College of Public Health and Human Sciences, Oregon State University, 2250 SW Jefferson Way, Waldo 445, Corvallis, OR, 97331, USA.
College of Public Health and Human Sciences, Oregon State University, 2250 SW Jefferson Way, Corvallis, OR, 97331, USA.
J Cancer Educ. 2021 Feb;36(1):152-159. doi: 10.1007/s13187-019-01611-5.
Despite the availability of effective cancer screening tests, Latinos are screened at lower rates than non-Hispanic Whites. We implemented and evaluated the effectiveness of an evidence-based community health worker (CHW) cancer education-plus-navigation intervention designed to increase cancer screening, knowledge of screening guidelines, and the benefit of early detection. The project included a community and clinic component and served a primarily Latino population. In collaboration with a federally qualified health center (FQHC) and three community-based organizations, bilingual/bicultural CHWs recruited men and women (not up-to-date with the cancer screening guidelines) from a FQHC and the community. Participants received education plus navigation and no-cost cancer screening tests. Together with the FQHC, we outlined eligibility criteria, project protocols, project implementation, and evaluation activities. With the community organizations, we outlined recruitment protocols-when to recruit, how to recruit, and connections with other organizations. CHWs enrolled 3045 men and women into the education-plus-navigation intervention. Overall, 71% received at least one cancer screening. Stratifying by gender, 72% of women received at least one cancer screening test whereas 63% of enrolled men received a test for colorectal cancer. Knowledge of screening guidelines and the belief in early detection also increased from baseline to follow-up. Our evidence-based education-plus-navigation intervention successfully reached large numbers of underserved men and women and yielded positive changes in cancer screening and knowledge of screening guidelines and the belief in early detection. The inclusion of a clinic and community component ensured success of the project.
尽管有有效的癌症筛查测试，但拉丁裔的筛查率低于非西班牙裔白人。我们实施并评估了一种基于证据的社区卫生工作者（CHW）癌症教育加导航干预措施的有效性，该措施旨在增加癌症筛查、对筛查指南的了解以及早期发现的益处。该项目包括社区和诊所两个部分，主要服务于拉丁裔人群。与一家合格的联邦健康中心（FQHC）和三个社区组织合作，双语/文化的 CHW 从 FQHC 和社区招募不符合癌症筛查指南的男性和女性。参与者接受了教育加导航以及免费的癌症筛查测试。我们与 FQHC 一起制定了资格标准、项目协议、项目实施和评估活动。与社区组织一起，我们制定了招募协议-何时招募、如何招募以及与其他组织的联系。CHW 招募了 3045 名男性和女性参与教育加导航干预措施。总体而言，有 71%的人接受了至少一次癌症筛查。按性别分层，72%的女性接受了至少一次癌症筛查测试，而 63%的参与男性接受了结直肠癌筛查测试。对筛查指南的了解和对早期发现的信念也从基线到随访有所增加。我们的循证教育加导航干预措施成功地接触到了大量服务不足的男性和女性，并在癌症筛查、对筛查指南的了解以及对早期发现的信念方面取得了积极的变化。诊所和社区部分的纳入确保了项目的成功。
