A Subjective Culture Approach to Cancer Prevention: Rural Black and White Adults' Perceptions of Using Virtual Health Assistants to Promote Colorectal Cancer Screening.
A Subjective Culture Approach to Cancer Prevention: Rural Black and White Adults' Perceptions of Using Virtual Health Assistants to Promote Colorectal Cancer Screening.
复制标题
癌症预防的主观文化方法：农村黑人和白人成年人对使用虚拟健康助理促进结直肠癌筛查的看法。
DOI：
10.1080/10410236.2021.1910166
复制
发表时间：
2022
影响因子：
3.9
通讯作者：
Krieger,JaniceL
中科院分区：
文献类型：
--
作者：
Vilaro,MelissaJ;Wilson-Howard,DanyellS;Neil,JordanM;Tavassoli,Fatemeh;Zalake,MohanS;Lok,BenjaminC;Modave,FrançoisP;George,ThomasJ;Odedina,FolakemiT;Carek,PeterJ;Mys,AubreyM;Krieger,JaniceL
在美国，黑人成年人比白色成年人更不可能接受结直肠癌（CRC）筛查。本研究采用主观文化的方法来描述和比较的看法CRC筛查干预提供通过虚拟健康助理（VHA）之间的农村黑人和白色的研究参与者。我们分析了28个焦点组，其中黑人（n= 85）和白色（n= 69）年龄在50-73岁之间的成年人。参与者主要是通过社区参与工作招募的，他们在研究团队提供的移动的手机上测试了VHA干预。主持的讨论记录，转录，并使用主题分析进行分析。所有团体都希望VHA友好。其他重要的线索包括可信度、权威和专业知识。与白色成年人相比，黑人参与者表示更愿意从VHA获得有关其CRC风险的信息。黑人参与者还表达了与其网络中的年轻成员分享干预措施和CRC筛查信息的重要性，包括在达到推荐的筛查年龄之前可以从筛查信息中受益的家庭成员。在这项研究中确定的黑人和白色成年人对干预措施的看法之间的关键相似性和差异可以帮助为未来制定有效的沟通策略和减少癌症筛查不公平现象的努力提供信息。
In the US, Black adults are less likely than White adults to be screened for colorectal cancer (CRC). This study uses a subjective culture approach to describe and compare perceptions of a CRC screening intervention delivered via virtual health assistants (VHAs) among rural Black and White study participants. We analyzed 28 focus groups with Black (n= 85) and White (n= 69) adults aged 50–73. Participants, largely recruited through community engagement efforts, tested the VHA intervention on mobile phones provided by the research team. Moderated discussions were recorded, transcribed, and analyzed using thematic analysis. All groups preferred the VHA to be friendly. Other important cues included trustworthiness, authority, and expertise. Black participants expressed a preference for receiving information about their CRC risk from the VHA compared with White adults. Black participants also expressed the importance of sharing the intervention and the CRC screening messages with younger members of their networks, including family members who could benefit from screening messages before reaching the recommended age for screening. The key similarities and differences between Black and White adults’ perceptions of the intervention that were identified in this study can help inform future efforts to develop effective communication strategies and reduce cancer screening inequities.