Interactive DVD Research Articles

An RCT of Two Interventions to Usual Care For Increasing Cervical Cancer Screening

Purpose: Rural women have increased incidence and mortality from cervical cancer (CC) compared to urban women indicating a lack of cervical cancer screening (CCS), an important component of CC control. The objective of this study was to examine the comparative effectiveness of a mailed DVD vs. DVD plus telephonic patient navigation (PN) vs. Usual Care (UC) for increasing the percentage of rural Midwestern women up to date (UTD) with 2018 United States Preventive Services Task Force CCS guidelines. Methods: As part of a larger study, 553 women (aged 50–74) who were not UTD for CCS were consented and randomized to one of the three study arms, DVD, DVD+PN, UC. Participants were assessed for baseline characteristics including sociodemographics, health status, and CCS beliefs by self-reported survey. Baseline and 12-month screening status were assessed by medical record review. Results: The mean age of participants was 59.8 years. When controlling for covariates in a logistic regression model, women had 4.52 (95% Confidence Interval [CI] = 2.09, 10.7, P < 0.001) greater odds of being UTD with CCS in the DVD + PN group vs. UC and 2.93 (95% CI = 1.63, 5.25, P < 0.001) greater odds of being UTD in the DVD + PN vs. DVD group. Other significant covariates included having higher odds (Odds Ratio [OR] = 4.76; 95% CI = 1.27, .33.33; P = 0.045) of becoming UTD if on private vs. public insurance; being normal (OR = 2.71; 95% CI = 1.14, 6.37; P = 0.022) or underweight (OR = 2.38; 95% CI = 1.12, 5.09; P = 0.024) vs. obese; and planning to have a Papanicolaou (Pap) test within the next six months (contemplation) (OR = 2.25; 95% CI = 1.23, 4.08; P = 0.008). Conclusions: A PN plus an interactive DVD intervention significantly improved the proportion of Midwestern rural women who became UTD with CCS compared to UC. Certain groups of women may be more at risk for not obtaining a CCS such as those who are on public insurance, obese, and not planning CCS. Future interventions should focus on women with these characteristics to increase CCS rates. A limitation of this study is that behavioral variables, such as contemplation, were measured in relation to Pap testing and did not include human papillomavirus (HPV) testing. As HPV testing/co-testing becomes more widely used, future interventions should examine behaviors specific to this screening.

Black box universe: the mind-game phenomenon, the hacker film, and the new millennium

ABSTRACT It is the beginning of the new millennium. Globalization is picking up the pace, and Marxist media theorists warn about affective and ‘immaterial’ modes of extraction, as well as the rise of the attention economy. It is within this web of post-Fordist anxieties and chameleonic, flexible mechanisms of control that Thomas Elsaesser first charts the rise of the mind-game phenomenon, in his 2009 article ‘The Mind-Game Film’. Elsaesser and his successors perceptively trace the mind-game film back to a range of global conditions and technological innovations which marked the passage from the twentieth to twenty-first centuries, from interactive VCR and DVD technology to confrontations with post-colonial Others. However, little-to-no mind-game scholarship thus far has centered the rise of Web 2.0 and the concurrent privatization of the Internet; furthermore, with the obvious exception of the Matrix trilogy, the mind-bending hacker films of the 1980s and 1990s (e.g. WarGames, Sneakers, The Net) have been largely overlooked as mind-game and mind-game-adjacent films. Accordingly, this paper examines whether and how the hacker film might be folded into the broader field of mind-game scholarship.

Process Evaluation of a Mailed Interactive Educational DVD in a Comparative Effectiveness Trial to Promote Colorectal Cancer Screening.

