Taking Care of Yourself and Your Risk for Breast Cancer (CUIDARSE): A Randomized Controlled Trial of a Health Communication Intervention for Latinas

Autor/inn/en	Payán, Denise D.; Maggard-Gibbons, Melinda; Flórez, Karen R.; Mejía, Nelly; Hemmelgarn, Marian; Kanouse, David; Kahn, Katherine L.; Golinelli, Daniela; Diaz Fuentes, Claudia M.; Newberry, Sydne J.; Lara, Marielena
Titel	Taking Care of Yourself and Your Risk for Breast Cancer (CUIDARSE): A Randomized Controlled Trial of a Health Communication Intervention for Latinas
Quelle	In: Health Education & Behavior, 47 (2020) 4, S. 569-580 PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Payán, Denise D.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198120920529
Schlagwörter	Forschungsbericht; Cancer; Hispanic Americans; Females; Health Behavior; Intervention; Information Dissemination; Spanish Speaking; Publications; Program Effectiveness; Knowledge Level; Self Efficacy; Risk Management; Adults; Screening Tests + Suchen Sie Ihr Suchwort? Carcinoma; Karzinom; Krebs (med); Krebserkrankung; Hispanic; Hispanoamerikaner; Weibliches Geschlecht; Health behaviour; Gesundheitsverhalten; Informationsverbreitung; Wissensbasis; Self-efficacy; Selbstwirksamkeit; Risikomanagement; Screening-Verfahren
Abstract	Latinas in the United States are more likely to be diagnosed with late-stage breast cancer (BC) compared to non-Latinas. Literacy-appropriate and culturally sensitive cancer communication interventions can help address existing racial/ethnic BC disparities. We formatively developed a new BC prevention brochure for Spanish-speaking Latinas ([greater than or equal to] 35 years). Eligible women (n = 240) from a large public hospital in California were randomly assigned to one of three study arms: Group 1 received the new brochure, Group 2 included a community health worker (CHW) who delivered the new brochure's content, and a control group received a standard educational brochure. Participants completed three surveys (baseline, postintervention, 3-month follow-up) with a 100% completion rate for the first two surveys and 80.4% completion after 3 months. We assessed the difference in outcomes for BC risk knowledge, perceived BC susceptibility, and BC information self-efficacy between groups. Participant mean age was 52.3 years, and 82.1% reported low English proficiency. Mean knowledge scores increased and perceived BC susceptibility improved for all groups (p [less than or equal to] 0.05), yet treatment effects were not significant between groups for these outcomes. BC information self-efficacy also increased from baseline to postintervention for all groups to >80%. After 3 months, only Group 2 and the control group retained their increases and treatment effects were significant only for Group 2 compared to other groups in unadjusted and adjusted models. A CHW-delivered intervention may be more effective in improving BC information self-efficacy among Latinas compared to print material alone. More research is needed to examine the efficacy of CHW-delivered interventions. (As Provided).
Anmerkungen	SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Begutachtung	Peer reviewed
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01