Developing Culturally Tailored Mobile Web App Education to Promote Breast Cancer Screening: Knowledge, Barriers, and Needs Among American Indian Women.
Developing Culturally Tailored Mobile Web App Education to Promote Breast Cancer Screening: Knowledge, Barriers, and Needs Among American Indian Women.
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DOI：
10.1007/s13187-022-02252-x
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发表时间：
2023-08
影响因子：
1.6
通讯作者：
Lee, Yeon-Shim
中科院分区：
文献类型：
--
作者：
Roh, Soonhee;Lee, Yeon-Shim
美洲印第安人（AI）妇女面临着不成比例的乳腺癌死亡率和癌症差异。本研究采用质性研究的方法，评估人工智能女性对乳腺癌筛查的看法、知识、障碍以及基于移动的网络应用程序的教育促进乳腺癌筛查的需求。这项研究，与扬克顿苏族部落（YST）合作，遵循以社区为基础的参与性研究方法，并进行了两个焦点小组，共有22名年龄在40-70岁的YST妇女生活在农村保留南达科他州。每个小组由11名在医疗保健和社会服务部门工作的当地专业人员和社区成员组成。定性分析采用扎根理论。很大一部分参与者报告说，他们对乳腺癌和筛查方法有先验知识，但缺乏对详细程序和推荐指南的认识。人们注意到，相互竞争的优先事项和乳房X光检查的费用是筛查的主要障碍。参与者希望以方便和易于理解的方式从可靠的来源了解更多关于乳腺癌和预防的信息。这两组人都喜欢新颖的教育工具，如移动的网络应用程序教育，并列举了潜在的健康益处，特别是对40岁至60岁的女性。我们的研究结果强调了创建有效的，文化上量身定制的教育干预措施的重要性，这些干预措施内置于针对人工智能的计划中，以增加对乳腺癌筛查的理解，并促进人工智能女性的筛查行为。特别关注人工智能的文化，信仰和障碍如何与筛查行为有关，这有助于为这一人群开发文化定制的健康教育工具。
American Indian (AI) women face disproportionate rates of breast cancer mortality and cancer disparities. This study conducted qualitative research to assess perspectives of AI women towards breast cancer screening, knowledge, barriers, and needs about mobile web app–based education to promote breast cancer screening. This study, in collaboration with the Yankton Sioux Tribe (YST), followed a community-based participatory research approach and conducted two focus groups with a total of 22 YST women aged 40–70 years living on reservation in rural South Dakota. Each group consisted of 11 local professionals working in healthcare and social services and community members. A grounded theory was used for the qualitative analysis. A large portion of participants reported having prior knowledge about breast cancer and screening methods, yet lacked awareness of the detailed procedure and recommended guidelines. Competing priorities and cost of mammograms were noted as major barriers to screening. Participants wanted to learn—in a convenient and easy-to-understand manner—more about breast cancer and prevention from a credible source. Both groups were favorable toward novel educational tools, such as the mobile web app education, and cited potential health benefits, particularly for women aged 40s to 60s. Our findings highlighted the importance of creating effective, culturally tailored educational interventions built into programs specific to AIs to increase understanding about breast cancer screening and promote screening behaviors among AI women. Particular attention to how AIs’ culture, beliefs, and barriers are implicated in screening behaviors could help with developing culturally tailored health education tools for this population.
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DOI：
10.1007/s13187-012-0334-3
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：
Daley, Christine Makosky;Kraemer-Diaz, Anne;Greiner, K Allen
通讯作者：
Greiner, K Allen
影响因子：
5.5
作者：
Kumar, Santosh;Nilsen, Wendy J.;Abernethy, Amy;Atienza, Audie;Patrick, Kevin;Pavel, Misha;Riley, William T.;Shar, Albert;Spring, Bonnie;Spruijt-Metz, Donna;Hedeker, Donald;Honavar, Vasant;Kravitz, Richard;Lefebvre, R. Craig;Mohr, David C.;Murphy, Susan A.;Quinn, Charlene;Shusterman, Vladimir;Swendeman, Dallas
通讯作者：
Swendeman, Dallas
DOI：
10.1089/tmj.2008.0099
发表时间：
2009-04-01
期刊：
TELEMEDICINE JOURNAL AND E-HEALTH
影响因子：
--
作者：
Krishna, Santosh;Boren, Suzanne Austin;Balas, E. Andrew
通讯作者：
Balas, E. Andrew
影响因子：
12.7
作者：
White, Arica;Richardson, Lisa C.;Kaur, Judith S.
通讯作者：
Kaur, Judith S.
影响因子：
1.5
作者：
Roh, Soonhee;Burnette, Catherine E.;Lee, Yeon-Shim
通讯作者：
Lee, Yeon-Shim