A process evaluation was conducted as part of a comparative effectiveness trial of a mailed interactive educational DVD intervention to promote colorectal cancer screening among average-risk patients who did not attend a scheduled colonoscopy. Participants (n = 371) for the trial were randomized to (1) mailed DVD, (2) mailed DVD plus patient navigation, or (3) usual care. Participants (n = 243) randomized to the two DVD intervention arms were called 2 weeks after mailing materials to complete a process evaluation interview about the DVD (September 2017-February 2020). Forty-nine (20%) participants were not reached, and 194 (80%) participants watched the DVD and completed the interview. The process evaluation assessed whether (1) the DVD content was helpful, (2) any new information was learned by participants, (3) the appropriate amount of information was included in the DVD, (4) participants were engaged when watching the DVD, (5) the DVD content was relevant, (6) participants were satisfied with the DVD (7) participants would recommend the DVD to others, and (8) their opinion about colorectal cancer screening was changed by watching the DVD. Among participants who watched the DVD, 99% reported the screening information was very or somewhat helpful, 47% learned new information, 75% said the DVD included the right amount of information, they were engaged (M = 3.35 out of 4, SD = 0.49), 87% reported all or most information applied to them, they were satisfied (M = 3.42 out of 4, SD = 0.39) with DVD content, 99% would recommend the DVD to others, and 45% reported changing their opinion about screening. To understand the effects of interventions being tested in trials and to plan the dissemination of evidence-based interventions, process evaluation is critical to assess the dose received and acceptability of behavioral interventions.

Digital Interventions for Autism Spectrum Disorder: A Meta-analysis.

This study aimed to review digital interventions in the treatment of autism spectrum disorder (ASD). A systematic review and meta-analysis was conducted. Nineteen studies were included. The interventions aimed to improve social skills (n = 11), developmental skills (n = 2) and 6 other different targets. Technology used were computer programs (n = 14), tablet apps (n = 3), a robot (n = 1) and an interactive DVD (n = 1). The meta-analysis resulted in an overall effect size (Cohen's d) of 0.32 [0.12-0.51], indicating a small effect. Heterogeneity between studies was high (I2 = 100%), limiting the generalization of results. Therefore, we recommend larger RCT studies, and guidelines for the development of trials evaluating digital interventions for ASD, for making comparison of future studies possible.Registration can be found online at Prospero: https://www.crd.york.ac.uk/prospero/ , registration no. CRD42020146542.

STANDAR PELAYANAN MINIMAL PENDIDIKAN PERSPEKTIF REVOLUSI INDUSTRI 4.0 DI SD BAYAN ISLAMIC SCHOOL

This research is an exploratory study using a qualitative analysis approach. Data collection is done through; observation, interview, and documentation. The sampling technique was used by purposive sampling and snowball sampling. Data sources and research informants include; Principals, and Deputy Principals, Teachers, Parents Teachers Association, and Education Personnel. The results showed that (1) Application of Minimum Service Standards for Basic Education at Al-Bayan Elementary School was optimally fulfilled (2) SPM Dikdas' perspective of the industrial revolution era 4.0. First, in the realm of infrastructure is that there is a Smart Classroom that has internet access connectivity facilities in its learning. Second, the curriculum must be reoriented with some changes in competencies that must be possessed. Students must now have mastery of three benefits: data literacy, technological literacy, and human literacy. Third, educators apply to learn oriented to the Technological Pedagogical and Content Knowledge system (3) manifestation of the Implementation of Basic Education SPM perspective of the industrial revolution 4.0 era at SD Al Bayan the realization of computer and projector facilities to implement Smart Classroom despite the absence of internet access connectivity, the creation of technological literacy in learning Science, Mathematics, and English in the form of teaching materials in the way of interactive DVD Rom which is taught at school so students can learn anytime, anywhere. The creation of educators who implement a Computer Assisted Instruction system or learning utilizing Word Processor Learning.

