Intervention tailoring for Chinese American women: comparing the effects of two videos on knowledge, attitudes and intentions to obtain a mammogram
Intervention tailoring for Chinese American women: comparing the effects of two videos on knowledge, attitudes and intentions to obtain a mammogram
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DOI：
10.1093/her/cys007
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发表时间：
2012-06-01
影响因子：
2.4
通讯作者：
Mandelblatt, Jeanne S.
中科院分区：
文献类型：
--
作者：
Wang, Judy Huei-yu;Schwartz, Marc D.;Mandelblatt, Jeanne S.
本研究利用一项正在进行的随机对照试验的数据，比较了一个文化定制的视频，促进中国移民妇女对乳房X光检查的积极态度，以语言适当的通用视频和印刷媒体。干预措施的制定是由健康信念模型指导的。来自大都会华盛顿和纽约市地区的592名华裔美国移民在干预前后完成了电话采访。知识的变化，东方的医疗保健（宿命论和自我保健），健康信念（感知的易感性，严重性，利益和障碍）和筛查意图进行了测量。结果显示，两个视频都提高了筛查知识，修改了东方的卫生保健观，减少了感知障碍，增加了筛查意愿（均P <0. 05）。普通视频增加的筛查意向是文化视频的两倍，尽管亚组分析显示，这种增加仅在50-64岁的女性中显着。在调整了所有基线协变量后，只有东方人对医疗保健的看法与筛查意向呈负相关。这些数据表明，一个理论指导的语言适当的视频，针对不同种族的妇女是有效的，在修改乳腺X射线摄影筛查的态度，作为一个视频，是专门为中国移民妇女。
This study utilized data from an ongoing randomized controlled trial to compare a culturally tailored video promoting positive attitudes toward mammography among Chinese immigrant women to a linguistically appropriate generic video and print media. Intervention development was guided by the Health Belief Model. Five hundred and ninety-two immigrant Chinese Americans from the metropolitan Washington, DC, and New York City areas completed telephone interviews before and after intervention. Changes in knowledge, Eastern views of health care (fatalism and self-care), health beliefs (perceived susceptibility, severity, benefits and barriers) and screening intentions were measured. Results showed that both videos improved screening knowledge, modified Eastern views of health care, reduced perceived barriers and increased screening intentions relative to print media (all P < 0.05). The generic video increased screening intention twice as much as the cultural video, although subgroup analysis showed the increase was only significant in women aged 50-64 years. Only Eastern views of health care were negatively associated with screening intentions after adjusting for all baseline covariates. These data suggest that a theoretically guided linguistically appropriate video that targets women from various ethnic groups is as efficacious in modifying attitudes toward mammography screening as a video that is exclusively tailored for Chinese immigrant women.