% spoke Chinese, and 75% were breast cancer survivors. A total of 6 focus groups were conducted with 53 women. The groups consisted of 4 groups in the English language [African American (N=12), non-Hispanic White (N=7), Chinese (N=9), and Hispanic/Latina (6)], one in Spanish (N=7), and Mandarin Chinese (N=12). The infographic went through 6 versions before being finalized, translated into Spanish and Chinese, and printed. Focus groups occurred between initial draft and draft #3. Some of the common themes included the importance of representation, readability, and visualization. CLC members preferred materials that included less text and more graphics to make it faster and easier to read. Collaboration with the CLC and findings from the focus groups led to the development and refinement of the final infographics Discussion: We have described the development of health education materials through a co-design process to increase the awareness of breast cancer risk. These findings emphasize the importance of involving people with lived experience and end users. Co-design is vital to ensuring the health education materials were appropriate, engaging, culturally and linguistically competent. Health education materials that resonate with their intended audience have the potential to influence health behaviors resulting in risk reduction. Citation Format: Michele Rakoff, Mayra Serrano, Susan Neuhausen. Using co-design to develop culturally and linguistically appropriate breast cancer education materials [abstract]. In: Proceedings of the 2022 San Antonio Breast Cancer Symposium; 2022 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2023;83(5 Suppl):Abstract nr P1-08-11.

Considerations for implementation of vancomycin Bayesian software monitoring in a level IV NICU population within a multisite health system.

The updated 2020 vancomycin therapeutic drug monitoring guideline advocates for area under the curve (AUC)-based monitoring in neonates, preferably with Bayesian estimation. This article describes the selection, planning, and implementation of vancomycin model-informed precision dosing (MIPD) software with Bayesian estimation in the neonatal intensive care unit (NICU) within an academic health system. The selection, planning, and implementation of vancomycin MIPD software was completed in approximately 6 months throughout a health system with multiple NICU sites. The chosen software captures data on medications in additional to vancomycin, provides analytics support, includes specialty populations (eg, neonates), and offers the ability to integrate MIPD into the electronic health record. Pediatric pharmacy representatives served on a system-wide project team with key responsibilities including development of educational materials, drafting changes to policies and procedures, and assistance with department-wide software training. Additionally, pediatric and neonatal pharmacist super users trained other pediatric pharmacists on software functionality, were available the week of go-live for in-person support, and contributed to the identification of pediatric and NICU-specific nuances related to software implementation. Neonatal-specific considerations when implementing MIPD software include: the selection of appropriate pharmacokinetic model(s), continued evaluation of such model(s), selection of appropriate model(s) in infants as they age, input of significant covariates, determination of the site-specific serum creatinine assay, decision of the number of vancomycin serum concentrations obtained, discernment of patients excluded from AUC monitoring, and the utilization of actual versus dosing weight. This article serves to share our experience with selecting, planning, and implementing Bayesian software for vancomycin AUC monitoring in a neonatal population. Other health systems and children's hospitals can utilize our experience to evaluate a variety of MIPD software and consider neonatal nuances prior to implementation.

Abstract P2-12-01: A comprehensive assessment of researcher needs to increase biospecimen donations for breast cancer research: A Patients and Researchers Together (PART) Program

Abstract A comprehensive assessment of researcher needs to increase biospecimen donations for breast cancer research: A Patients and Researchers Together (PART) Program Introduction: Tissue-based breast cancer research can help translate scientific discoveries to improve treatments or reduce cancer risk. Tissue donation programs require a partnership between patients being asked to donate tissue and researchers using tissue for translational investigation. Lineberger Comprehensive Cancer Center (LCCC) has established a program called Patients and Researchers Together (PART) to increase the number of patients that donate tissue for research. PART believes patients will be more willing to donate tissue if they are informed about the research process and its impact and are valued as partners of LCCC. The PART program is evaluating the tissue donation process to positively impact efficiencies. Methods: PART leaders conducted interviews to assess current and future needs of LCCC cancer care providers involved in tissue-based research. A total of 13 breast cancer care providers at LCCC with different lengths of research experience were interviewed. These included 4 surgeons, 4 clinical study coordinators, 2 pathologists, 2 medical oncologists and 1 member of the Tissue Procurement Facility (TPF) staff. Interviewees identified key themes, provided insight into barriers and facilitators, and recommended resources to enhance the tissue-based research process. Results: Interviewees noted the high need for fresh tissue, which requires real-time coordination between clinicians, clinical study coordinators, surgeons, pathologists and researchers. Interviewees identified numerous barriers to the tissue donation process that hinder patient recruitment. These included: lack of knowledge about tissue-based research, time commitment required by an additional procedure, loss of privacy, lack of trust and knowledge about how the tissue will be used and access to cancer care (transportation). Interviewees also identified facilitators for recruiting patients to donate tissue for research, including: tailored communication between the patient and their cancer care team, a high interest in medical research, plain language and understandable educational materials and input of a trusted care team member at the appropriate time. Interviewees identified the need for additional tissue collection support and provided recommendations to improve the tissue donation process. Recommendations included: 1) increase the quantity of tissue available for research, 2) increase the racial and treatment history diversity of patients involved in tissue donation research, 3) increase diversity in the biological types of tissue donations (i.e., blood, stool, tumor), and 4) ensure that the available tissue is optimal for use in research. In addition, interviewees identified resources to enhance the tissue-based research process. One suggested resource is a team of coordinators tasked with managing the day-to-day operations of the tissue collection process and serving as a point of contact throughout. Ideally, the designated team would facilitate communication throughout the tissue collection process from the identification of a patient to the tissue’s use in research. Other recommendations included plain language patient educational materials, internal website improvements to enhance communication between researchers, and a written standard operating procedure guide shared with clinical and research team members. Finally, interviewees noted the importance of communication between tissue collection process stakeholders, highlighting the disparity in knowledge regarding best practices between new and more experienced researchers. Findings can inform the development of educational materials and other strategies to increase patient participation in tissue-based breast cancer research. Citation Format: Hayley Morris, Missy Van Lokeren, Patty Spears, Jennifer A. Potter, Vernal Branch, Patient And Researchers Together Team, Charles M. Perou, Lisa Carey. A comprehensive assessment of researcher needs to increase biospecimen donations for breast cancer research: A Patients and Researchers Together (PART) Program [abstract]. In: Proceedings of the 2022 San Antonio Breast Cancer Symposium; 2022 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2023;83(5 Suppl):Abstract nr P2-12-01.