PENDIDIKAN KARAKTER MELALUI BUDAYA PESANTREN (STUDI KASUS DI PONDOK PESANTREN AL MUCHTAR BERKASI UTARA

This research is an exploratory study using a qualitative analysis approach. Data collection is done through; observation, interview and documentation. The sampling technique was used by purposive sampling and snowball sampling. Data sources and research informants include; Principals, and Deputy Principals, Teachers, Parents Teachers Association and Education Personnel. The results showed that (1) Application of Minimum Service Standards for Basic Education at Al Bayan Elementary School was optimally fulfilled (2) SPM Dikdas perspective of the industrial revolution era 4.0. First in the realm of infrastructure is that there is a Smart Classroom that has internet access connectivity facilities in its learning. Second, the curriculum must be reoriented with some changes in competencies that must be possessed, students must now have mastery of three benefits, namely data literacy, technological literacy, and human literacy. Third, educators apply learning oriented to the Technological Pedagogical and Content Knowledge system (3) manifestation of the Implementation of Basic Education SPM perspective of the industrial revolution 4.0 era at SD Al Bayan the realization of computer and projector facilities to implement Smart Classroom despite the absence of internet access connectivity, the creation of technological literacy in learning Science, Mathematic and English in the form of teaching materials in the form of interactive DVD Rom which is taught at school so students can learn anytime, anywhere. The creation of educators who implement a Computer Assisted Instruction system or learning utilizing Word Processor Learning.

Abstract B017: Rural interventions for screening effectiveness: Baseline cancer screening behaviors of rural women of Indiana and Ohio

Abstract Rural areas of the United States experience increased cancer incidence and mortality rates and lower cancer screening rates compared to urban areas. According to the National Center for Health Statistics, Ohio and Indiana are ranked 8th and 10th highest, respectively, for cancer mortality rates nationally. The Rural Interventions for Screening Effectiveness (RISE) Study conducted by The Ohio State University and Indiana University focuses on improving breast, cervical and colorectal cancer screening rates in rural areas of both states to reduce this cancer burden. RISE is testing two interventions to educate and encourage women in rural counties of Ohio and Indiana ages 50-74 years to complete any needed screenings. Participants complete baseline and 12-month surveys and receive usual care brochures, an interactive DVD, or the DVD along with phone-based assistance from a patient navigator. In order to be eligible to participate, women must be residents of a rural county of either state, outside of guidelines for breast, cervical, and/or colorectal cancer screening per medical record review, and have no personal history of inflammatory bowel disease, cancer (except non-melanoma skin cancer), or genetic conditions that increase cancer risk. Baseline demographic and cancer screening history data were collected from 1634 women (1041 Ohio, 593 Indiana), and 985 were ultimately eligible and enrolled in the study (599 Ohio, 386 Indiana). Women who were within guidelines for all three screening tests were excluded from the study; 442 (42.5%) in Ohio and 207 (34.9%) in Indiana. A larger proportion of Indiana women were outside of guidelines for all three screening tests (80 of 593 (13.5%)) compared to Ohio women (107 of 1041 (10.3%)). Across both states, more women were adherent to breast cancer screening guidelines (75.3%) than cervical (66%) or colorectal cancer screening guidelines (58.8%). A comparison of screening behaviors of Indiana and Ohio participants will be conducted to determine if differences between the two exist. Analyses will focus on being inside or outside of guidelines by individual test (breast, cervical, and colorectal) and all three tests combined. Although rural women of Midwest states are often considered to be very similar, differences in screening behaviors exist, even between women of neighboring states, and future efforts to improve the cancer burden in rural women could benefit from considering factors that contribute to these differences, such as access to quality care. Citation Format: Electra D Paskett, Ryan D Baltic, Mira L Katz, Gregory S Young, Susan Rawl, Victoria Champion. Rural interventions for screening effectiveness: Baseline cancer screening behaviors of rural women of Indiana and Ohio [abstract]. In: Proceedings of the Twelfth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2019 Sep 20-23; San Francisco, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl_2):Abstract nr B017.

Abstract B001: Rural interventions to improve breast, cervical and colorectal screening rates: Recruitment strategies for women in rural areas

