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Autor/inn/enGwede, Clement K.; Sutton, Steven K.; Chavarria, Enmanuel A.; Gutierrez, Liliana; Abdulla, Rania; Christy, Shannon M.; Lopez, Diana; Sanchez, Julian; Meade, Cathy D.
TitelA Culturally and Linguistically Salient Pilot Intervention to Promote Colorectal Cancer Screening among Latinos Receiving Care in a Federally Qualified Health Center
QuelleIn: Health Education Research, 34 (2019) 3, S.310-320 (11 Seiten)Infoseite zur Zeitschrift
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ZusatzinformationORCID (Chavarria, Enmanuel A.)
Spracheenglisch
Dokumenttypgedruckt; online; Zeitschriftenaufsatz
ISSN0268-1153
DOI10.1093/her/cyz010
SchlagwörterScreening Tests; Health Promotion; Intervention; Hispanic Americans; Adults; Health Behavior; Information Dissemination; Spanish; Socioeconomic Influences; Knowledge Level; Beliefs; Attitudes; Program Effectiveness; Clinics
AbstractDespite established benefits, colorectal cancer (CRC) screening is underutilized among Latinos/Hispanics. We conducted a pilot 2-arm randomized controlled trial evaluating efficacy of two intervention conditions on CRC screening uptake among Latinos receiving care in community clinics. Participants (N = 76) were aged 50-75, most were foreign-born, preferred to receive their health information in Spanish, and not up-to-date with CRC screening. Participants were randomized to either a culturally linguistically targeted Spanish-language fotonovela booklet and DVD intervention plus fecal immunochemical test [FIT] (the LCARES, Latinos Colorectal Cancer Awareness, Research, Education and Screening intervention group); or a non-targeted intervention that included a standard Spanish-language booklet plus FIT (comparison group). Measures assessed socio-demographic variables, health literacy, CRC screening behavior, awareness and beliefs. Overall, FIT uptake was 87%, exceeding the National Colorectal Cancer Roundtable's goal of 80% by 2018. The LCARES intervention group had higher FIT uptake than did the comparison group (90% versus 83%), albeit not statistically significant (P = 0.379). The LCARES intervention group was associated with greater increases in CRC awareness (P = 0.046) and susceptibility (P = 0.013). In contrast, cancer worry increased more in the comparison group (P = 0.045). Providing educational materials and a FIT kit to Spanish-language preferring Latinos receiving care in community clinics is a promising strategy to bolster CRC screening uptake to meet national targets. (As Provided).
AnmerkungenOxford University Press. Great Clarendon Street, Oxford OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://her.oxfordjournals.org/
Erfasst vonERIC (Education Resources Information Center), Washington, DC
Update2020/1/01
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