Testing the Feasibility of a Culturally Tailored Breast Cancer Screening Intervention with Native Hawaiian Women in Rural Churches
Testing the Feasibility of a Culturally Tailored Breast Cancer Screening Intervention with Native Hawaiian Women in Rural Churches
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DOI：
10.1093/hsw/36.1.55
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发表时间：
2011-02-01
影响因子：
1.5
通讯作者：
Braun, Kathryn L.
中科院分区：
文献类型：
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作者：
Ka'opua, Lana Sue I.;Park, Soon H.;Braun, Kathryn L.
作者报告了根据夏威夷农村居民的文化优势提供基于教会的乳腺癌筛查干预的可行性。夏威夷原住民妇女的乳腺癌死亡率过高，这是由于常规乳房X光检查的参与率较低。乳房X光检查被证明是在疾病的早期阶段检测疾病的有效手段，此时治疗最有可能成功。文化上量身定制的筛查计划可能会增加参与。夏威夷的倡议要求筛选融合夏威夷文化优势的创新，包括与精神和大家庭制度有关的创新。在全面测试有针对性的干预措施之前，必须进行可行性研究，以衡量社区对拟议干预措施和研究方法的接受程度。研究结果确立了作者筛选干预的吸引力和潜在有效性。招募超过了目标，保留率与其他随机行为试验相当，证实了通过教会接触夏威夷农村妇女的价值。妇女赞赏夏威夷和基于信仰的价值观的综合办法，并建议取得积极成果。这篇文章可能是相关的社会工作者感兴趣的文化响应，以社区为基础的干预措施和研究人员进行试点研究和对照试验的干预措施，适应以证据为基础的计划。
The authors report on the feasibility of delivering a church-based breast cancer screening intervention tailored on the cultural strengths of rural-dwelling Hawaiians. Native Hawaiian women are burdened by disproportionately high mortality from breast cancer, which is attributed to low participation in routine mammography Mammography is proven to be an effective means for detecting disease at its earliest stages, when treatments are most likely to be successful. Culturally tailored screening programs may increase participation. Hawaiian initiatives call for screening innovations that integrate Hawaiian cultural strengths, including those related to spirituality and the extended family system. Before full-scale testing of tailored interventions, it is important to conduct feasibility studies that gauge community receptiveness to the proposed intervention and research methods. Study results establish the attractiveness and potential effectiveness of the authors' screening intervention. Recruitment exceeded targets, and retention rates were comparable to those of other randomized behavioral trials, confirming the value of reaching rural Hawaiian women through churches. Women appreciated the integrative approach of Hawaiian and faith-based values, and positive outcomes are suggested. This article may be relevant to social workers interested in culturally responsive, community-based interventions and to researchers conducting pilot studies and controlled trials of interventions adapted from evidence-based programs.