Spiritually Based Intervention to Increase Colorectal Cancer Awareness Among African Americans: Intermediate Outcomes From a Randomized Trial
Spiritually Based Intervention to Increase Colorectal Cancer Awareness Among African Americans: Intermediate Outcomes From a Randomized Trial
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DOI：
10.1080/10810730.2012.665418
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发表时间：
2012-01-01
影响因子：
4.4
通讯作者：
Martin, Michelle Y.
中科院分区：
文献类型：
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作者：
Holt, Cheryl L.;Scarinci, Isabel C.;Martin, Michelle Y.
结直肠癌筛查虽然可以有效降低死亡率，但仍未得到充分利用，特别是在非洲裔美国人等服务不足的人群中。本研究评估了一种以精神为基础的方法，以提高基于健康信念模型的预筛查结果，该方法是在社区健康顾问主导的非裔美国教堂进行的干预措施中进行的。十六个城市教会被随机分配接受基于灵性的干预或相同结构和核心结直肠癌内容的非灵性比较。训练有素的社区健康顾问主持了两场关于结直肠癌早期检测的系列教育课程。教育课程为期 1 个月。参与者 (N = 316) 在注册时完成了基线调查，并在第一次会议后一个月完成了后续调查。这两种干预措施都导致了知识的显着增加、筛查的好处以及筛查障碍的减少。在女性中，与非精神干预相比，基于精神的干预使筛查的感知益处显着增加。这一发现在整个样本中是微不足道的。此外，筛查的感知益处与筛查的行为意图相关。结论是，在这个人群中，基于精神的交流通常与非精神（世俗）的交流一样有效。
Colorectal cancer screening, while effective for reducing mortality, remains under-utilized particularly among underserved populations such as African Americans. The present study evaluated a spiritually based approach to increasing Health Belief Model-based pre-screening outcomes in a Community Health Advisor-led intervention conducted in African American churches. Sixteen urban churches were randomized to receive either the spiritually based intervention or a nonspiritual comparison of the same structure and core colorectal cancer content. Trained Community Health Advisors led a series of two educational sessions on colorectal cancer early detection. The educational sessions were delivered over a 1-month period. Participants (N = 316) completed a baseline survey at enrollment and a follow-up survey one month after the first session. Both interventions resulted in significant pre/post increases in knowledge, perceived benefits of screening, and decreases in perceived barriers to screening. Among women, the spiritually based intervention resulted in significantly greater increases in perceived benefits of screening relative to the nonspiritual comparison. This finding was marginal in the sample as a whole. In addition, perceived benefits to screening were associated with behavioral intention for screening. It is concluded that in this population, the spiritually based was generally as effective as the nonspiritual (secular) communication.