School of Nursing, Hunter College, the City University of New York, 425 E. 25th Street, New York, NY, 10010, USA.
Department of Family, Nutrition, & Exercise Sciences, Queens College, the City University of New York, Flushing, NY, USA.
J Cancer Educ. 2023 Jun;38(3):913-923. doi: 10.1007/s13187-022-02207-2. Epub 2022 Aug 3.
Breast cancer (BC) is the most common cancer in Korean American (KA) women. In view of its high prevalence in these women, their low screening rates, and the cultural influence of BC risk factors in their lifestyles, we developed a community-based culturally tailored BC prevention program, the Korean Breast Cancer Risk Reduction Program (KBCRRP). Guided by the PRECEDE-PROCEDE and health belief models, the KBCRRP was developed to achieve four goals: (1) healthy weight, (2) physically active lifestyle, (3) healthy diet, and (4) BC screening and adherence. KBCRRP combines effective multicomponent strategies for BC screening and a group-based lifestyle intervention incorporating traditional Korean health beliefs and is tailored for BC risk reduction. In this paper, we provide an overview of the program, the process of program development, implementation, and evaluation, and modification during the COVID-19 pandemic. The initial program involved 8 weeks of in-person group education sessions led by interdisciplinary healthcare professionals and 16 weeks of follow-up involving smartphone applications, phone calls, and text messaging from trained lifestyle coaches. Participants received opportunities to obtain free mammography during the program. After feasibility testing, the program was modified by incorporating participants' feedback. During the COVID-19 pandemic, we provided the program using the Zoom video platform. Participants' recruitment and retention during the pandemic was successful, reflecting the fact that virtual delivery of group-based education was a feasible and acceptable alternative to in-person sessions. Collaboration with community organizations serving the target population is the key to developing and sustaining a successful community-based educational program.
乳腺癌（BC）是美籍韩裔（KA）女性中最常见的癌症。鉴于这些女性的患病率高、筛查率低，以及 BC 风险因素在其生活方式中的文化影响，我们开发了一种基于社区的、具有文化针对性的 BC 预防计划，即韩国乳腺癌风险降低计划（KBCRRP）。该计划以 PRECEDE-PROCEDE 和健康信念模型为指导，旨在实现四个目标：（1）健康体重，（2）积极的生活方式，（3）健康饮食，以及（4）BC 筛查和坚持。KBCRRP 结合了有效的多组分策略，用于 BC 筛查和基于小组的生活方式干预，融入了传统的韩国健康信念，并针对 BC 风险降低进行了定制。在本文中，我们提供了该计划的概述，包括计划的开发、实施和评估过程，以及在 COVID-19 大流行期间的修改。初始计划包括 8 周的由跨学科医疗保健专业人员领导的面对面小组教育课程，以及 16 周的后续课程，涉及使用智能手机应用程序、电话和由训练有素的生活方式教练发送的短信。参与者在计划期间有机会获得免费的乳房 X 光检查。在可行性测试后，根据参与者的反馈对计划进行了修改。在 COVID-19 大流行期间，我们使用 Zoom 视频平台提供该计划。在大流行期间，参与者的招募和保留是成功的，这反映了虚拟提供小组教育是替代面对面课程的可行且可接受的替代方案。与为目标人群服务的社区组织合作是开发和维持成功的基于社区的教育计划的关键。
