Cueva Melany, Kuhnley Regina, Slatton Jozieta, Dignan Mark, Underwood Emily, Landis Kate
Community Health Aide Program, Alaska Native Tribal Health Consortium, Anchorage, AK 99508, USA.
Int J Circumpolar Health. 2013 Aug 5;72:21301. doi: 10.3402/ijch.v72i0.21301. Print 2013.
Alaska Native people have nearly twice the rate of colorectal cancer (CRC) incidence and mortality as the US White population.
Building upon storytelling as a culturally respectful way to share information among Alaska Native people, a 25-minute telenovela-style movie, What's the Big Deal?, was developed to increase CRC screening awareness and knowledge, role-model CRC conversations, and support wellness choices.
Alaska Native cultural values of family, community, storytelling, and humor were woven into seven, 3-4 minute movie vignettes. Written post-movie viewing evaluations completed by 71.3% of viewers (305/428) were collected at several venues, including the premiere of the movie in the urban city of Anchorage at a local movie theater, seven rural Alaska community movie nights, and five cancer education trainings with Community Health Workers. Paper and pencil evaluations included check box and open-ended questions to learn participants' response to a telenovela-style movie.
On written-post movie viewing evaluations, viewers reported an increase in CRC knowledge and comfort with talking about recommended CRC screening exams. Notably, 81.6% of respondents (249/305) wrote positive intent to change behavior. Multiple responses included: 65% talking with family and friends about colon screening (162), 24% talking with their provider about colon screening (59), 31% having a colon screening (76), and 44% increasing physical activity (110).
Written evaluations revealed the telenovela genre to be an innovative way to communicate colorectal cancer health messages with Alaska Native, American Indian, and Caucasian people both in an urban and rural setting to empower conversations and action related to colorectal cancer screening. Telenovela is a promising health communication tool to shift community norms by generating enthusiasm and conversations about the importance of having recommended colorectal cancer screening exams.
阿拉斯加原住民的结直肠癌（CRC）发病率和死亡率几乎是美国白人人口的两倍。
基于讲故事是在阿拉斯加原住民中以尊重文化的方式分享信息的一种方法，制作了一部25分钟的电视剧风格电影《有什么大不了的？》，以提高CRC筛查意识和知识，树立CRC对话的榜样，并支持健康选择。
将阿拉斯加原住民关于家庭、社区、讲故事和幽默的文化价值观融入七个3 - 4分钟的电影片段中。在几个场所收集了71.3%的观众（305/428）完成的电影观看后书面评估，包括在城市安克雷奇的当地电影院举行的电影首映式、阿拉斯加七个农村社区电影之夜以及与社区卫生工作者进行的五次癌症教育培训。纸笔评估包括复选框和开放式问题，以了解参与者对电视剧风格电影的反应。
在电影观看后书面评估中，观众报告称CRC知识有所增加，并且在谈论推荐的CRC筛查检查时更加自在。值得注意的是，81.6%的受访者（249/305）表示有改变行为的积极意愿。多项回答包括：65%的人会与家人和朋友谈论结肠筛查（162人），24%的人会与他们的医疗服务提供者谈论结肠筛查（59人），31%的人会进行结肠筛查（76人），44%的人会增加体育活动（110人）。
书面评估表明，电视剧类型是一种创新方式，可在城市和农村环境中与阿拉斯加原住民、美国印第安人和白人交流结直肠癌健康信息，以促进与结直肠癌筛查相关的对话和行动。电视剧是一种有前途的健康传播工具，可通过激发对进行推荐的结直肠癌筛查检查重要性的热情和对话来改变社区规范。
