Development and Evaluation of a Cancer Literacy Intervention to Promote Mammography Screening Among Navajo Women: A Pilot Study.
Development and Evaluation of a Cancer Literacy Intervention to Promote Mammography Screening Among Navajo Women: A Pilot Study.
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DOI：
10.1177/0890117119900592
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发表时间：
2020-07
期刊：
影响因子：
--
通讯作者：
Garrison ER
中科院分区：
文献类型：
--
作者：
Sinicrope PS;Bauer MC;Patten CA;Austin-Garrison M;Garcia L;Hughes CA;Bock MJ;Decker PA;Yost KJ;Petersen WO;Buki LP;Garrison ER
制定和评估乳腺X线摄影干预措施，为癌症预防和治疗提供希望。初步随机对照试验。纳瓦霍民族的两个社区。纳瓦霍妇女和支助人员。两组都接受标准护理：一次家访，讨论乳房X光检查的利弊和障碍。治疗组接受基于纳瓦霍语的干预，通过额外的家访，使用英语和纳瓦霍语的健康教育材料（书面和口头），包括纳瓦霍癌症词汇表和新的癌症描述短语。在对照组和干预组之间，我们比较了基线社会人口统计学;从基线到3个月的乳腺X线摄影完成和乳腺癌识字评分的变化。(1)干预措施的可行性;（2）自我报告和临床报告的乳房X光检查完成情况;（3）乳腺癌扫盲。共有25名参与者被随机分配（13名治疗组，12名对照组），每组有7名支持者。平均年龄为53岁，90%具有高中或更高学历，86%会讲纳瓦霍语和英语。在3个月时，44%的人进行了临床验证的乳房X光检查。在有支持人员的患者中，乳房X线摄影完成率为57%，在没有支持人员的患者中为27%（P = 0.14）。干预妇女报告更多的乳腺癌信念与乳房X光检查一致（P = 0.015）。乳腺癌信念的增加与乳房X光检查一致，显示出希望。调查结果强调，需要量身定制的教育材料纳瓦霍文化/语言，并侧重于加强支持。
Develop and evaluate a mammography intervention that provides hope about cancer prevention and treatment. Pilot randomized controlled trial. Two communities on the Navajo Nation. Navajo women and support persons. Both groups received standard care: one home visit discussing mammography pros/cons and barriers. The treatment group received an intervention based on Navajo language via an additional home visit with health education materials (written and oral) in English and Navajo, including a Navajo Cancer Glossary with a new descriptive phrase for cancer. Between control and intervention conditions, we compared baseline sociodemographics; changes from baseline to 3 months on mammography completion and breast cancer literacy scores. (1) intervention feasibility; (2) self- and clinic-reported mammography screening completion; (3) breast cancer literacy. A total of 25 participants were randomly assigned (13 treatment, 12 control), with 7 support persons in each arm. Mean age was 53 years, 90% had a high school degree or higher, 86% spoke Navajo and English. At 3 months, 44% had a clinically verified mammogram. Mammography completion was 57% among those with a support person and 27% among those without (P = .14). Intervention women reported more breast cancer beliefs consistent with mammography (P = .015). Increases in breast cancer beliefs consistent with mammography show promise. Findings highlight a need to tailor education materials to Navajo culture/language and focus on enhancing support.
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影响因子：
1.6
作者：
Garrison, Edward R.;Bauer, Mark C.;Hosley, Brenda L.;Patten, Christi A.;Hughes, Christine A.;Trapp, Mary A.;Petersen, Wesley O.;Austin-Garrison, Martha A.;Bowman, Clarissa N.;Vierkant, Robert A.
通讯作者：
Vierkant, Robert A.
影响因子：
1.3
作者：
Cueva, Melany;Kuhnley, Regina;Dignan, Mark
通讯作者：
Dignan, Mark
DOI：
10.1007/s13187-012-0323-6
发表时间：
2012-04-01
期刊：
Journal of cancer education : the official journal of the American Association for Cancer Education
影响因子：
--
作者：
Roubidoux, Marilyn A
通讯作者：
Roubidoux, Marilyn A
影响因子：
5.8
作者：
Rounsaville, BJ;Carroll, KM;Onken, LS
通讯作者：
Onken, LS
影响因子：
2.1
作者：
Yost, Kathleen J.;Bauer, Mark C.;Patten, Christi A.
通讯作者：
Patten, Christi A.