Allen Jennifer D, Pérez John E, Tom Laura, Leyva Bryan, Diaz Daisy, Idalí Torres Maria
Dana-Farber Cancer Institute, Boston, MA, USA,
J Cancer Educ. 2014 Mar;29(1):136-43. doi: 10.1007/s13187-013-0560-3.
We assessed the feasibility, acceptability, and initial impact of a church-based educational program to promote breast, cervical, and colorectal cancer screening among Latinas ages 18 years and over. We used a one-group pre-/post-evaluation within a low-income, Latino Baptist church in Boston, MA. Participants completed interviewer-administered assessments at baseline and at the end of the 6-month intervention. Under the guidance of a patient navigator (PN), women from the church (peer health advisors, or PHAs) were trained to deliver evidence-based screening interventions, including one-to-one outreach, small group education, client reminders, and reduction of structural barriers to screening. The PN and PHAs also implemented a health fair, and the pastor integrated health information into regular sermons. At pre-intervention, nearly half of the sample did not meet screening guidelines. The majority (97%, n = 35) of those who completed the post-intervention assessment participated in intervention activities. Two thirds (67%) reported talking with the PN or PHAs about health issues. Participation in small group education sessions was highest (72%), with health fairs (61%) and goal setting (50%) also being popular activities. Fourteen percent also reported receiving help from the PN in finding a primary care provider. This study supports the feasibility and acceptability of churches as a setting to promote cancer screening among Latinas.
我们评估了一项基于教会的教育项目的可行性、可接受性及其初步影响,该项目旨在促进18岁及以上拉丁裔女性进行乳腺癌、宫颈癌和结直肠癌筛查。我们在马萨诸塞州波士顿市一个低收入的拉丁裔浸信会教堂内进行了单组前后评估。参与者在基线时以及6个月干预结束时完成了由访谈员进行的评估。在患者导航员(PN)的指导下,教会中的女性(同伴健康顾问,即PHA)接受培训,以提供基于证据的筛查干预措施,包括一对一外展、小组教育、客户提醒以及减少筛查的结构性障碍。PN和PHA还举办了一次健康博览会,牧师将健康信息融入常规布道中。干预前,近一半的样本未达到筛查指南。完成干预后评估的大多数人(97%,n = 35)参与了干预活动。三分之二(67%)的人报告与PN或PHA谈论过健康问题。参与小组教育课程的比例最高(72%),健康博览会(61%)和设定目标(50%)也是受欢迎的活动。14%的人还报告在寻找初级保健提供者方面得到了PN的帮助。这项研究支持了教会作为促进拉丁裔女性癌症筛查场所的可行性和可接受性。