Luque John S, Roy Siddhartha, Tarasenko Yelena N, Ross Levi, Johnson Jarrett, Gwede Clement K
Jiann-Ping Hsu College of Public Health, Georgia Southern University, Hendricks Hall, P.O. Box 8015, Statesboro, GA, 30460-8015, USA.
Rural Health Research Institute, Statesboro, GA, USA.
J Cancer Educ. 2015 Dec;30(4):623-8. doi: 10.1007/s13187-014-0739-2.
The barbershop is a promising setting where African-American men might receive information and education about prostate cancer. In this study, we assessed the feasibility of engaging rural barbershops as venues for barbers to deliver a prostate cancer education intervention to increase informed decision-making for prostate cancer screening among customers. Twelve barbershops were recruited from two separate micropolitan areas in Georgia as intervention and control sites. Structured interviews were conducted with 11 barbers in both sites about customer characteristics as well as their willingness to participate in the study. The interviews were audio recorded and transcribed for analysis. In the intervention site, six barbers completed a survey and a pre-/posttest prostate cancer knowledge instrument following training classes. Barbers reported a wide average range of customers served per week (50 to 300). African-American men made up an average of 87% of customers. Barbers thought prostate cancer was an important discussion topic, felt they would be comfortable discussing it, and supported the participation of their barbershop in the study. For intervention group barbers, there was a statistically significant difference between the average pretest knowledge score of 72% (mean 12.2, SD=3.2) and the posttest knowledge score of 89% (mean 15.2, SD=1.1) (P=0.03) on the 17-item prostate cancer knowledge instrument. Based on the multiple interactions with the barbers, there was high receptivity to the topic and consensus about the importance of addressing prostate cancer with their customers. Rural barbershops represent feasible venues for delivering a prostate cancer education intervention.
理发店是一个很有前景的场所,非裔美国男性可以在这里获得有关前列腺癌的信息和教育。在本研究中,我们评估了让农村理发店作为场所,由理发师为顾客提供前列腺癌教育干预措施,以增加前列腺癌筛查知情决策的可行性。从佐治亚州两个不同的微型都市地区招募了12家理发店作为干预和对照场所。对两个场所的11名理发师进行了结构化访谈,了解顾客特征以及他们参与研究的意愿。访谈进行了录音并转录以供分析。在干预场所,6名理发师在参加培训课程后完成了一项调查以及一份前列腺癌知识的前测/后测问卷。理发师报告说每周服务的顾客平均范围很广(50至300人)。非裔美国男性平均占顾客的87%。理发师认为前列腺癌是一个重要的讨论话题,觉得讨论这个话题会很自在,并支持他们的理发店参与这项研究。对于干预组的理发师,在17项前列腺癌知识问卷上预测试平均知识得分72%(平均分12.2,标准差=3.2)与后测试知识得分89%(平均分15.2,标准差=1.1)之间存在统计学上的显著差异(P=0.03)。基于与理发师的多次互动,对该话题的接受度很高,并且在与顾客讨论前列腺癌的重要性方面达成了共识。农村理发店是开展前列腺癌教育干预措施的可行场所。