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: 2.2).
07/2011; 84(1):128-31. DOI: 10.1016/j.pec.2010.05.014
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.
Available from: Gulten Guvenc
- "ing health insurance or not , place of residence , ability to access healthcare services and similar socio - demographic and economic features , health - related beliefs and attitudes of the place of residence , and similar socio - cultural features can influence female participation in screening programs in various ways ( Whitman et al . , 2007 ; Goel et al . , 2010 ) . When we look at studies on the subject from Turkey , we see that the participation of females in breast cancer and cervical cancer screening has been the most common subject evaluated ( Yavan et al . , 2010 ; Guvenc et al . , 2011 ) . There are very few studies on colorectal cancer screening ( Altuğ et al . , 2002 ; Bas et al . , 20"
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The aim of the study was to determine the breast, cervical, and colorectal cancer screening rates and the influencing factors in a group of Turkish females.
This descriptive study was conducted in a School of Nursing. The study sample consisted of 603 females who were the mothers/neighbors or relatives of the nursing students. Data collection forms were developed by the investigators after the relevant literature was screened and were used to collect the data.
Of the women aged 30 and over, 32.8% had undergone a pap smear test at least once in their life. Of those aged 50 and over, 48.2% had undergone mammography at least once and FOBT had been performed in 12% of these women in their life. Having heard of the screening tests before, knowing why they are done, and having information on the national cancer screening program were important factors influencing the rates of women having these tests done.
The results of this study show that the rates of women participating in national cervical, breast, and colorectal cancer screening programs are not at the desired levels. Having heard of the screening tests before, knowing why they are done, and having information on the national cancer screening program were important factors influencing the rates of women having these tests done. It is suggested that written and visual campaigns to promote the service should be used to educate a larger population, thus increasing the participation rates for cancer screening programs.
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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.
Available from: Carolyn M Brown
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ABSTRACT: OBJECTIVE To assess Spanish-speaking patients' satisfaction with their clinical pharmacists' communication skills and demonstration of cultural sensitivity, while controlling for patients' sociodemographic, clinical, and communication factors, as well as pharmacist factors, and to identify clinical pharmacists' cultural factors that are important to Spanish-speaking patients. DESIGN Cross-sectional study. SETTING Central Texas during August 2011 to May 2012. PARTICIPANTS Spanish-speaking patients of federally qualified health centers (FQHCs). MAIN OUTCOME MEASURE(S) A Spanish-translated survey assessed Spanish-speaking patients' satisfaction with their clinical pharmacists' communication skills and demonstration of cultural sensitivity. RESULTS Spanish-speaking patients (N = 101) reported overall satisfaction with their clinical pharmacists' communication skills and cultural sensitivity. Patients also indicated that pharmacists' cultural rapport (e.g., ability to speak Spanish, respectfulness) was generally important to Spanish speakers. Multiple linear regression analyses showed that cultural rapport was significantly related to satisfaction with pharmacists' communication skills and demonstration of cultural sensitivity. CONCLUSION Overall, patients were satisfied with pharmacists' communication skills and cultural sensitivity. Patient satisfaction initiatives that include cultural rapport should be developed for pharmacists who provide care to Spanish-speaking patients with limited English proficiency.
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