The impact of multilingual science popularization videos based on the transtheoretical model and whole-cycle management concepts on the self-management behavior capacity of liver cancer patients from ethnic minorities

Objective To evaluate the impact of "Prevention-Treatment-Rehabilitation" multilingual popular science videos on the self-management behavioral abilities of ethnic minority patients with liver cancer. Methods A self-controlled before-and-after study design was adopted. Ethnic minority liver cancer patients hospitalized in two tertiary hospitals from September 2024 to November 2024 were conveniently selected as the study participants. By integrating the Transtheoretical Model (TTM) and the concept of comprehensive liver cancer management, multilingual science popularization videos in Mandarin, Yi, and Tibetan languages were developed. These videos were promoted both online and offline. After watching the videos, their self-management levels were assessed using the Liver Cancer Patient Self-Management Behavior Scale before and after the intervention. Results After the intervention, significant improvements were observed in all four dimensions of patients' self-management abilities, with statistically significant differences (P < 0.001). The total self-management behavior score increased from 113.53 ± 17.26 to 131.38 ± 9.783, showing a statistically significant difference (P < 0.001). Male patients, older individuals, those with lower education levels, private enterprise employees, patients with urban-rural resident medical insurance or without insurance, and patients with smoking or drinking habits exhibited more significant improvements after the intervention (P < 0.05). Conclusion Health education based on "Prevention-Treatment-Rehabilitation" multilingual popular science videos helps improve the self-management behavioral abilities of ethnic minority patients with liver cancer.