MULTIMEDIA BREAST CANCER EDUCATION KIOSKS FOR LATINAS

描述：乳腺癌是西班牙裔妇女（拉丁裔）面临的重大公共卫生问题。尽管拉美裔白人女性的发病率低于非拉美裔白人女性，但拉美裔女性乳腺癌的发病率增长速度是白人女性的三倍。他们的早期检测较少，入院时疾病进展明显，生存率较低。因此，癌症筛查和降低风险教育具有战略重要性，但将这些信息传递给低收入、低识字率和非英语女性面临着独特的挑战。交互式多媒体技术可以提供一种创新的、有效的、成本低廉的媒介，为这些人群提供乳腺癌筛查和降低风险的教育。这个项目评估发展一个采用触屏和CD-ROM技术的互动式多媒体双语信息亭的可行性。它的设计将优化这种媒体固有的视觉、音频和交互功能，使其不会对这些女性造成威胁，并使她们能够轻松地导航并控制演示的速度和路径。该技术本身将是透明的，因此它既不会限制也不会恐吓用户。与CD-ROM的桌面应用程序不同，触摸屏kiosk既不需要计算机知识，也不需要键盘知识，但拥有CD-ROM技术的所有交互和多媒体功能。本研究的具体目标是：1)确定低收入、低文化水平的拉丁裔人对乳腺癌的认识和知识水平，他们对乳腺癌的态度和信念，以及他们减少或增加乳腺癌风险的行为；2)开发和验证在文化上可被目标受众接受的癌症预防和筛查信息的内容元素和格式；3)制作和测试多媒体演示的原型模块，以确定其可接受性，并确定需要进行的修改以提高其有效性；4)制定交互式多媒体策略，为20岁以上的拉丁裔提供双语和文化敏感的乳腺癌筛查指南和降低风险的信息。

DESCRIPTION: Breast cancer is a significant public health problem for Hispanic women (Latinas). Despite lower incidence rates than non-Latina white women, breast cancer has increased three times faster among Latinas. They experience less early-stage detection, have significantly more advanced disease on admission, and lower survival rates. Thus cancer screening and risk reduction education is of strategic importance, but delivering these messages to low-income, low literacy, and non-English speaking women presents unique challenges. Interactive multimedia technologies may offer an innovative, effective, and cost-accessible medium for reaching this population with breast cancer screening and risk-reduction education. This project assesses the feasibility of developing an interactive, multimedia, bilingual kiosk that employs touchscreen and CD-ROM technologies. Its design will optimize the visual, audio, and interactive features inherent in this medium into a device that is not intimidating to these women, and enables them to navigate easily and control the pace and path of the presentation. The technology itself will be transparent so that it neither constrains nor intimidates the user. Unlike a desktop application of CD-ROMs, a touchscreen kiosk requires neither computer nor keyboard literacy, yet possesses all the interactive, multimedia capabilities of CD-ROM technology. The specific objectives of this present research are to: 1) identify levels of awareness and knowledge about breast cancer of low-income, low-literacy Latinas, their attitudes and beliefs about breast cancer, and their behaviors that either reduce or increase their breast cancer risk profile; 2) develop and validate the content elements and formats of cancer prevention and screening messages that are culturally acceptable to the intended audiences; 3) produce and test prototype modules for a multimedia presentation to determine their acceptability, and identify needed modifications to improve their effectiveness; and 4) develop an interactive multimedia strategy that provides bilingual and culturally sensitive breast cancer screening guidelines and risk-reduction information to Latinas over age 20.