Storytelling for promoting colorectal cancer prevention and early detection among Latinos

Storytelling for promoting colorectal cancer prevention and early detection among Latinos
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DOI:
10.1016/j.pec.2007.04.003
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发表时间:
2007-08-01
影响因子:
3.5
通讯作者:
Gonzalez, Julie
Gonzalez, Julie
中科院分区:
医学2区
文献类型:
--
作者:
Larkey, Linda K.;Gonzalez, Julie

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目标:当使用适应文化的方法时,针对拉丁裔的健康促进工作可能会更有效。我们的研究旨在测试一种在拉丁裔中促进结直肠癌 (CRC) 预防和筛查信息的新型沟通方式。方法:我们将文化上一致的简短叙述教育干预 (ST) 与基于哈佛癌症风险指数的数字风险工具干预 (NR) 进行了比较。两项干预措施均包括危险因素信息以及结直肠癌一级预防和筛查的建议。 64 名拉丁美洲人(平均年龄 46.8 岁,86% 为女性)被随机分配并完成了前后测试。 结果:ST 参与者表示,与 NR 参与者相比,他们有意在日常生活中显着增加更多的蔬菜份量 (p = .030) 和更多的运动时间 (p = .018)。大多数受访者(ST 和 NR)表示有意向朋友和亲戚推荐 CRC 筛查。结论:这些数据支持讲故事有潜力促进健康行为改变,并与拉丁裔文化相关。实践意义:讲故事有望成为向历史上服务不足的族群之一提供癌症预防和筛查信息的有效方法。 (C) 2007 Elsevier Ireland Ltd. 保留所有权利。
Objective: Health promotion efforts directed at Latinos may be more effective when culturally adapted methods are used. Our study was designed to test a novel communication modality for promoting colorectal cancer (CRC) prevention and screening messages among Latinos.Methods: We compared a culturally aligned, brief stotytelling educational intervention (ST) to a numeric risk tool intervention (NR) based on the Harvard Cancer Risk Index. Both interventions included risk factor information and recommendations for primary prevention and screening for CRC. Sixty-four Latinos (mean age 46.8, 86% female) were randomized and completed pre- and post-tests.Results: Participants in ST indicated intent to add significantly more servings of vegetables (p = .030) and more minutes of exercise (p = .018) to daily routines than those in NR. Most respondents (ST and NR) reported intentions to recommend CRC screening to friends and relatives.Conclusions: These data provide support for storytelling's potential to promote health behavior change with cultural relevance for Latinos.Practice implications: Storytelling shows promise as an effective method for reaching one of the historically underserved ethnic groups with cancer prevention and screening information. (C) 2007 Elsevier Ireland Ltd. All rights reserved.