Kline Kimberly N, Rangel Maria Lizette, Bulsara Shaun, Chenier Roshanda, Escobar Betsy, Montealegre Jane, Weiss Maria Jibaja
Department of Communication, The University of Texas at San Antonio, One UTSA Circle, San Antonio, TX, 78249, USA.
Section of Epidemiology and Population Sciences, Department of Medicine, Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA.
J Racial Ethn Health Disparities. 2025 Feb;12(1):273-284. doi: 10.1007/s40615-023-01871-4. Epub 2023 Nov 27.
Black, Hispanic, and Asian individuals, the three largest US racial/ethnic minorities, continue to suffer disproportionately from breast, cervical, and colon cancers largely because cancer screening continues to be underutilized even after decades of availability. This study examined the utility of theoretically grounded and culturally adapted in-person theater monologues aimed at promoting early detection screening among the three highest population racial/ethnic groups in Harris County, Houston, TX. Nine monologues were created to promote cancer screening and early detection for breast, cervical, and colorectal cancers in three different languages (English, Spanish, Vietnamese) and targeting underserved Black, Hispanic, and Vietnamese adult Harris County residents. From January 2014 to March 2020, 265 live monologue outreach events were held with 110 focused on prevention and screening for breast cancer, 75 for colorectal cancer, and 80 for cervical cancer. A total of 5989 individuals attended these outreach events and 86.3% completed the post-performance evaluation survey. Overall for all monologues, 6.6% of participants reported a positive change in their intent to screen from 75.7 to 82.3% after intervention (p < 0.001) and audience member scores on knowledge questions for all three cancers were mostly positive. Importantly, early detection questions for all three cancers were over 90% correct for all respondents, and well over 70% for the various groups. The findings revealed opportunities for improving monologue content to cultivate cancer early detection and screening knowledge. Results suggest that a theater-based approach may be an effective strategy to disseminate cancer screening education, improve knowledge, and increase intent to obtain screening among medically underserved communities.
黑人、西班牙裔和亚裔是美国最大的三个少数族裔，他们在乳腺癌、宫颈癌和结肠癌方面的患病比例仍然过高，这主要是因为即使在癌症筛查普及数十年后，其利用率仍然很低。本研究考察了基于理论且经过文化调适的现场戏剧独白的效用，这些独白旨在促进德克萨斯州休斯顿哈里斯县人口最多的三个种族/族裔群体进行早期检测筛查。创作了九段独白，以三种不同语言（英语、西班牙语、越南语）宣传乳腺癌、宫颈癌和结直肠癌的筛查与早期检测，目标受众是哈里斯县未得到充分医疗服务的黑人、西班牙裔和越南裔成年居民。2014年1月至2020年3月，共举办了265场现场独白外展活动，其中110场聚焦于乳腺癌的预防和筛查，75场针对结直肠癌，80场针对宫颈癌。共有5989人参加了这些外展活动，86.3%的人完成了演出后评估调查。总体而言，所有独白的参与者中，6.6%报告称干预后其筛查意愿有了积极变化，从75.7%升至82.3%（p < 0.001），并且所有三种癌症的观众知识问答得分大多为正向。重要的是，所有三种癌症的早期检测问题，所有受访者的回答正确率超过90%，各群体的正确率远超70%。研究结果揭示了改进独白内容以培养癌症早期检测和筛查知识的机会。结果表明，基于戏剧的方法可能是一种有效的策略，可用于在医疗服务不足的社区传播癌症筛查教育、提高知识水平并增加进行筛查的意愿。
