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

Fernández, María E.; Savas, Lara S.; Carmack, Chakema; Chan, Wenyaw; Lairson, David R.; Byrd, Theresa; Wilson, Katherine; Arvey, Sarah R.; Krasny, Sarah; Vernon, Sally W.

doi:10.1007/s10552-014-0472-5

Cited by 25 publications

(38 citation statements)

References 27 publications

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“…Likewise, a study with health promoters showed that participants who received a one-on-one educational intervention in combination with patient reminders for FOBT were more likely to get tested than those who just received the patient reminder ( 31 ). Another study with lay health workers reinforced the importance of testing small media approaches in combination with one-on-one educational interventions ( 12 ). The development of this intervention is expected to help to fill this gap by using multiple strategies to increase CRCS.…”

Section: Discussionmentioning

confidence: 99%

“…Intervention mapping is a systematic approach for the development of theory and evidence-based health promotion interventions and for planning their implementation ( 21 ). IM has been successfully employed to promote and increase screening practices for several types of cancers such cervical and breast cancer ( 22 – 27 ) and CRC ( 12 , 28 ).…”

Section: Methodsmentioning

confidence: 99%

“…Although evidence suggests that these strategies are effective for fecal occult blood testing (FIT/FOBT), evidence regarding these approaches for increasing colonoscopy is still insufficient ( 19 ). Currently, there are few studies examining one-on-one education in combination with other communication strategies in the Latino population ( 12 , 16 , 20 ) and none with Puerto Ricans. The Puerto Rico Community Cancer Control Outreach Program designed a study to address this gap by developing and evaluating a health promotion program ( Salud por la Vida ) to increase CRCS in PR.…”

Section: Introductionmentioning

confidence: 99%

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Using Intervention Mapping to Develop Health Education Components to Increase Colorectal Cancer Screening in Puerto Rico

Serra

Colón‐López

Savas

et al. 2017

Front. Public Health

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IntroductionColorectal cancer (CRC) is a leading cause of cancer-related mortality in Puerto Rico (PR). Although largely preventable through screening and treatment of precancerous polyps, CRC screening rates in PR remain low while CRC incidence and mortality continue to increase.MethodsWe used intervention mapping (IM), a systematic framework using theory and evidence to plan a health promotion intervention to increase colorectal cancer screening (CRCS) among Puerto Rican adults 50 years and older who are patients of Federally Qualified Health Centers (FQHCs) in PR.ResultsTo inform the development of a logic model of the problem during the needs assessment phase, we determined the CRC incidence and mortality rates in PR using recent data from the PR Cancer Registry, conducted a literature review to better understand behavioral and environmental factors influencing CRC among Hispanics in general and in Puerto Ricans, and collected new data. We conducted seven focus groups to identify community needs and resources, specific sub-behaviors related to CRCS (performance objectives) and the determinants of CRCS. We then developed matrices of change objectives that would guide the content, behavioral change method selection, and the practical applications that would be included in the program. We selected two overarching methods: entertainment education and behavioral journalism and developed practical applications, materials, and messages containing several other methods including modeling, persuasion, information, and tailoring. We developed and pretested a Tailored Interactive Multimedia Intervention, newsletter, an action plan, and supplemental print materials for patients. We also developed a patient mediated provider prompt to increase provider recommendation and improve patient provider communication.ConclusionThe use of IM for systematic planning produced a detailed coherent plan for the CRCS educational intervention. Guided by IM processes, steps, and tasks, we used community level information, existing literature, theory, and new data to develop health education materials that were well received by the priority population and will likely increase CRCS among FQHC patients in PR.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Using Intervention Mapping to Develop Health Education Components to Increase Colorectal Cancer Screening in Puerto Rico

Serra

Colón‐López

Savas

et al. 2017

Front. Public Health

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“…Intervention Mapping (IM) is a systematic framework for developing, implementing, and adapting theory- and evidence-based interventions ( 11 ). Cancer control and prevention researchers and program planners have used IM to develop interventions focused on sun safety and skin cancer prevention ( 12 ), smoking cessation ( 13 ) cervical cancer and breast cancer screening ( 14 – 19 ), and colorectal cancer screening ( 20 ). IM also provides a framework for developing implementation strategies for the adoption and implementation of interventions ( 21 ) and clinical guidelines ( 22 ) and for systematically adapting existing evidence-based programs ( 23 ).…”

Section: Introductionmentioning

confidence: 99%

Using Intervention Mapping to Develop and Adapt Two Educational Interventions for Parents to Increase HPV Vaccination Among Hispanic Adolescents

Rodriguez

Roncancio

Savas

et al. 2018

Front. Public Health

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Introduction: Effective interventions to increase HPV vaccination are needed to reach national vaccination goals and to reduce later HPV-related cancer disparities. We used Intervention Mapping (IM) to develop and adapt a theory- and evidence-based educational intervention targeting parents of Hispanic adolescents to increase HPV vaccination.Methods: We followed IM steps 1–6 to: (1) develop a logic model and identify modifiable factors associated with vaccination among Hispanic adolescents by conducting literature reviews, focus groups, and in-depth interviews with Hispanic parents; (2) develop outcomes, write performance objectives, and develop a matrix of change objectives; (3) develop and identify a program theme, program components, theoretical methods, and practical applications; (4) develop an intervention design plan; (5) develop implementation strategies; and (6) develop an evaluation plan. We completed Steps 1–6 for to develop an intervention targeting parents of females, and we followed the steps again to adapt the program once HPV vaccine recommendations included males.Results: The program Por Nuestras Hijas (For Our Daughters) included two components: a print fotonovela and a tailored interactive multimedia intervention (TIMI). The program utilized the methods tailoring, targeting, framing, anticipated regret, modeling, skill building, and education and counseling to target the following determinants: parental knowledge, attitudes, self-efficacy, skills, perceived benefits/barriers, perceived susceptibility, perceived norms, and outcome expectations as modifiable factors influencing HPV vaccination. Lay health workers implemented the program in community clinics. A logic model of change guided evaluation planning. We later adapted the outcome and intervention content for parents of Hispanic adolescent males and changed the theme to Por Nuestros Hijos (For Our Children). Throughout the development and adaptation processes, we relied on theory, empirical evidence, and new data to make decisions.Discussion: IM provided a systematic methodology for program development and adaptation. Tasks in each step built upon one another integrating findings from the literature, previous research, qualitative findings, and theory to develop two educational programs for parents to increase HPV vaccination. The systematic process allowed us to develop messages and materials targeting factors beyond HPV knowledge or awareness to create behavior change.

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“…7 vs 32.1%) was significant (P = .04). Two types of LHW interventions were compared (print vs interactive multimedia) with usual care 44. Small increases in the small media, multimedia and control(13.6, 10.2 & 10.8% respectively) were not significant.…”

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confidence: 99%

Interventions to improve the uptake of screening across a range of conditions in Ethnic Minority Groups: a systematic review

et al. 2018

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

Abstract: Results indicated that there are no significant differences in CRCS uptake between groups.

Cited by 25 publications

References 27 publications

Using Intervention Mapping to Develop Health Education Components to Increase Colorectal Cancer Screening in Puerto Rico

Using Intervention Mapping to Develop Health Education Components to Increase Colorectal Cancer Screening in Puerto Rico

Using Intervention Mapping to Develop and Adapt Two Educational Interventions for Parents to Increase HPV Vaccination Among Hispanic Adolescents

Interventions to improve the uptake of screening across a range of conditions in Ethnic Minority Groups: a systematic review

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