University of California, Irvine, CA, USA.
Health Educ Behav. 2021 Apr;48(2):208-219. doi: 10.1177/1090198121990389. Epub 2021 Feb 13.
Vietnamese Americans are disproportionately affected by preventable late-stage cancers. This study capitalizes on the protective role of family networks to develop an online social media family group chat intervention promoting cancer screening among Vietnamese American families. A feasibility study was conducted to assess implementing , a 4-week intergenerational family group chat intervention to increase cancer screenings. Vietnamese American young adults were trained to act as family health advocates on their private family group chats and share cancer screening messages. The intervention covered material on recommended screenings for colonoscopy for those aged 45+ years, HPV (human papillomavirus) vaccination for young adults, and Pap testing for women. Ten families ( = 41) participated. Family group chat content analysis resulted in (a) sharing personal screening experiences, (b) family members being prompted to schedule cancer screening appointments after discussions in the chat, and (c) family members expressing a sense of urgency to follow up with cancer screening. Postintervention survey results revealed that 48% of participants received screening/vaccination, 77% reported intent to schedule an appointment to discuss recommended screenings, 61% reported discussing cancer screenings outside their group chat, 84% felt comfortable discussing screenings with family after the intervention, and 68% agreed that the group chat facilitated comfort around cancer screening discussions. Family members reported feeling closer to their family and greater comfort discussing cancer and cancer screening. Results from the feasibility study indicate promise for implementing a randomized trial conditional on grouping family chats by age and gender to increase cancer screenings among Vietnamese American families.
越南裔美国人受到可预防的晚期癌症的影响不成比例。本研究利用家庭网络的保护作用，开发了一种在线社交媒体家庭群组聊天干预措施，以促进越南裔美国家庭进行癌症筛查。进行了一项可行性研究，以评估实施一项为期 4 周的代际家庭群组聊天干预措施，以增加癌症筛查。越南裔美国年轻人接受培训，在他们的私人家庭群组聊天中充当家庭健康倡导者，并分享癌症筛查信息。该干预措施涵盖了针对 45 岁以上人群的结肠镜检查、年轻人的 HPV（人乳头瘤病毒）疫苗接种以及女性的巴氏试验等推荐筛查的内容。有 10 个家庭（=41 人）参与了研究。家庭群组聊天内容分析得出以下结论：（a）分享个人筛查经验，（b）在聊天中讨论后，家庭成员被提示安排癌症筛查预约，（c）家庭成员表示迫切需要跟进癌症筛查。干预后的调查结果显示，48%的参与者接受了筛查/接种疫苗，77%的人表示打算预约讨论推荐的筛查，61%的人表示在群组聊天之外讨论了癌症筛查，84%的人在干预后感到与家人讨论筛查时很自在，68%的人同意群组聊天有助于舒适地讨论癌症筛查。家庭成员表示感到与家人更亲近，并且更愿意讨论癌症和癌症筛查。可行性研究的结果表明，有希望实施一项随机试验，条件是按年龄和性别对家庭群组聊天进行分组，以增加越南裔美国家庭的癌症筛查率。
