The impact of a small-group mammography video discussion on promoting screening uptake among nonadherent Chinese American immigrant women: A randomized controlled trial

被引:0
作者
Tan, Naomi Q. P. [1 ,2 ]
Ma, Grace X. [3 ]
Maxwell, Annette E. [4 ]
Brown, Roger L. [5 ,6 ]
Zhou, Kathy [3 ]
Loh, Alice [7 ]
Young, Lucy [7 ]
Volk, Robert J. [8 ]
Lu, Qian [9 ]
Wang, Judy Huei-Yu [10 ]
机构
[1] Rutgers State Univ, Rutgers Canc Inst, New Brunswick, NJ USA
[2] Rutgers State Univ, Robert Wood Johnson Med Sch, Div Med Oncol, New Brunswick, NJ USA
[3] Temple Univ, Ctr Asian Hlth, Lewis Katz Sch Med, Philadelphia, PA USA
[4] Univ Calif Los Angeles, Ctr Canc Prevent & Control Res, Los Angeles, CA USA
[5] Univ Wisconsin, Sch Nursing Med, Madison, WI USA
[6] Univ Wisconsin, Sch Publ Hlth, Madison, WI USA
[7] Herald Canc Assoc, San Gabriel, CA USA
[8] Univ Texas MD Anderson Canc Ctr, Dept Hlth Serv Res, Houston, TX USA
[9] Univ Texas MD Anderson Canc Ctr, Dept Hlth Dispar Res, Houston, TX USA
[10] Georgetown Univ, Lombardi Comprehens Canc Ctr, Canc Prevent & Control Program, Med Ctr,Dept Oncol, 2115 Wisconsin Ave,Suite 300,NW, Washington, DC 20007 USA
基金
美国国家卫生研究院;
关键词
breast cancer; Chinese American; community health workers; immigrant; mammography; randomized controlled trial; small-group mammography video intervention; COMMUNITY-HEALTH WORKERS; BREAST-CANCER RISK; ASIAN WOMEN; INTERVENTIONS; DISPARITIES; ETHNICITY; OUTCOMES; RATES; CARE;
D O I
10.1002/cncr.35524
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: The objective of this study was to evaluate the efficacy of an in-person, small-group mammography video discussion (SMVD) intervention on mammography uptake among nonadherent Chinese American immigrant women. Methods: Women (N = 956) were randomized into either an SMVD group, where Chinese-speaking community health workers (CHWs) used an effective, culturally appropriate video to discuss mammography, or a video-only group, which viewed the cultural video sent by mail. Outcomes were mammography uptake at 6 months and 21 months postintervention. Results: Women in both groups increased mammography uptake, and an outcome analysis revealed no group differences (adjusted odds ratio [AOR], 1.18; 95% confidence interval [CI], .68-2.06). Overall, 61.2% of the SMVD group and 55.3% of the video-only group had at least one mammogram during the 21-month follow-up period. When considering attendance to the SMVD, SMVD attendees had higher mammography uptake than the video-only group (AOR, 1.51; 95% CI, 1.19-1.92), and SMVD nonattendees had lower mammography uptake than the video-only group (AOR, .33; 95% CI, .22-.50). Conclusions: Both intervention strategies were associated with increased mammography uptake. The authors observed that the increase in use was greater among women who participated in the SMVD session compared with those who viewed the cultural video only. Future research may explore a virtual SMVD intervention for higher session attendance and increased mammography uptake (ClinicalTrials.gov identifier NCT01292200).
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页数:10
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