Jibaja M L, Kingery P, Neff N E, Smith Q, Bowman J, Holcomb J D
Department of Family and Community Medicine, Baylor College of Medicine, Houston, Texas 77005, USA.
J Cancer Educ. 2000 Winter;15(4):237-42. doi: 10.1080/08858190009528705.
While Hispanic women have lower rates of breast cancer than do women of other ethnic groups, they are the least likely to undergo screening examinations. This study evaluated a culturally sensitive and linguistically appropriate, tailored, computer-based, educational program for early detection of breast cancer aimed at high-risk Hispanic women.
Spanish-speaking Hispanic women from an inner-city community health clinic were recruited and randomly assigned either to a computer intervention with an interactive soap-opera format (n = 118) or to a comparison group (n = 60). Pre- and posttests were used to identify any change in breast-cancer-related knowledge and beliefs.
Both younger (18-40 years old) and older (41-65 years old) women in the intervention group demonstrated significant increases in their breast cancer screening knowledge and beliefs as compared with the younger and older women in the comparison group (n < 0.05).
Computer-based tailored and interactive soap operas that are linguistically and culturally appropriate are effective in increasing breast cancer screening knowledge and beliefs among underserved Spanish-speaking Hispanic women.
尽管西班牙裔女性患乳腺癌的几率低于其他种族的女性，但她们接受筛查的可能性最小。本研究评估了一项针对高危西班牙裔女性的、文化敏感且语言合适的、量身定制的、基于计算机的乳腺癌早期检测教育项目。
招募了来自市中心社区健康诊所的讲西班牙语的西班牙裔女性，并将她们随机分为两组，一组接受以互动肥皂剧形式呈现的计算机干预（n = 118），另一组为对照组（n = 60）。通过前后测试来确定与乳腺癌相关的知识和信念的任何变化。
与对照组的年轻女性（18 - 40岁）和年长女性（41 - 65岁）相比，干预组的年轻女性和年长女性在乳腺癌筛查知识和信念方面均有显著增加（n < 0.05）。
基于计算机的、量身定制且互动的肥皂剧，若在语言和文化上合适，对于增加服务不足的讲西班牙语的西班牙裔女性的乳腺癌筛查知识和信念是有效的。
