Maxwell Annette E, Danao Leda L, Bastani Roshan
Fielding School of Public Health and Jonsson Comprehensive Cancer Center, University of California, Los Angeles, Los Angeles, CA 90095-6900, USA.
Health Promot Pract. 2013 Jul;14(4):498-505. doi: 10.1177/1524839912458108. Epub 2012 Sep 14.
Filipino Americans underutilize life-saving screening tests for colorectal cancer, resulting in late stage of diagnosis and poor survival relative to other racial/ethnic groups. Education regarding colorectal cancer screening and distribution of free fecal occult blood test (FOBT) kits are evidence-based interventions that can significantly increase screening. However, this community will only benefit if the intervention is broadly disseminated.
We assessed the feasibility of promoting colorectal cancer screening in Filipino American community settings working with community health advisors, and the practicality of conducting one-on-one or small group education, in addition to passing out free FOBT kits.
Twenty community health advisors from 4 organizations engaged in recruitment and education activities with 132 participants. Community health advisors consistently completed screening questionnaires to establish eligibility and kept logs of FOBT distribution. However, they did not consistently record eligible participants who did not consent to participate. Process checklists that indicated what information was covered in each educational session and postsession follow-up logs were partially completed. Almost all participants reported receipt of intervention components and receipt of screening at 4-month follow-up and reported high acceptability of the program.
The pilot study established the feasibility of working with community health advisors to promote colorectal cancer screening in Filipino American community settings. Findings informed the design of a dissemination trial that is currently ongoing with regards to monitoring recruitment, intervention implementation and follow-up and allowing flexibility regarding one-on-one or small group education.
与其他种族/族裔群体相比，菲律宾裔美国人对结直肠癌的救命筛查测试利用不足，导致诊断延迟和生存率较低。关于结直肠癌筛查的教育以及免费粪便潜血试验（FOBT）试剂盒的分发是基于证据的干预措施，可显著增加筛查率。然而，只有广泛传播这种干预措施，该社区才能受益。
我们评估了与社区健康顾问合作在菲律宾裔美国社区环境中促进结直肠癌筛查的可行性，以及除了分发免费FOBT试剂盒之外进行一对一或小组教育的实用性。
来自4个组织的20名社区健康顾问与132名参与者开展了招募和教育活动。社区健康顾问始终如一地完成筛查问卷以确定资格，并记录FOBT试剂盒的分发情况。然而，他们并未始终记录那些不同意参与的符合条件的参与者。表明每次教育课程涵盖哪些信息的流程检查表和课后随访记录只完成了一部分。几乎所有参与者都报告在4个月的随访中收到了干预措施和筛查，并对该项目表示高度认可。
这项试点研究确定了与社区健康顾问合作在菲律宾裔美国社区环境中促进结直肠癌筛查的可行性。研究结果为一项传播试验的设计提供了依据，该试验目前正在进行，旨在监测招募、干预措施的实施和随访情况，并在一对一或小组教育方面保持灵活性。
