We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Taking Care of Yourself and Your Risk for Breast Cancer (CUIDARSE): A Randomized Controlled Trial of a Health Communication Intervention for Latinas.
- Authors
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
- 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 (≥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 ≤.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.
- Subjects
CALIFORNIA; EDUCATION of Hispanic Americans; BREAST tumor risk factors; ANALYSIS of variance; CHI-squared test; COMMUNICATION; ETHNIC groups; FISHER exact test; PAMPHLETS; RACE; RESEARCH funding; STATISTICAL sampling; SELF-efficacy; SURVEYS; TEACHING aids; RANDOMIZED controlled trials; HEALTH literacy; HEALTH Belief Model; DESCRIPTIVE statistics
- Publication
Health Education & Behavior, 2020, Vol 47, Issue 4, p569
- ISSN
1090-1981
- Publication type
Article
- DOI
10.1177/1090198120920529