Breast, Cervical, and Colorectal Cancer Education and Navigation: Results of a Community Health Worker Intervention
Now that cancer has surpassed heart disease as the top cause of death for Hispanics in the United States, it is even more critical to focus on early detection of cancer in this population. We report the results of a theory-driven education-plus-navigation pilot intervention delivered by bilingual, b...
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| Veröffentlicht in: | Health promotion practice 2016-05, Vol.17 (3), p.353-363 |
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| creator | Mojica, Cynthia M. Morales-Campos, Daisy Y. Carmona, Christina M. Ouyang, Yongjian Liang, Yuanyuan |
| description | Now that cancer has surpassed heart disease as the top cause of death for Hispanics in the United States, it is even more critical to focus on early detection of cancer in this population. We report the results of a theory-driven education-plus-navigation pilot intervention delivered by bilingual, bicultural community health workers (CHWs) with the goal of increasing cancer screening rates and knowledge among low-income Latinas. CHWs enrolled 691 eligible women, ages 18 to 75 years, considered rarely or never screened for breast, cervical, and colorectal cancer. Eligible women were scheduled for an education session and offered health care navigation support with appointment scheduling and reminder/follow-up calls. CHWs provided education to 535 (77%) eligible women, and arranged mammograms, Pap tests, or stool blood tests for 174 (25%) participants, with another 94 (14%) placed on a waiting list at a local health center. Statistically significant positive changes on knowledge of screening guidelines for breast, cervical, and colorectal cancer, and beliefs/attitudes regarding early detection were observed from pre- to posttest among eligible women who attended an educational session. Results highlight the effectiveness of CHW-directed interventions in recruiting individuals for programs, educating them, and influencing cancer knowledge and screening behavior. |
| doi_str_mv | 10.1177/1524839915603362 |
| format | Article |
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We report the results of a theory-driven education-plus-navigation pilot intervention delivered by bilingual, bicultural community health workers (CHWs) with the goal of increasing cancer screening rates and knowledge among low-income Latinas. CHWs enrolled 691 eligible women, ages 18 to 75 years, considered rarely or never screened for breast, cervical, and colorectal cancer. Eligible women were scheduled for an education session and offered health care navigation support with appointment scheduling and reminder/follow-up calls. CHWs provided education to 535 (77%) eligible women, and arranged mammograms, Pap tests, or stool blood tests for 174 (25%) participants, with another 94 (14%) placed on a waiting list at a local health center. Statistically significant positive changes on knowledge of screening guidelines for breast, cervical, and colorectal cancer, and beliefs/attitudes regarding early detection were observed from pre- to posttest among eligible women who attended an educational session. 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We report the results of a theory-driven education-plus-navigation pilot intervention delivered by bilingual, bicultural community health workers (CHWs) with the goal of increasing cancer screening rates and knowledge among low-income Latinas. CHWs enrolled 691 eligible women, ages 18 to 75 years, considered rarely or never screened for breast, cervical, and colorectal cancer. Eligible women were scheduled for an education session and offered health care navigation support with appointment scheduling and reminder/follow-up calls. CHWs provided education to 535 (77%) eligible women, and arranged mammograms, Pap tests, or stool blood tests for 174 (25%) participants, with another 94 (14%) placed on a waiting list at a local health center. Statistically significant positive changes on knowledge of screening guidelines for breast, cervical, and colorectal cancer, and beliefs/attitudes regarding early detection were observed from pre- to posttest among eligible women who attended an educational session. Results highlight the effectiveness of CHW-directed interventions in recruiting individuals for programs, educating them, and influencing cancer knowledge and screening behavior.