San Diego State University, San Diego, CA, USA.
University of California San Diego, La Jolla, CA, USA.
Health Promot Pract. 2021 Jul;22(4):491-501. doi: 10.1177/1524839920912240. Epub 2020 Mar 22.
Latinos have lower colorectal cancer (CRC) screening rates compared to other racial/ethnic groups in the United States, despite an overall increase in CRC screening over the past 10 years. To address this disparity, we implemented a -led intervention to increase CRC screening test adherence in community-based settings, connecting community members with a partnering federally qualified health center. . To evaluate the /Together Against Cancer (JUNTOS) intervention, by assessing pre-post changes in (1) CRC screening test adherence and (2) CRC knowledge and perceived barriers to CRC screening. We also assessed the feasibility and acceptability of program activities. . JUNTOS was a group-based intervention, delivered by promotores (community health workers), to promote CRC screening test adherence among Latino adults. The intervention consisted of a culturally tailored 2½-hour interactive workshop followed by an appointment scheduling assistance from a promotor. Workshop participants were Latino adults (males and females) aged 50 to 75 years who were not up-to-date with CRC screening guidelines. We conducted interviews before and 6 to 9 months after the workshop to assess program outcomes. . Of the 177 participants included, 118 reported completing the CRC screening test (66.7%) by 6 to 9 months postintervention. We observed baseline to 6- to 9-month increase in CRC knowledge and lower perceived barriers to obtaining CRC screening. Furthermore, the intervention was found to be feasible and acceptable. . Results suggest that JUNTOS can be feasibly implemented in partnership with a federally qualified health center. The current study supports group-based CRC interventions in community and clinic settings.
拉丁裔美国人的结直肠癌 (CRC) 筛查率低于美国其他种族/族裔群体，尽管在过去 10 年中 CRC 筛查总体有所增加。为了解决这一差异，我们实施了一项以领导人为基础的干预措施，以增加社区环境中 CRC 筛查测试的依从性，将社区成员与合作的联邦合格健康中心联系起来。为了评估/一起对抗癌症（JUNTOS）干预措施，我们评估了（1）CRC 筛查测试依从性和（2）CRC 知识和对 CRC 筛查障碍的感知变化。我们还评估了计划活动的可行性和可接受性。JUNTOS 是一种基于群体的干预措施，由 promotores（社区卫生工作者）提供，以促进拉丁裔成年人对 CRC 筛查测试的依从性。该干预措施包括一个文化上量身定制的 2 个半小时的互动研讨会，然后由 promotor 提供预约安排协助。研讨会参与者是年龄在 50 至 75 岁之间的拉丁裔成年人（男性和女性），他们不符合 CRC 筛查指南的要求。我们在研讨会前和 6 至 9 个月后进行了访谈，以评估项目结果。在 177 名参与者中，有 118 名报告在干预后 6 至 9 个月内完成了 CRC 筛查测试（66.7%）。我们观察到 CRC 知识从基线到 6 至 9 个月有所增加，并且获得 CRC 筛查的感知障碍降低。此外，该干预措施被认为是可行且可接受的。结果表明，JUNTOS 可以与联邦合格健康中心合作进行可行性实施。目前的研究支持社区和诊所环境中的基于群体的 CRC 干预措施。
