Testing a culturally appropriate, theory-based intervention to improve colorectal cancer screening among native Hawaiians

Braun, Kathryn L.; Fong, Megan; Ka'ano'i, Momi E; Kamaka, Martina; Gotay, Carolyn

doi:10.1016/j.ypmed.2004.09.005

Cited by 67 publications

(83 citation statements)

References 15 publications

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“…These findings parallel CRC screening uptake rates in Indigenous and ethnic minority groups around the world, which are also disproportionately lower than mainstream populations [21-25]. …”

Section: Introductionmentioning

confidence: 71%

Colorectal cancer screening knowledge, attitudes and behavioural intention among Indigenous Western Australians

Christou

Thompson

2012

BMC Public Health

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Background Indigenous Australians are significantly less likely to participate in colorectal cancer (CRC) screening compared to non-Indigenous people. This study aimed to identify important factors influencing the decision to undertake screening using Faecal Occult Blood Testing (FOBT) among Indigenous Australians. Very little evidence exists to guide interventions and programmatic approaches for facilitating screening uptake in this population in order to reduce the disparity in colorectal cancer outcomes. Methods Interviewer-administered surveys were carried out with a convenience sample (n = 93) of Indigenous Western Australians between November 2009-March 2010 to assess knowledge, awareness, attitudes and behavioural intent in regard to CRC and CRC screening. Results Awareness and knowledge of CRC and screening were low, although both were significantly associated with exposure to media advertising (p = 0.008; p < 0.0001). Nearly two-thirds (63%; 58/92) of respondents reported intending to participate in screening, while a greater proportion (84%; 77/92) said they would participate on a doctor’s recommendation. Multivariate analysis with logistic regression demonstrated that independent predictors of screening intention were, greater perceived self-efficacy (OR = 19.8, 95% CI = 5.5-71.8), a history of cancer screening participation (OR = 6.8, 95% CI = 2.0-23.3) and being aged 45 years or more (OR = 4.5, 95% CI = 1.2-16.5). A higher CRC knowledge score (medium vs. low: OR = 9.9, 95% CI = 2.4-41.3; high vs. low: 13.6, 95% CI = 3.4-54.0) and being married or in a de-facto relationship (OR = 6.9, 95% CI = 2.1-22.5) were also identified as predictors of intention to screen with FOBT. Conclusions Improving CRC related knowledge and confidence to carry out the FOBT self-screening test through education and greater promotion of screening has the potential to enhance Indigenous participation in CRC screening. These findings should guide the development of interventions to encourage screening uptake and reduce bowel cancer related deaths among Indigenous Australians.

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“…These findings parallel CRC screening uptake rates in Indigenous and ethnic minority groups around the world, which are also disproportionately lower than mainstream populations [21-25]. …”

Section: Introductionmentioning

confidence: 71%

Colorectal cancer screening knowledge, attitudes and behavioural intention among Indigenous Western Australians

Christou

Thompson

2012

BMC Public Health

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“…It underscores how critically important it is for physicians to have the knowledge and skill set required to provide authoritative, accurate and family-centered genetic information to their high-risk patients, who face very difficult and complicated decisions. 18,[73][74][75] Much of this genetic information has evolved over the past decade, and is unfamiliar even to physicians whose specialty interests regularly bring them into contact with patients in need of this advice. 76 This speaks to a need for continuing education for non-genetics health care providers, and for active collaborations and referrals between providers and genetics professionals.…”

Section: Discussionmentioning

confidence: 99%

Familial testicular cancer: Interest in genetic testing among high-risk family members

Peters

Vadaparampil

Kramer

et al. 2006

Genetics in Medicine

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Purpose: This study is part of an ongoing National Cancer Institute multidisciplinary, etiologically-focused, crosssectional study of Familial Testicular Cancer (FTC). The current report targets interest in clinical genetic testing for susceptibility to FTC. Methods: Demographics, knowledge, health beliefs, and psychological and social factors were evaluated as covariates related to interest in genetic testing. Results: The majority (66%) of 229 participants (64 affected men, 66 unaffected men, and 99 women) from 47 multiple-case FTC families expressed interest in having a genetic test within 6 months, should such a test become available. Interest was similar among the three subgroups mentioned above. Worries about insurance discrimination based on genetic test results were associated with a significantly lower interest in testing. Alternatively, participants were more likely to be interested in genetic testing if they were younger and had higher levels of family support, a physician's recommendation supporting testing, cancer distress, and a need for information to inform the health care of their children.

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“…Other important considerations are the inclusion of values, traditions, and experiences of the target audience. Samoans, similar to Native Hawaiians (41), have an oral tradition that values face-to-face interactions, trust building, collective decision making, and experiential education through storytelling and role modeling.…”

Section: Breast Cancer Education Program (The Intervention)mentioning

confidence: 99%

Results of a Randomized Trial to Increase Mammogram Usage among Samoan Women

Mishra¹,

Bastani²,

Crespi³

et al. 2007

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: There are no effective breast cancer education programs targeting Samoan women. We tested the effectiveness of a theory-guided, culturally appropriate breast cancer education program (the intervention) designed to increase mammography use among Samoan women. Methods: This community-based participatory clusterrandomized controlled intervention trial used a parallel two-group design. The sample consisted of 776 women aged 42 and older who had not had a mammogram in the preceding 2 years. The primary outcome was self-reported mammogram use between pretest and posttest. Results: Overall, there was no statistically significant intervention effect, although the odds of self-reported mammogram use were higher in the intervention than the control group (odds ratio (OR), 1.26; 95% confidence interval (95% CI), 0.74, 2.14; P = 0.39). Exploratory subgroup analyses found that the intervention was

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Testing a culturally appropriate, theory-based intervention to improve colorectal cancer screening among native Hawaiians

Abstract: Background-We tested an intervention based on social learning theory (SLT) to improve colorectal cancer (CRC) screening among Native Hawaiians, a group with low CRC screening rates.

Cited by 67 publications

References 15 publications

Colorectal cancer screening knowledge, attitudes and behavioural intention among Indigenous Western Australians

Colorectal cancer screening knowledge, attitudes and behavioural intention among Indigenous Western Australians

Familial testicular cancer: Interest in genetic testing among high-risk family members

Results of a Randomized Trial to Increase Mammogram Usage among Samoan Women

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