Uncovering Gender Differences in Water Literacy among High Schoolers

This study aims to look into gender-based differences in high school students' water literacy knowledge, attitudes, and values. Utilizing a simple and stratified random sample procedure, 380 fourth graders from eight schools in Hulu Langat, Selangor, were selected to participate. The data were gathered using a 5-part questionnaire that had sections for respondent information, scientific knowledge, hydrosocial knowledge, attitudes, and water literacy values. A two-way MANOVA was used to examine inferential data. Male and female students scored significantly differently on average, with female students surpassing male students in knowledge and attitudes, according to the results. The value of water literacy does not differ significantly across male and female students. The results of this study may be useful in identifying knowledge and comprehension gaps regarding water-related issues, which could help in the development of educational materials and programmes as well as people with high levels of water literacy in terms of attitudes and values.

The Use of Biologics in NFL Athletes: An Expert Consensus of NFL Team Physicians.

There is a lack of published information outlining the use of biologics in National Football League (NFL) athletes and limited data to guide biologic treatment strategies. To develop a consensus on the use of biologics among NFL team physicians. Consensus statement. A working group of 6 experts convened a consensus process involving NFL team physicians using validated Delphi methodology. Physicians from 32 NFL teams as well as NFL London were invited to take part. This iterative process was used to define statements on the use of biologics in NFL athletes. A recent scoping review exploring biologics in professional athletes was used to inform the first of 3 rounds of surveys, with statements considered under 7 headings: biologics in general, challenges of treating NFL athletes, terminology/nomenclature, autologous blood products, cell-based therapies, guidance for NFL team physicians, and biologic research in the NFL. In addition to rating agreement, experts were encouraged to propose further items or modifications. Predefined criteria were used to refine item lists after each survey. For a consensus within the final round, defined a priori, items were included in the final information set if a minimum of 75% of respondents agreed and fewer than 10% disagreed. Physicians from 26 NFL teams and NFL London responded to the initial invitation to participate in the Delphi process; 88.9% of participating team physicians completed the round 1 survey, with response rates of 87.5% in round 2 and 95.2% in round 3. After 3 rounds, 47 statements reached a consensus. A consensus was achieved that platelet-rich plasma has a positive impact on patellar tendinopathy and on symptoms in early osteoarthritis but not for other indications. NFL team physicians agreed that while cell therapies have the potential to improve symptoms, the misrepresentation of uncharacterized preparations as "stem cells" has contributed to the widespread use of unproven therapies. This study established an expert consensus on 47 statements relating to the use of biologics in NFL athletes. In addition to providing clinical guidance for the use of biologics in NFL athletes, this study identified key areas for future focus including the development of athlete education materials.

Development of Islamic Religious Education Materials Based on Religious Moderation in Forming Student Character

The model for developing Islamic religious education (PAI) materials based on religious moderation to shape the character of the nation's children at the upper secondary level of education is urgently needed because the phenomena of radicalism and intolerance are spreading in the world of education. In this case the role of the teacher in the learning process is needed to deliver the younger generation in shaping the nation's character. This research focuses on the model of developing Islamic religious education material based on religious moderation, the material is designed according to the values of religious moderation with active learning strategies, and is able to shape character . This study uses a qualitative approach and data collection techniques are used by means of: in-depth interviews, participant observation, documentation, and focus group discussions. Checking the validity of the data through: extending the researcher's presence in the field, triangulation, peer discussions, transferability, dependability, and confirmability. The informants for this study were school principals, students, teachers at senior high schools in Kudus Regency, Central Java, Indonesia. The results of this study indicate that religious moderation-based Islamic education material development models are able to shape the character of students effectively and efficiently. The implication of this study is to become a reference for upper secondary level teachers in the process of learning PAI material. In addition, this research also contribute theoretically to the government in the development of religious moderation-based PAI materials.