Abstract Rural areas of the United States have less access to quality healthcare, higher rates of cancer incidence and mortality, and lower screening rates compared to urban areas. The Rural Interventions for Screening Effectiveness (RISE) Study conducted by Indiana University and The Ohio State University focuses on improving breast, cervical and colorectal cancer screening rates in rural Indiana and Ohio by encouraging female residents ages 50-74 years to receive necessary screenings. Two interventions are tested: an interactive DVD, and the DVD combined with patient navigation. Recruitment occurred October 2017 - June 2019. This paper evaluates recruitment strategies used by RISE in order to better understand which method was most effective and to determine if participants differed demographically by recruitment method. An array of recruitment strategies were used, including purchasing contact lists to call women in the recruitment area, internet advertising, and physical advertisements placed within the communities. Outbound mailing and calling, the sole method initially planned, was performed for the first 6 months of recruitment, using purchased phone and address lists of female residents of rural counties of northeast Indiana and northwest Ohio. Internet advertising was primarily conducted using Facebook to target female users 50 years or older in rural areas of both states. Community advertising was performed by mailing flyers to be displayed in rural libraries, senior and community centers, and other locations where residents congregate. Recruitment strategies differed in effort, cost, and yield. Mailing and calling using purchased lists was used to attempt to reach 5240 women, successfully reaching and reviewing medical records for 275 women, yielding 154 eligible women. Median household income of these women was $50,000-$59,999 and median age was 63 years. This strategy was costly, high effort, and did not yield enough participants to warrant continuing. Community advertising involved identifying suitable locations and requesting permission to post promotional materials. Although this strategy’s reach cannot be determined, 163 women contacted staff to request more information, 67 progressed to medical record review, and 38 were enrolled. Median household income of these participants was $70,000-$79,999 and median age was 62 years. Through Internet advertising, 3116 spoke to interviewers about the study, with 1297 progressing to medical record review, yielding 793 eligible participants. Median household income was $70,000-$79,999; median age was 58 years. Although Internet recruitment was the most successful strategy, it may have unintentionally targeted younger or more affluent women who own and use smartphones or home computers with internet access. With technology becoming increasingly pervasive and as people become more hesitant to answer phone calls from foreign numbers, recruitment strategies must be evaluated to ensure the study population is truly being reached. Citation Format: Ryan D Baltic, Gregory S Young, Mira L Katz, Susan Rawl, Victoria Champion, Electra D Paskett. Rural interventions to improve breast, cervical and colorectal screening rates: Recruitment strategies for women in rural areas [abstract]. In: Proceedings of the Twelfth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2019 Sep 20-23; San Francisco, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2020;29(6 Suppl_2):Abstract nr B001.

Role Play: Let’s Act It Out!

Generally, most university students are reluctant to speak English in public due to lack of Englishproficiency. This situation has led to lost interest in role-play activity among UiTM Cawangan Kelantanstudents; particularly Integrated Language Skills 1 (ELC121) students. Hence, this project intends toincrease students’ interest in role-play activity as well as enhance students’ proficiency in Englishlanguage especially in role-play assessment. This project focuses on using Interactive DVD as a tool tohelp in motivating the student’s interest and enhancing student’s proficiency level. This interactive DVD iscomprised of notes, samples of dialogues and video presentations meant for teaching and learning roleplay.Based on the outcomes, the students show positive enthusiasms in joining the class and performoutstandingly in role-play test. The Interactive DVD motivates them to actively participate in role playactivity with confidence.

Strategies for implementing shared decision making in elective surgery by health care practitioners: A systematic review.

To summarize relevant international scientific evidence on strategies aimed at facilitating or improving health care practitioners' adoption of shared decision making in elective surgery. The review evaluated the effectiveness of these strategies and described the characteristics of identified strategies. A systematic search of the literature was conducted up to March 2019. The review included interventions that targeted patients, health care practitioners, or health systems/organizations. Main outcomes were measures of decision process and decision outcomes. Two independent reviewers conducted study selection, assessed methodological quality and extracted data. Fifteen randomized controlled trials, one pseudo-randomized controlled trial, and four quasi-experimental studies were included in this review. The heterogeneity of interventions and the variability of outcomes used to measure the impact of these interventions precluded meta-analysis. All of the interventions included an educational component regarding the medical condition of interest and available treatment options and a supportive component to encourage patients to ask questions and involve themselves in the decision making. Published evidence on shared decision-making interventions in elective surgery is most prevalent in the breast cancer/endocrine and urology specialties, with most studies targeting their shared decision-making interventions at the patient population. The use of multiple media components within an intervention including interactive video appeared to improve patient satisfaction with the shared decision-making process. The use of well-developed educational information provided through interactive multimedia, computer or DVD based, may enhance the decision-making process. The evidence suggests that such multimedia can be used prior to the surgical consultation, presenting medical and surgical information relevant to the upcoming consultation. A decision and communication aid also appears to be an effective method to support the surgeon in patient participation and involvement in the decision-making process.

