Using dissemination research to identify optimal community settings for tailored breast cancer information kiosks
Using dissemination research to identify optimal community settings for tailored breast cancer information kiosks
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DOI：
10.1097/01.phh.0000311895.57831.02
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发表时间：
2008-03-01
影响因子：
3.3
通讯作者：
Christopher, Kara
中科院分区：
文献类型：
--
作者：
Kreuter, Matthew W.;Alcaraz, Kassandra I.;Christopher, Kara
目的：选择适当的社区渠道或环境来提供循证健康促进计划可能是成功传播的关键。这篇文章描述了如何应用五个标准-可访问性、机会、适当性、可及性和特异性-来确定和比较七个社区环境作为为非裔美国妇女定制的乳腺癌教育计算机信息亭的主办地点。方法：从2003年6月至2007年3月期间，从92家美容院、教堂、社区卫生中心、自助洗衣店、社会服务机构、健康博览会和公共图书馆的10 306个售货亭使用中收集数据。研究结果：在七个环境中，只有自助洗衣店被发现既提供高覆盖率(即经常使用自助洗衣机)又具有高特异性(即，很大比例的用户没有医疗保险，不知道哪里可以进行乳房X光检查，没有报告最近进行乳房X光检查的情况和获得乳房X光检查的障碍，以及对乳腺癌和乳房X光检查知之甚少)。结论：对潜在传播渠道进行系统的、基于数据的评估有助于确定癌症控制干预措施的最佳环境。
Objective: Selecting appropriate community channels or settings for delivering evidence-based health promotion programs can be critical to successful dissemination. This article describes how five criteria-accessibility, opportunity, appropriateness, reach, and specificity-were applied in identifying and comparing seven community settings as host sites for a tailored breast cancer education computer kiosk for African American women. Met hods: Data were gathered from 10 306 kiosk uses in 92 beauty salons, churches, neighborhood health centers, Laundromats, social service agencies, health fairs, and public libraries between June 2003 and March 2007. Findings: Of the seven settings, only Laundromats were found to provide both high reach (ie, frequent kiosk use) and high specificity (ie, a large proportion of users with no health insurance, unaware of where to get a mammogram, reporting no recent mammogram and barriers to getting one, and having little knowledge about breast cancer and mammography). Conclusions: Systematic, data-based evaluations of potential dissemination channels can help identify optimal settings for cancer control interventions.