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对一名促进者主导的针对西班牙裔人群结直肠癌干预措施的评估:与认知和沟通相关的结果

Evaluation of a Promotora-led Intervention on Colorectal Cancer among Hispanics: Findings related to Perceptions and Communications.

作者信息

Rao Satya P, Moralez Ernesto, Livaudais-Toman Jennifer, Lozano Valerie, Thompson Beti

机构信息

Department of Public Health Sciences, New Mexico State University, 3 HLS, P.O. Box 30001, Las Cruces, NM 88003-8001, 575-635-6265.

Department of Health and Behavioral Science, University of Colorado, Denver, Denver, CO.

出版信息

Calif J Health Promot. 2013 Sep;11(2):21-31.

PMID:28845136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5568847/
Abstract

We implemented a home-based group educational intervention in the form of home health parties (HHPs) among Hispanic men and women in the Lower Yakima Valley of Washington State led by trained bilingual and compared participants' baseline and follow-up responses to questions related to communications about CRC screening. We also documented participants perceptions of the CRC related educational information presented as measures of effectiveness of the HHPs as well as possible indicators of their intentions to engage in timely CRC screenings. The group based educational sessions resulted in positive participants' perceptions about the benefits of the CRC related information and in improved communications about CRC screening. Results suggest the benefits of utilizing ' cultural knowledge and awareness to present content about cancers such as CRC in ways that are easily understandable to Hispanic participants and that could result in improved communications and action about cancer screenings.

摘要

我们在华盛顿州下亚基马山谷的西班牙裔男性和女性中开展了一项以家庭健康派对(HHPs)形式进行的居家小组教育干预活动,由经过培训的双语人员牵头,并比较了参与者对与结直肠癌筛查沟通相关问题的基线和随访回答。我们还记录了参与者对所呈现的结直肠癌相关教育信息的看法,以此作为家庭健康派对有效性的衡量标准以及他们及时进行结直肠癌筛查意图的可能指标。基于小组的教育课程使参与者对结直肠癌相关信息的益处产生了积极看法,并改善了关于结直肠癌筛查的沟通。结果表明,利用文化知识和意识以西班牙裔参与者易于理解的方式呈现诸如结直肠癌等癌症相关内容,可能会改善关于癌症筛查的沟通和行动。

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本文引用的文献

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Proximal and distal colorectal cancer resection rates in the United States since widespread screening by colonoscopy.自结肠镜广泛筛查以来,美国近端和远端结直肠癌的切除率。
Gastroenterology. 2012 Nov;143(5):1227-1236. doi: 10.1053/j.gastro.2012.07.107. Epub 2012 Jul 27.
2
Improving knowledge and screening for colorectal cancer among Hispanics: overcoming barriers through a PROMOTORA-led home-based educational intervention.提高西班牙裔人群对结直肠癌的认知及筛查:通过由健康促进员主导的居家教育干预克服障碍
J Cancer Educ. 2012 Jun;27(3):533-9. doi: 10.1007/s13187-012-0357-9.
3
Evaluation of a pilot communication skills training intervention for minority cancer patients.评价一项针对少数族裔癌症患者的沟通技巧培训干预的试点研究。
J Psychosoc Oncol. 2011;29(4):347-58.
4
Educating Hispanic women about breast cancer prevention: evaluation of a home-based promotora-led intervention.对西班牙裔女性进行乳腺癌预防教育:基于家庭的促进者主导干预的评估。
J Womens Health (Larchmt). 2010 Nov;19(11):2049-56. doi: 10.1089/jwh.2009.1733. Epub 2010 Sep 17.
5
Outcome effectiveness of the lay health advisor model among Latinos in the United States: an examination by role.美国拉丁裔中初级卫生保健顾问模式的效果评估:按角色分析
Health Educ Res. 2010 Oct;25(5):815-40. doi: 10.1093/her/cyq035. Epub 2010 Jul 5.
6
Barriers to colorectal cancer screening in community health centers: a qualitative study.社区卫生中心结直肠癌筛查的障碍:一项定性研究
BMC Fam Pract. 2008 Feb 27;9:15. doi: 10.1186/1471-2296-9-15.
7
Association of insurance with cancer care utilization and outcomes.保险与癌症医疗利用及结局的关联。
CA Cancer J Clin. 2008 Jan-Feb;58(1):9-31. doi: 10.3322/CA.2007.0011. Epub 2007 Dec 20.
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Barriers to colorectal cancer screening in Latino and Vietnamese Americans. Compared with non-Latino white Americans.拉丁裔和越南裔美国人进行结直肠癌筛查的障碍。与非拉丁裔美国白人相比。
J Gen Intern Med. 2004 Feb;19(2):156-66. doi: 10.1111/j.1525-1497.2004.30263.x.
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Public Health Nurs. 2002 Jan-Feb;19(1):11-20. doi: 10.1046/j.1525-1446.2002.19003.x.
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Public Health Rep. 1994 Jul-Aug;109(4):512-20.