Atame: performar o corpo maquínico despedaçado

Este ensaio explora a obra Atame: a angústia do precário do artista digital Wilton Azevedo tendo em vista a multiplicidade de versões disponíveis da obra – como performance ao vivo, versão interativa em DVD e vídeo-poema – e as possíveis implicações destes diferentes modos de operar. Ao mesmo tempo, lê-se a obra como marcada pela fragmentação corpórea em um cenário pós-rompimento amoroso, em que o corpo dilacerado da personagem se torna materialmente presente a partir do modo de navegar pela obra. Opera-se então uma dupla articulação em que a multiplicidade das diferentes versões da obra e a tentativa de reconstituição de um corpo perdido da personagem se apresentam como invariavelmente frustradas diante de uma tensão entre os elementos humanos e maquínicos que amarram o modo de ser atual da personagem e da obra.

Increasing Implementation Fidelity for School-Based Drug Abuse Prevention: Effectiveness of Enhanced Training and Technical Assistance

Objective: A substantial barrier to translating prevention science into practice is the potential for low implementation fidelity when evidence-based interventions are delivered in real-world settings. This study tested the extent to which enhanced training and technical assistance can improve implementation fidelity of LifeSkills Training, an evidence-based drug abuse prevention program. Method: We recruited and randomly assigned middle schools (N = 34) to either a standard provider training condition or a fidelity-enhancement (FE) condition. Teachers in both conditions participated in a standard 1-day training session led by a certified trainer. Teachers in the FE condition received supplemental training and technical assistance (TA), which included planning workbooks, interactive DVD training tools, just-in-time e-mail reminders, and access to TA via the Internet and telephone. Trained coders rated videotapes of classroom teachers implementing curriculum sessions. An intent-to-treat analysis included all videotapes received, including sessions that were only partially implemented or videotaped. Results: Teachers in the FE condition covered significantly more curriculum points and objectives, taught longer sessions, and spent more time using facilitated group discussion and skills practice than teachers in the standard condition. Conclusions: Findings suggest that providing program providers with planning tools and telephone, e-mail and Internet-based TA can significantly enhance implementation fidelity.

Educational DVD for parents of children with congenital heart disease – a pilot study

Parental knowledge regarding their child’s congenital heart defect (CHD) is limited. This study developed and evaluated an interactive DVD that helped parents to understand their child’s CHD. A DVD describing four cardiac abnormalities was created using videos and Adobe Flash. The parents’ knowledge was assessed via a questionnaire before and after receiving the DVD. A control group did not receive the DVD. The DVDs were successfully created and improved the parental knowledge of their child’s cardiac anomaly. The pilot study suggests the need for further development of DVDs to describe additional abnormalities, whilst incorporating local management and outcomes.

Educational intervention to reduce disease related to sub-optimal basic hygiene in Rwanda: initial evaluation and feasibility study

