Holt Cheryl L, Le Daisy, Saunders Darlene R, Wang Min Qi, Slade Jimmie L, Muwwakkil Bettye, Williams Ralph, Atkinson Nancy L, Whitehead Tony L, Naslund Michael
Department of Behavioral and Community Health, School of Public Health, University of Maryland, 2369 School of Public Health Building (255), College Park, MD, 20742, USA,
J Cancer Educ. 2015 Sep;30(3):530-4. doi: 10.1007/s13187-014-0731-x.
Prostate cancer incidence and mortality are highest among African-American men, and coupled with the controversy around routine prostate cancer screening, reaching African-American men with interventions to help them make an informed decision about whether or not to be screened is critical. This study compares two approaches to delivering a church-based peer community health advisor intervention consisting of a series of four men's health workshops on informed decision-making for prostate cancer screening. In the men-only group, male community health advisors teach group workshops consisting only of men. In the health partner group, male-female pairs of community health advisors teach workshops in a mixed-gender format in which enrolled men are asked to invite a significant woman in their lives (e.g., wife/partner, sister, daughter, friend) with them to the workshops. Eighteen African-American churches were randomized to receive one of the two approaches, and 283 eligible men enrolled in the intervention. Main findings suggested that the workshops had an impact on stage of decision-making, and this increased significantly over time in the health partner group only. The intervention was highly rated by men in both groups, and these ratings increased over time, with some study group differences. Within-workshop study group differences favored the health partner group in some instances; however, men in the men-only groups reported greater increases in their ratings of trust in the workshops over time. The health partner intervention strategy appears to be promising for reaching men of color with health information.
前列腺癌的发病率和死亡率在非裔美国男性中最高，再加上围绕常规前列腺癌筛查的争议，对非裔美国男性进行干预，帮助他们就是否接受筛查做出明智决定至关重要。本研究比较了两种实施基于教会的同伴社区健康顾问干预措施的方法，该干预措施包括一系列关于前列腺癌筛查知情决策的四次男性健康工作坊。在男性专属组中，男性社区健康顾问教授仅由男性组成的小组工作坊。在健康伙伴组中，男女配对的社区健康顾问以混合性别形式教授工作坊，要求登记参加的男性邀请他们生活中的一位重要女性（如妻子/伴侣、姐妹、女儿、朋友）与他们一起参加工作坊。18所非裔美国教会被随机分配接受这两种方法中的一种，283名符合条件的男性参加了干预。主要研究结果表明，这些工作坊对决策阶段有影响，并且仅在健康伙伴组中随着时间的推移显著增加。两组男性对该干预的评价都很高，并且这些评价随着时间的推移而提高，存在一些研究组差异。工作坊内的研究组差异在某些情况下有利于健康伙伴组；然而，男性专属组中的男性报告说，随着时间的推移，他们对工作坊的信任度评价有更大的提高。健康伙伴干预策略似乎有望向有色人种男性传播健康信息。
