Lee Eunice, Menon Usha, Nandy Karabi, Szalacha Laura, Kviz Frederick, Cho Young, Miller Arlene, Park Hanjong
School of Nursing, University of California, Los Angeles.
College of Nursing, Ohio State University in Columbus.
Oncol Nurs Forum. 2014 May;41(3):E185-93. doi: 10.1188/14.ONF.E185-E193.
PURPOSE/OBJECTIVES: To assess the efficacy of Korean Immigrants and Mammography-Culture-Specific Health Intervention (KIM-CHI), an educational program for Korean American (KA) couples designed to improve mammography uptake among KA women.
A two-group cluster randomized, longitudinal, controlled design.
50 KA religious organizations in the Chicago area.
428 married KA women 40 years of age or older who had not had a mammogram in the past year. The women and their husbands were recruited from 50 KA religious organizations.
Couples were randomly assigned to intervention or attention control groups. Those in the KIM-CHI program (n = 211 couples) were compared to an attention control group (n = 217 couples) at baseline, as well as at 6 and 15 months postintervention on mammogram uptake.
Sociodemographic variables and mammography uptake were measured. Level of acculturation was measured using the Suinn-Lew Asian Self-Identity Acculturation Scale. Researchers asked questions about healthcare resources and use, health insurance status, usual source of care, physical examinations in the past two years, family history of breast cancer, and history of mammography.
The KIM-CHI group showed statistically significant increases in mammography uptake compared to the attention control group at 6 months and 15 months postintervention.
The culturally targeted KIM-CHI program was effective in increasing mammogram uptake among nonadherent KA women.
Nurses and healthcare providers should consider specific health beliefs as well as inclusion of husbands or significant others. They also should target education to be culturally relevant for KA women to effectively improve frequency of breast cancer screening.
目的/目标：评估韩裔移民与乳腺钼靶检查 - 文化特定健康干预项目（KIM - CHI）的效果，该项目是一项针对韩裔美籍夫妇的教育项目，旨在提高韩裔美籍女性的乳腺钼靶检查接受率。
两组整群随机、纵向、对照设计。
芝加哥地区的50个韩裔宗教组织。
428名40岁及以上的已婚韩裔美籍女性，她们在过去一年中未进行过乳腺钼靶检查。这些女性及其丈夫是从50个韩裔宗教组织招募而来的。
夫妇被随机分配到干预组或注意力控制组。将参与KIM - CHI项目的夫妇（n = 211对）与注意力控制组（n = 217对）在基线时以及干预后6个月和15个月时的乳腺钼靶检查接受情况进行比较。
测量社会人口统计学变量和乳腺钼靶检查接受情况。使用苏因 - 刘亚洲自我认同文化适应量表测量文化适应水平。研究人员询问了有关医疗资源和使用情况、健康保险状况、通常的医疗服务来源、过去两年的身体检查、乳腺癌家族史以及乳腺钼靶检查史等问题。
与注意力控制组相比，KIM - CHI组在干预后6个月和15个月时的乳腺钼靶检查接受率有统计学意义的显著提高。
针对特定文化的KIM - CHI项目在提高未依从的韩裔美籍女性的乳腺钼靶检查接受率方面是有效的。
护士和医疗保健提供者应考虑特定的健康观念以及纳入丈夫或重要他人。他们还应使教育与韩裔美籍女性的文化相关，以有效提高乳腺癌筛查的频率。