Technology-assisted behavioral intervention to encourage prehabilitation in frail older adults undergoing surgery: Development and design of the BeFitMe™ Apple Watch app.

Increasing the physical activity of frail, older patients before surgery through prehabilitation (prehab) can hasten return to autonomy and reduce complications postoperatively. However, prehab participation is low in the clinical setting. In this study, we re-design an existing prehab smartphone application (BeFitMe™) using a novel standalone Apple Watch platform to increase accessibility and usability for vulnerable patients. Design Science Research Methodology was used to (1) develop an approach to clinical research using standalone Apple Watches, (2) re-design BeFitMe™ for the Apple Watch platform, and (3) incorporate user feedback into app design. In phase 3, beta and user testers gave feedback via a follow-up phone call. Exercise data was extracted from the watch after testing. Descriptive statistics were used to summarize accessibility and usability. BeFitMe™ was redesigned for the Apple Watch with full functionality without requiring patients to have an iPhone or internet connectivity and the ability to passively collect exercise data without patient interaction. Three study staff participated in beta testing over 3 weeks. Six randomly chosen thoracic surgery patients participated in user testing over 12 weeks. Feedback from beta and user testers was addressed with updated software (versions 1.0-1.10), improved interface and notification schemes, and the development of educational materials used during enrollment. The majority of users (5/6, 83%) participated by responding to at least one notification and data was able to be collected for 54/82 (68%) of the days users had the watches. The amount of data collected in BeFitMe™ Watch app increased from 2/11 (16%) days with the first patient tester to 13/13 (100%) days with the final patient tester. The BeFitMe™ Watch app is accessible and usable. The BeFitMe™ Watch app may help older patients, particularly those from vulnerable backgrounds with fewer resources, participate in prehab prior to surgery.

Abstract B015: Using co-design to develop culturally and linguistically appropriate breast cancer education materials

Abstract Background: Engaging diverse community members in research is vital to communicate and disseminate information to their communities. Co-design is a participatory approach to design solutions to problems and can be used to develop materials by bringing together individuals from diverse backgrounds. There is currently a gap in research of health education materials (i.e., Infographics) being created that employ a community co-design approach. We describe use of the co-design process to develop an infographic on breast cancer risk factors for broad community dissemination. Methods: The Community Leadership Committee (CLC) that represents the demographics of the Greater Los Angeles area was formed in 2015 and members were drawn from community and advocacy organizations, representing the four largest racial/ethnic groups (African American, Chinese, Latina, and Non-Hispanic White). The primary role of the CLC was to help create teachable, culturally-responsive materials on breast cancer and the environment. To address their communities’ informational needs about breast cancer and the environment, the CLC determined elected to develop infographics. Focus groups were held in summer of 2017 to evaluate the initial drafts of the infographics for clarity, utility, cultural and linguistic appropriateness and effectiveness. Focus group participants were recruited by the CLC members to and were conducted in English, Spanish, or Mandarin Chinese. Results: CLC members (N=18) informed the design and development of the infographic. Members of the CLC member ages ranged from 49 to 79. All members were female, 42%% were foreign-born, 34%% spoke Spanish, 20% spoke Chinese, and 75% were breast cancer survivors. A total of 6 focus groups were conducted with 53 women. The groups consisted of 4 groups in the English language [African American (N=12), non-Hispanic White (N=7), Chinese (N=9), and Hispanic/Latina (6)], one in Spanish (N=7), and Mandarin Chinese (N=12). The infographic went through 6 versions before being finalized, translated into Spanish and Chinese, and printed. Focus groups occurred between initial draft and draft #3. Some of the common themes included the importance of representation, readability, and visualization. CLC members preferred materials that included less text and more graphics to make it faster and easier to read. Collaboration with the CLC and findings from the focus groups led to the development and refinement of the final infographics Discussion: We have described the development of health education materials through a co-design process to increase the awareness of breast cancer risk. These findings emphasize the importance of involving people with lived experience and end users. Co-design is vital to ensuring the health education materials were appropriate, engaging, culturally and linguistically competent. Health education materials that resonate with their intended audience have the potential to influence health behaviors resulting in risk reduction. Citation Format: Mayra Serrano, Marisela Garcia, Katty Nerio, Shirley Brown, Florence Lin, Alice Loh, Ghecemt Lopez, Patricia D. Tucker, Kimlin T. Ashing, Leslie Bernstein, Shiuan Chen, Michele Rakoff, Susan Neuhausen. Using co-design to develop culturally and linguistically appropriate breast cancer education materials [abstract]. In: Proceedings of the 15th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2022 Sep 16-19; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2022;31(1 Suppl):Abstract nr B015.