A Cancer Screening Intervention for Underserved Latina Women by Lay Educators

Abstract

SSG vs. IND delivery did not significantly affect cancer screening behaviors, but both interventions produced robust achievement of screenings for previously nonadherent participants. Group-based promotora-led interventions supporting social involvement are recommended as a more cost-effective approach to achieving cancer screening among Latina women.

A randomized controlled trial of two interventions to increase colorectal cancer screening among Hispanics on the Texas–Mexico border

“…Moralez et al [16] found that promotora-delivered group education sessions using flipcharts and visual displays at home health parties increased CRCS awareness and completion among Hispanics living in the Lower Yakima Valley of Washington state; however, that study lacked a comparison group. In a community-based study carried out in Phoenix, Arizona, Larkey et al [17] found that promotora-led cancer screening and prevention classes delivered either individually or in social support groups yielded increases in breast, cervical, and colorectal cancer screening among previously non-adherent Latinas, although there were no statistically significant differences between the intervention arms, and no comparison group was used. Walsh et al [18] intervened with Latino primary care patients at a large public hospital north of San Francisco and found that two community health advisor-led educational interventions using culturally tailored brochures and free FOBT kits produced significant increases in selfreported FOBT compared to usual care.…”

Strategies and Resources to Address Colorectal Cancer Screening Rates and Disparities in the United States and Globally

“…However, settings with the capacity to develop and provide follow-up referrals, such as work sites, commercial pharmacies, or stand-alone retail clinics, could become important access points for FOBT or FIT (21,23,29,52,56,78). Lay health workers using telephone outreach, prevention classes, or social support groups have been shown capable of reducing screening barriers for traditionally underserved minority populations in the United States (35,40,80). Churches, senior centers, and hair salons are other promising venues for colorectal cancer screening education and outreach in diverse communities (7,24,57,60).…”

Interventional Education Methods for Increasing Women’s Participation in Breast Cancer Screening Program

“…This finding is somewhat consistent with Larkey et al, who investigated the cost-effectiveness of two education techniques-individual and social support groups-on breast cancer screening. Lackey's study found that the screening rates for both groups were similar but that group-based intervention promoting social involvement was the more cost-effective approach [27]. By contrast, Danigelis et al reported that depending on the age and ethnic origin, one-on-one education more significantly influenced screening rates [17].…”

“…Ultimately, only the method of education and knowledge scores appeared to have a significant influence on screening mammogram rates in the women following education. Larkey et al stated that age and having a regular care provider had significant effects on women's posteducation screening behavior, while women's education, income, and type of insurance and psychosocial factors such as rural values and acculturation did not have any effect on screening behavior [27]. Other studies have also stated that women's race [28,29], education [28], age, family history of cancer, marital status, income level, and insurance type [29] did not have significant effects on women's breast cancer screening behavior.…”