Barbers as Lay Health Advocates-Developing a Prostate Cancer Curriculum

Barbers as Lay Health Advocates-Developing a Prostate Cancer Curriculum
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DOI:
10.1016/s0027-9684(15)30978-0
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发表时间:
2009-07-01
影响因子:
3.3
通讯作者:
Browne, Ruth C.
Browne, Ruth C.
中科院分区:
医学4区
文献类型:
--
作者:
Fraser, Marilyn;Brown, Humberto;Browne, Ruth C.

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目的:本研究的目的是开发和测试的前列腺健康课程,旨在培训非洲裔美国人和非洲加勒比理发师提供前列腺癌控制消息给他们的customers.Procedures:该课程是起草从管理的理发师和客户从布鲁克林,纽约的各种理发店的需求评估调查获得的信息。焦点小组进行,以进一步告知课程,这是试点测试在培训课程。调查结果:晚期诊断前列腺癌的高发病率在非洲裔美国人往往是由于缺乏筛查。在对92名顾客和19名理发师进行的调查中,只有26%的顾客和42%的理发师报告说对前列腺特异性抗原(PSA)筛查测试有所了解。超过90%的理发师表示愿意获得前列腺癌信息,专门与客户分享,83%的客户表示有兴趣获得前列腺癌信息,并愿意从理发师那里获得这些信息。试点培训后,理发师的前列腺癌知识显着增加(p < .0001)。结论:这项试点研究表明,有必要进行干预计划,将提高认识,增加前列腺健康知识和行为的前列腺癌发病率升高的社区。该研究进一步表明,理发师愿意利用他们的领导技能来教育和鼓励他们的客户参与明智的决策。
Purpose: The purpose of this study was to develop and test the efficacy of a prostate health curriculum designed to train African American and Afro Caribbean barbers to deliver prostate cancer control messages to their customers.Procedures: The curriculum was drafted from information obtained from needs assessment surveys administered to barbers and customers from various barbershops in Brooklyn, New York. Focus groups were conducted to further inform the curriculum, which was pilot tested in training sessions.Findings: The high incidence of late-stage diagnosis prostate cancer in African Americans has often been attributed to lack of screening. In surveys administered to 92 customers and 19 barbers, only 26% of customers and 42% of barbers reported having some knowledge of the prostate-specific antigen (PSA) screening test. More than 90% of the barbers expressed a willingness to obtain prostate cancer information to specifically share with their customers, and 83% of customers expressed an interest in obtaining prostate cancer information and willingness to receive that information from their barbers. Following the pilot training, barber knowledge of prostate cancer increased significantly (p < .0001).Conclusions: This pilot study suggests that there is a need for intervention programs that will raise awareness and increase prostate health knowledge and behavior in communities with elevated incidence of prostate cancer. The study further suggests that barbers are willing to use their leadership skills to educate and encourage their customers to engage in informed decision making.