Development and pilot testing of a culturally sensitive multimedia program to improve breast cancer screening in Latina women

Division of General Internal Medicine, Feinberg School of Medicine, Northwestern University, USA.
Patient Education and Counseling (Impact Factor: 2.6). 07/2011; 84(1):128-31. DOI: 10.1016/j.pec.2010.05.014
Source: PubMed

ABSTRACT Our study goal was to assess the effects of a brief patient video on breast cancer knowledge and attitudes among Latina women at a community health center.
We conducted pre- and post-testing of knowledge and attitudes in women aged 40 years or older with active screening referrals (n=91). We compared pre- and post-test knowledge and attitudes overall and by baseline values.
Mean knowledge increased from 5.8/10 to 6.9/10 (p<0.05), with the greatest increases in those with low baseline knowledge (p<.001). There were no changes in mean attitudes, which were high at baseline (3.8/5); however, among the 16 women with negative/neutral attitudes, 50% developed positive attitudes after watching the video (p<0.05). Baseline intention to complete screening was high at 98%.
Although the overall effects were modest, the greatest improvements were in those with low baseline knowledge scores and negative/neutral baseline attitudes. Future testing should examine the effects in a community-based sample.
A brief patient video has promise for influencing patient knowledge and perhaps attitudes while being amenable to integration into clinical flow.

  • [Show abstract] [Hide abstract]
    ABSTRACT: South Asians, the second fastest growing racial/ethnic minority in the United States, have high rates of coronary heart disease. Few coronary heart disease prevention efforts target this population. The authors developed and tested a culture-specific, multimedia coronary heart disease prevention education program in English and Hindi for South Asians. Participants were recruited from community organizations in Chicago, Illinois, between June and October of 2011. Bilingual interviewers used questionnaires to assess participants' knowledge and perceptions before and after the patient education program. The change from pretest score to posttest score was calculated using a paired t test. Linear regression was used to determine the association between posttest scores and education and language. Participants' (N = 112) average age was 41 years, 67% had more than a high school education, and 50% spoke Hindi. Participants' mean pretest score was 15 (SD = 4). After the patient education program, posttest scores increased significantly among all participants (posttest score = 24, SD = 4), including those with limited English proficiency. Lower education was associated with a lower posttest score (β = -2.2, 95% CI [-0.68, -3.83]) in adjusted regression. A culture-specific, multimedia patient education program significantly improved knowledge and perceptions about coronary heart disease prevention among South Asian immigrants. Culturally salient multimedia education may be an effective and engaging way to deliver health information to diverse patient populations.
    Journal of Health Communication 02/2015; 20(4):1-7. DOI:10.1080/10810730.2014.965366 · 1.61 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Purpose/Objectives: To assess the efficacy of Korean Immigrants and Mammography-Culture-Specific Health Intervention (KIM-CHI), an educational program for Korean American (KA) couples designed to improve mammography uptake among KA women.Design: A two-group cluster randomized, longitudinal, controlled design.Setting: 50 KA religious organizations in the Chicago area.Sample: 428 married KA women 40 years of age or older who had not had a mammogram in the past year. The women and their husbands were recruited from 50 KA religious organizations.Methods: Couples were randomly assigned to intervention or attention control groups. Those in the KIM-CHI program (n = 211 couples) were compared to an attention control group (n = 217 couples) at baseline, as well as at 6 and 15 months postintervention on mammogram uptake.Main Research Variables: Sociodemographic variables and mammography uptake were measured. Level of acculturation was measured using the Suinn-Lew Asian Self-Identity Acculturation Scale. Researchers asked questions about healthcare resources and use, health insurance status, usual source of care, physical examinations in the past two years, family history of breast cancer, and history of mammography.Findings: The KIM-CHI group showed statistically significant increases in mammography uptake compared to the attention control group at 6 months and 15 months postintervention.Conclusions: The culturally targeted KIM-CHI program was effective in increasing mammogram uptake among nonadherent KA women.Implications for Nursing: Nurses and healthcare providers should consider specific health beliefs as well as inclusion of husbands or significant others. They also should target education to be culturally relevant for KA women to effectively improve frequency of breast cancer screening.
    Oncology Nursing Forum 05/2014; 41(3):E185-93. DOI:10.1188/14.ONF.E185-E193 · 1.91 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: In 2002, the Institute of Medicine released its landmark report “Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care.” This report led to increased efforts in identifying, assessing, and documenting racial and ethnic disparities in health care, as well as developing, testing, and implementing interventions in an attempt to reduce health disparities throughout the United States. This article reviews the rise of health disparities research in the United States and reports on selected studies and interventions developed by researchers at the Northwestern University Feinberg School of Medicine. These interventions have used communication and behavioral science theories and frameworks in their development and dissemination, particularly in the realm of clinical preventive medicine.
    Journal of Communication 02/2013; 63(1). DOI:10.1111/jcom.12005 · 2.45 Impact Factor