Using Media to Promote Public Awareness of Early Detection of Kaposi's Sarcoma in Africa.


Journal

Journal of oncology
ISSN: 1687-8450
Titre abrégé: J Oncol
Pays: Egypt
ID NLM: 101496537

Informations de publication

Date de publication:
2020
Historique:
received: 09 08 2019
revised: 20 01 2020
accepted: 06 02 2020
entrez: 14 4 2020
pubmed: 14 4 2020
medline: 14 4 2020
Statut: epublish

Résumé

Despite its hallmark cutaneous presentation, most Kaposi's sarcoma (KS) in Africa is diagnosed too late for effective treatment. Early diagnosis will only be achievable if patients with KS present earlier for care. We hypothesized that public awareness about KS can be enhanced through exposure to common media. We developed educational messages regarding early detection of KS for the general African public portraying a three-part theme: "Look" (regularly examine one's skin/mouth), "Show" (bring to the attention of a healthcare provider any skin/mouth changes), and "Test" (ask for a biopsy for definitive diagnosis). We packaged the messages in three common media forms (comic strips, radio, and video) and tested their effect on increasing KS awareness among adults attending markets in Uganda. Participants were randomized to a single exposure to one of the media and evaluated for change in KS-related knowledge and attitudes. Among 420 participants, media exposure resulted in increased ability to identify KS (from 0.95% pretest to 46% posttest); awareness that anyone is at risk for KS (29% to 50%); belief that they may be at risk (63% to 76%); and knowledge that definitive diagnosis requires biopsy (23% to 51%) (all Exposure to media featuring a theme of "Look," "Show," and "Test" resulted in changes in knowledge and attitudes concerning KS among the general public in Uganda. High incidence and poor survival of KS in Africa are an impetus to further evaluate these media, which are freely available online.

Sections du résumé

BACKGROUND BACKGROUND
Despite its hallmark cutaneous presentation, most Kaposi's sarcoma (KS) in Africa is diagnosed too late for effective treatment. Early diagnosis will only be achievable if patients with KS present earlier for care. We hypothesized that public awareness about KS can be enhanced through exposure to common media.
METHODS METHODS
We developed educational messages regarding early detection of KS for the general African public portraying a three-part theme: "Look" (regularly examine one's skin/mouth), "Show" (bring to the attention of a healthcare provider any skin/mouth changes), and "Test" (ask for a biopsy for definitive diagnosis). We packaged the messages in three common media forms (comic strips, radio, and video) and tested their effect on increasing KS awareness among adults attending markets in Uganda. Participants were randomized to a single exposure to one of the media and evaluated for change in KS-related knowledge and attitudes.
RESULTS RESULTS
Among 420 participants, media exposure resulted in increased ability to identify KS (from 0.95% pretest to 46% posttest); awareness that anyone is at risk for KS (29% to 50%); belief that they may be at risk (63% to 76%); and knowledge that definitive diagnosis requires biopsy (23% to 51%) (all
CONCLUSION CONCLUSIONS
Exposure to media featuring a theme of "Look," "Show," and "Test" resulted in changes in knowledge and attitudes concerning KS among the general public in Uganda. High incidence and poor survival of KS in Africa are an impetus to further evaluate these media, which are freely available online.

Identifiants

pubmed: 32280342
doi: 10.1155/2020/3254820
pmc: PMC7115145
doi:

Types de publication

Journal Article

Langues

eng

Pagination

3254820

Subventions

Organisme : NIAID NIH HHS
ID : P30 AI027763
Pays : United States
Organisme : NCI NIH HHS
ID : P30 CA008748
Pays : United States
Organisme : NCI NIH HHS
ID : U54 CA190153
Pays : United States

Informations de copyright

Copyright © 2020 Miriam Laker-Oketta et al.

Déclaration de conflit d'intérêts

The authors declare no potential conflicts of interest.

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Auteurs

Miriam Laker-Oketta (M)

Infectious Diseases Institute, Makerere University, Kampala, Uganda.

Lisa Butler (L)

University of Connecticut, Storrs, CT, USA.

Philippa Kadama-Makanga (P)

Infectious Diseases Institute, Makerere University, Kampala, Uganda.

Robert Inglis (R)

Jive Media Africa, Pietermaritzburg, KwaZulu-Natal, South Africa.

Megan Wenger (M)

University of California, San Francisco, CA, USA.

Edward Katongole-Mbidde (E)

Uganda Virus Research Institute, Entebbe, Uganda.

Toby Maurer (T)

University of California, San Francisco, CA, USA.

Andrew Kambugu (A)

Infectious Diseases Institute, Makerere University, Kampala, Uganda.

Jeffrey Martin (J)

University of California, San Francisco, CA, USA.

Classifications MeSH