BackgroundDespite a global reduction in morbidity related to sub-optimal water, sanitation and hygiene, the incidence of such diseases remains a significant problem in sub-Saharan Africa. This study aimed to initially assess the potential effectiveness (primarily in terms of impact on morbidity) of a simple educational intervention delivered in Rwanda. Additionally, we sought to explore feasibility relating to the practicality of evaluating and implementing this type of intervention in a low- and middle-income country.MethodsTwo districts in Northern Province were purposively selected; one was randomly allocated to receive the intervention, with the other acting as control. The intervention was based on an interactive DVD about basic hygiene. Baseline and follow-up data for incident cases of relevant morbidities were collected from health centre records. Changes were compared between the two districts using descriptive statistics and chi-squared tests. Qualitative data were obtained through observations, discussions and feedback and were analysed thematically.ResultsCases of infection with intestinal worms and parasites were frequently recorded in both districts. For these morbidities, there was a 39% decrease in cases between baseline and follow-up in the intervention district (4995 reduced to 3069), compared to 13% (5002 reduced to 4356) in the control district (p < 0.001). Numbers of cases recorded as diarrhoea or dysentery, and changes between baseline and follow-up, were much lower (intervention district 1274 cases reduced to 1171; control district 1949 reduced to 1944). Qualitative data indicated a high level of acceptability for the intervention and also feasibility relating to the practicality of evaluation and implementation, whilst also highlighting problems encountered and possible solutions, in particular, the potential advantages of training local personnel to deliver this type of intervention.ConclusionsThis small-scale study has a number of acknowledged limitations which would need to be addressed in a larger study in order to confidently confirm the effectiveness of the intervention. It nevertheless provides evidence suggesting that the educational intervention is promising in terms of a potential impact on health and feasible to deliver and evaluate. These findings indicate that further evaluation and possibly early implementation are warranted.Trial registrationResearch Registry, researchregistry2180

The use of video-modelling as a method for improving the social play skills of children with attention deficit hyperactivity disorder (ADHD) and their playmates

Introduction We investigated child outcomes and mothers' perspectives following technology-based intervention sessions aimed at improving children's social play skills. Method Participants in this multiple case study included five children with attention deficit hyperactivity disorder, their mothers and five typically developing playmates, who had completed a parent-delivered play-based intervention 18 months previously. The initial intervention included the use of a technology-based interactive DVD at home and clinic-based sessions involving video-modelling. In this study, children received two additional technology-based clinic sessions involving video-modelling. Children's social play skills were measured pre- to post-intervention using the Test of Playfulness. Trends in scores were descriptively analysed by case. Mothers' perspectives were explored through semi-structured interviews; data were descriptively analysed by group and case. Results Two children with attention deficit hyperactivity disorder showed an increase in their social play skills, and three a decrease in skills. Of the playmates, three showed consistent social play skills, one an increase and one a decrease. Qualitative findings suggest parents felt better able to support their child. Parents also suggested next steps for the intervention were necessary as their child continued to develop. Conclusion Additional intervention support using technology after initial intervention may need to be adapted to different developmental stages and for use across different contexts.

A feasibility study of educational tools for osteomalacia

Many people in the UK, particularly people of South Asian origin, are advised to supplement their vitamin D intake, yet most do not. This suggests an unmet educational need. The osteomalacia mind map was developed to meet this need. The mind map contains culturally sensitive images, translated into Urdu and made interactive on a DVD. This study explores the feasibility of a randomised controlled study to measure the effect of education on improving vitamin D knowledge and adherence. This was a pilot and feasibility study. Cluster randomisation was used to avoid inter person contamination. Two South Asian women’s groups were recruited to receive information about osteomalacia either by interactive DVD or an Arthritis Research UK leaflet. Knowledge and compliance were tested before and after the educational interventions via a knowledge questionnaire and the measurement of vitamin D and parathormone levels. The groups were found to be mismatched for knowledge, educational attainment and language at baseline. There were also organisational difficulties and possible confounding due to different tutors and translators. The DVD group had high knowledge at baseline which did not improve. The leaflet group had low knowledge at baseline that did improve. The DVD group had lower parathormone which did not change. The leaflet group had an increase in vitamin D but parathormone remained high. Performing a randomised study with this population utilising an educational intervention was difficult to execute. If cluster randomisation is used, extreme care must be taken to match the groups at baseline.

Work It Out Together: Preliminary Efficacy of a Parent and Adolescent DVD and Workbook Intervention on Adolescent Sexual and Substance Use Attitudes and Parenting Behaviors.

