Developing a Culturally Tailored Narrative Video for Skin Cancer Prevention Among Spanish-Speaking Hispanic Outdoor Workers: Co-Design Study
Background: Hispanic individuals face a higher risk of skin cancer due to disproportionate occupational sun exposure; yet, culturally tailored resources for this demographic are scarce. Objective: The aim of this study was to codevelop a culturally tailored narrative video to enhance skin cancer prevention among Spanish-speaking Hispanic outdoor workers. Methods: We partnered with the National Conservatory of Dramatic Arts, medical specialists, national skin cancer prevention organizations, occupational health experts, and Hispanic outdoor workers to create an educational video that promotes sun protection and skin cancer awareness and prevention among Hispanic outdoor workers and their families. Development was based on extensive formative research, health behavior models, and interactive script review by multistakeholder and community advisory boards. Results: The final result is a 27-minute video that follows Miguel, who is taking ownership of his father's landscaping business as he is diagnosed with basal cell carcinoma. Throughout the video, Miguel and his wife, Sofía, learn about skin cancers, their warning signs, and steps for prevention, ultimately using this knowledge to protect and empower his employees and family. Key engagement strategies include cultural tailoring, story-driven learning, and visual modeling. Conclusions: This culturally and theoretically informed video represents a tool to increase knowledge and self-efficacy among Spanish-speaking Hispanic outdoor workers and their families, potentially reducing their skin cancer risk. Future research should evaluate the video's acceptability and impact on enhancing awareness, knowledge, and sun-protective behaviors.
Authors
- Ellen Pritchett (ORCID: https://orcid.org/0000-0001-9074-1504)
- Roxanne Mirabal‐Beltran (ORCID: https://orcid.org/0000-0001-9617-3798)
- Chiranjeev Dash (ORCID: https://orcid.org/0000-0002-3314-8461)
- Geoffrey T. Gibney (ORCID: https://orcid.org/0000-0002-5401-8498)
- David Pérez (ORCID: https://orcid.org/0000-0002-1749-1999)
- Elissa Fairbrother
- Lilia Correa-Selm
- Alejandra Hurtado-de-Mendoza
- Rosa Yáñez
- Dariana Sedeño-Delgado
- Nathaly Garces Lenis
- AMPARO CABALLERO
- Rebecca Young
- Rosemary Sokas (ORCID: https://orcid.org/0000-0002-4380-7141)
- Douglas Wilder (ORCID: https://orcid.org/0009-0008-7733-0709)
- Valeria Gómez (ORCID: https://orcid.org/0009-0000-4512-0186)
- Otto Castillo Caldas (ORCID: https://orcid.org/0009-0009-9444-4473)
- Jocelyn Apodaca Schlossberg (ORCID: https://orcid.org/0009-0008-3517-4437)
- Carlos Orellana García (ORCID: https://orcid.org/0009-0008-1092-0253)
- Nan Kyle Ficca (ORCID: https://orcid.org/0009-0005-1421-3183)
- Pilar Carrera (ORCID: https://orcid.org/0000-0002-3940-9028)
- Melida Chacon (ORCID: https://orcid.org/0009-0000-1674-9145)
- Edith Yañez (ORCID: https://orcid.org/0009-0006-9675-6911)
Institutions
- Conservatoire National des Arts et Métiers (FR)
- University of America (US)
- Baylor College of Medicine (US)
- Georgetown University (US)
- Georgetown University Medical Center (US)
- Nesher Technologies (United States) (US)
- Howard University Hospital (US)
- Melanoma Institute Australia (AU)
- California Latinas for Reproductive Justice (US)
- AdventHealth Tampa (US)
- Farmworker Justice (US)
- Corporación Universitaria Remington (CO)
- Universidad Autónoma de Madrid (ES)
- Honeywell (United States) (US)
- Catholic University of America (US)
Publication Details
- Journal
- Journal of Participatory Medicine
- Published
- 2026-05-22
- DOI
- https://doi.org/10.2196/89986
- Primary Topic
- Participatory Visual Research Methods
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Georgetown-Howard Universities Center for Clinical and Translational Science
- National Institutes of Health
- Lombardi Comprehensive Cancer Center, Georgetown University
- National Cancer Institute
- National Center for Advancing Translational Sciences