Doorenbos Ardith Z, Jacobsen Clemma, Corpuz Rebecca, Forquera Ralph, Buchwald Dedra
School of Nursing, University of Washington, Seattle, WA 98177, USA.
J Cancer Educ. 2011 Sep;26(3):549-54. doi: 10.1007/s13187-011-0217-z.
This study seeks to ascertain whether a culturally tailored art calendar could improve participation in cancer screening activities. We conducted a randomized, controlled calendar mail-out in which a Native art calendar was sent by first class mail to 5,633 patients seen at an urban American Indian clinic during the prior 2 years. Using random assignment, half of the patients were mailed a "message" calendar with screening information and reminders on breast, colorectal, lung, and prostate cancer; the other half received a calendar without messages. The receipt of cancer screening services was ascertained through chart abstraction in the following 15 months. In total, 5,363 observations (health messages n = 2,695; no messages n = 2,668) were analyzed. The calendar with health messages did not result in increased receipt of any cancer-related prevention outcome compared to the calendar without health messages. We solicited clinic input to create a culturally appropriate visual intervention to increase cancer screening in a vulnerable, underserved urban population. Our results suggest that printed materials with health messages are likely too weak an intervention to produce the desired behavioral outcomes in cancer screening.
本研究旨在确定一份根据文化定制的艺术日历是否能提高癌症筛查活动的参与度。我们进行了一项随机对照的日历邮寄活动，通过一类邮件向一家美国印第安人城市诊所前两年就诊的5633名患者发送了一份本土艺术日历。采用随机分配的方式，一半患者收到的是带有乳腺癌、结直肠癌、肺癌和前列腺癌筛查信息及提醒的“信息”日历；另一半收到的是没有信息的日历。在接下来的15个月里，通过病历摘要确定癌症筛查服务的接受情况。总共分析了5363份观察结果（有健康信息的日历组n = 2695；无信息的日历组n = 2668）。与没有健康信息的日历相比，带有健康信息的日历并未使任何癌症相关预防结果的接受率增加。我们征求了诊所的意见，以创建一种适合文化背景的视觉干预措施，以提高弱势群体、服务不足的城市人群的癌症筛查率。我们的结果表明，带有健康信息的印刷材料可能是一种过于薄弱的干预措施，无法在癌症筛查中产生预期的行为结果。