The purpose of the current study was to test an interactive DVD and workbook specifically designed for African-American parents and adolescents (ages 13-18), based on an efficacious face-to-face intervention, to address key factors associated with risk. A total of 170 parent-adolescent dyads were enrolled and randomly assigned to receive either the "Work It Out Together" DVD or a General Health Promotion DVD (HP). Parents and adolescents completed measures of HIV knowledge, self-efficacy, and parenting behaviors. Immediately after receiving the Work It Out Together intervention, parents and adolescents demonstrated higher HIV knowledge and greater HIV prevention self-efficacy. Three months after receiving the Work It Out Together intervention, parents and adolescents reported higher levels of parental monitoring and sexually active adolescents reported higher levels of condom use self-efficacy and a lower rate of recent sex. These outcomes provide preliminary evidence that the "Work It Out Together" DVD impacted individual attitudes and protective parenting behaviors.

Can the Otago falls prevention program be delivered by video? A feasibility study

ObjectivesWe assessed the feasibility of delivering the Otago Exercise Programme (OEP) via an interactive DVD (ie, OEP-DVD) in combination with monthly physical therapist phone calls to older adults.DesignThis pre-post (baseline...

Mammography Adherence in African-American Women: Results of a Randomized Controlled Trial.

Breast cancer is the second leading cause of cancer mortality among women in the developed world. Mammography screening is especially important for African-Americans because they experience a greater mortality (OR = 1.38) than Caucasians despite having a lower incidence of breast cancer. The purpose of this study was to compare the effects of two interventions with usual care on mammography adherence among African-American women. A subsample of African-American women (n = 244) aged 41-65 years who had not had a mammogram in the last 15 months and no history of breast cancer was randomly assigned to receive (1) mailed interactive DVD, (2) computer-tailored telephone counseling, or (3) usual care. The DVD intervention was five times more effective than usual care for promoting mammography screening at 6 months follow-up among women who earned less than $30,000 (OR = 5.3). Compared to usual care, neither the DVD nor phone produced significant effects for women with household incomes >$30,000. Use of a mailed DVD for low-income African-American women may be an effective way to increase mammography adherence.

PWE-409 Colorectal cancer care apps for patient and staff education – bringing medical education into the 21st century

Introduction Advancing technology has led to the opening of new channels for communication and access to information. Accordingly healthcare must keep pace with our increasing desire for choice in how we receive, interact and learn if we are to continue to strive for higher standards of care. In 2008, our group launched the first interactive DVD for patients with colorectal cancer, which described the diagnosis, treatment and follow-up of patients at our unit. This project won several awards within the UK for innovation and has led to the creation of a series of four titles which have played an important role in patient counselling/staff education within our centre. Following the feedback from this series, we were inspired to find avenues to widen the availability of these resources worldwide. This has led to the series being digitally enhanced and adapted as four interactive iOS apps currently available for worldwide download on tablet platform. Method The online applications designed as part of this initiative are: - 1. Patient Journey – the diagnosis, treatment and follow-up when diagnosed with a bowel tumour’: An educational app designed to inform, demystify and prepare patients and carers with bowel cancer for the journey ahead. 2. ‘Enhanced Recovery after Surgery (ERAS) for major bowel surgery’: An app designed to explain the concepts and benefits of ERAS to patients prior to major bowel surgery. 3. ‘Colorectal’: An educational app designed to give exposure to students/junior trainees regarding the anatomical/surgical principles of common colorectal procedures. 4. ‘Stepwise Approach for Laparoscopic Colorectal Surgery’: An interactive app to assist colorectal consultants/trainee surgeons who wish to gain proficiency in laparoscopic colorectal surgery Results Since our product launch in July 2014, there have been more than 5000 downloads worldwide. Downloads were noted across all world regions with 58% in the Asia-Pacific region, 26% in Europe and 12% in the USA and Canada. These applications are unique in that they contain extensive footage of real-life events coupled with surgical technique. This level of realism in the digital medium means the viewer can have many questions answered before their next consultation, resulting in a better informed patient ready for surgery. Conclusion These applications exemplify how utilising technology can advance practice and improve patient experience by providing an interactive format where patients can explore and understand their condition. Our vision is that this model can be used/adapted for widespread use to supplement current methods of patient/staff education, bringing the way we communicate, counsel and train into the 21 st century. Disclosure of interest None Declared.