Lee Hee Yun, Lee Mi Hwa, Gao Zan, Sadak Karim
School of Social Work, University of Alabama, Tuscaloosa, AL 35487, USA.
College of Health and Human Performance, East Carolina University, Greenville, NC 27858, USA.
J Clin Med. 2018 Jul 24;7(8):181. doi: 10.3390/jcm7080181.
While a significant breast cancer burden exists for Korean American immigrant women, their cancer screening behavior is strikingly poor, and few interventions have focused on this population. To promote breast cancer screening behavior in Korean American immigrant women, a mobile phone multimedia messaging intervention (mMammogram) was developed.
The current study explores the impact of mMammogram on changes to study participants' screening behavior and proposes suggestions for how the intervention can be improved for wide dissemination and implementation in the Korean American community.
Data were collected through qualitative research methods. Three focus groups were conducted with 14 Korean immigrant women who completed the mMammogram.
Three themes emerged: (1) better understanding of breast cancer and screening through mMammogram (e.g., increased knowledge on breast cancer and screening methods, increased understanding of the importance of regular mammography, and reduced anxiety about mammography); (2) health navigators as a trigger to promote mammography (e.g., providing resources for free or low-cost mammograms and scheduling mammogram appointments); and (3) suggestions for mMammogram (e.g., technical issues and program period).
Mobile app intervention that is culturally tailored, along with health navigation services, can be a feasible, effective, and acceptable tool to promote breast cancer screening behaviors in underserved immigrant women. A mobile app can cover a broad range of breast cancer health topics and the health navigator can further help women overcome barriers to screening. A health navigation service is critical in overcoming language, transportation, and health accessibility barriers and triggering a positive change in their health screening behavior, especially for newly arrived immigrant populations.
韩裔美国移民女性面临着相当大的乳腺癌负担，但她们的癌症筛查行为却非常差，而且很少有干预措施针对这一人群。为了促进韩裔美国移民女性的乳腺癌筛查行为，开发了一种手机多媒体短信干预措施（mMammogram）。
本研究探讨了mMammogram对研究参与者筛查行为变化的影响，并就如何改进该干预措施以便在韩裔美国社区广泛传播和实施提出建议。
通过定性研究方法收集数据。对14名完成mMammogram的韩裔移民女性进行了三个焦点小组访谈。
出现了三个主题：（1）通过mMammogram更好地了解乳腺癌和筛查（例如，增加对乳腺癌和筛查方法的知识，增强对定期乳房X光检查重要性的理解，以及减少对乳房X光检查的焦虑）；（2）健康导航员作为促进乳房X光检查的触发因素（例如，提供免费或低成本乳房X光检查的资源以及安排乳房X光检查预约）；（3）对mMammogram的建议（例如，技术问题和项目周期）。
针对文化背景量身定制的移动应用程序干预措施，再加上健康导航服务，可以成为促进服务不足的移民女性乳腺癌筛查行为的一种可行、有效且可接受的工具。移动应用程序可以涵盖广泛的乳腺癌健康主题，健康导航员可以进一步帮助女性克服筛查障碍。健康导航服务对于克服语言、交通和健康可及性障碍以及促使她们的健康筛查行为产生积极变化至关重要，特别是对于新抵达的移民群体。