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Breast Neoplasms - diagnosis</subject><subject>Breast Neoplasms - ethnology</subject><subject>CHWs, Promotores, & Health Educators Post–Health Reform</subject><subject>Colorectal Neoplasms - diagnosis</subject><subject>Colorectal Neoplasms - ethnology</subject><subject>Community Health Workers - organization & administration</subject><subject>Cultural Competency</subject><subject>Early Detection of Cancer - utilization</subject><subject>Female</subject><subject>Health Education - organization & administration</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Hispanic Americans</subject><subject>Humans</subject><subject>Mammography</subject><subject>Middle Aged</subject><subject>Neoplasms - diagnosis</subject><subject>Neoplasms - ethnology</subject><subject>Papanicolaou Test</subject><subject>Patient Navigation - organization & administration</subject><subject>Pilot Projects</subject><subject>Poverty</subject><subject>Socioeconomic Factors</subject><subject>United States</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><subject>Uterine Cervical Neoplasms - ethnology</subject><subject>Young Adult</subject><issn>1524-8399</issn><issn>1552-6372</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1Lw0AQhhdRrFbvXpQcPTS635u9qaF-QNGLnsNmMykpabbuJgX_vWlTRTyIp5lhnnlgXoTOCL4iRKlrIihPmNZESMyYpHvoiAhBY8kU3d_0lMeb_Qgdh7DAGCvF8SEaUckSrqk4Qjd3HkxoJ1EKfl1ZU08i0xRR6mrnwbamjlLTWPDRtOisaSvXbPfPZl3Nt-MJOihNHeB0V8fo7X76mj7Gs5eHp_R2FlvGRRsnScmYVhQkybXS0oK0Bc4Ft5hAYrBVlhcaSAG6BxOrqKFlQQuag2ECczZGl4N35d17B6HNllWwUNemAdeFjCRYcqYU-weqtOCaE530KB5Q610IHsps5aul8R8Zwdkm4ux3xP3Jxc7e5Usovg--Mu2BeACCmUO2cJ1v-mD-Ep4P_CK0zv_w9b_g3voJZSmK6w</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>Mojica, Cynthia M.</creator><creator>Morales-Campos, Daisy Y.</creator><creator>Carmona, Christina M.</creator><creator>Ouyang, Yongjian</creator><creator>Liang, Yuanyuan</creator><general>Sage Publications, Inc</general><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>7X8</scope></search><sort><creationdate>20160501</creationdate><title>Breast, Cervical, and Colorectal Cancer Education and Navigation</title><author>Mojica, Cynthia M. ; 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We report the results of a theory-driven education-plus-navigation pilot intervention delivered by bilingual, bicultural community health workers (CHWs) with the goal of increasing cancer screening rates and knowledge among low-income Latinas. CHWs enrolled 691 eligible women, ages 18 to 75 years, considered rarely or never screened for breast, cervical, and colorectal cancer. Eligible women were scheduled for an education session and offered health care navigation support with appointment scheduling and reminder/follow-up calls. CHWs provided education to 535 (77%) eligible women, and arranged mammograms, Pap tests, or stool blood tests for 174 (25%) participants, with another 94 (14%) placed on a waiting list at a local health center. Statistically significant positive changes on knowledge of screening guidelines for breast, cervical, and colorectal cancer, and beliefs/attitudes regarding early detection were observed from pre- to posttest among eligible women who attended an educational session. Results highlight the effectiveness of CHW-directed interventions in recruiting individuals for programs, educating them, and influencing cancer knowledge and screening behavior.</abstract><cop>Los Angeles, CA</cop><pub>Sage Publications, Inc</pub><pmid>26384925</pmid><doi>10.1177/1524839915603362</doi><tpages>11</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Breast Neoplasms - diagnosis Breast Neoplasms - ethnology CHWs, Promotores, & Health Educators Post–Health Reform Colorectal Neoplasms - diagnosis Colorectal Neoplasms - ethnology Community Health Workers - organization & administration Cultural Competency Early Detection of Cancer - utilization Female Health Education - organization & administration Health Knowledge, Attitudes, Practice Hispanic Americans Humans Mammography Middle Aged Neoplasms - diagnosis Neoplasms - ethnology Papanicolaou Test Patient Navigation - organization & administration Pilot Projects Poverty Socioeconomic Factors United States Uterine Cervical Neoplasms - diagnosis Uterine Cervical Neoplasms - ethnology Young Adult |
| title | Breast, Cervical, and Colorectal Cancer Education and Navigation: Results of a Community Health Worker Intervention |
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