Erwin D O, Spatz T S, Stotts R C, Hollenberg J A, Deloney L A
Arkansas Cancer Research Center, University of Arkansas for Medical Sciences, Little Rock 72205, USA.
J Cancer Educ. 1996 Winter;11(4):210-5. doi: 10.1080/08858199609528430.
The five-year survival rate for African American women with breast cancer is notably lower than the rate for white women; thus, appropriate cancer education and screening efforts are needed to increase mammography and breast self-examination practices by African American women.
The Witness Project is a theory-based intervention designed to provide culturally sensitive messages, from African American breast cancer survivors, in churches and community organizations. These messages emphasize the importance of early detection to improve survival.
Intervention research in eastern Arkansas with 204 African American women demonstrated a significant increase in the practice of breast self-examination (p < 0.001) and mammography (p < 0.001) after participation in the Witness Project. There was no significant difference between the pre- and postintervention scores for scaled items for the health-belief model and locus of control.
Results demonstrate that culturally appropriate cancer education programs are able to change behavior by meeting the beliefs of participants rather than attempting to change their beliefs.
非裔美国乳腺癌女性的五年生存率显著低于白人女性；因此，需要开展适当的癌症教育和筛查工作，以提高非裔美国女性的乳房X光检查和乳房自我检查率。
见证项目是一项基于理论的干预措施，旨在通过非裔美国乳腺癌幸存者，在教堂和社区组织中提供具有文化敏感性的信息。这些信息强调早期检测对提高生存率的重要性。
在阿肯色州东部对204名非裔美国女性进行的干预研究表明，参与见证项目后，乳房自我检查（p < 0.001）和乳房X光检查（p < 0.001）的实施率显著提高。健康信念模型和控制点量表项目的干预前和干预后得分之间没有显著差异。
结果表明，符合文化背景的癌症教育项目能够通过满足参与者的信念来改变行为，而不是试图改变他们的信念。
