Spiritually Based Intervention to Increase Colorectal Cancer Awareness Among African Americans: Intermediate Outcomes From a Randomized Trial
| Autor: | Katrina J. Debnam, Vivian L. Southward, John M. Bolland, Sandre F. McNeal, Mohamad A. Eloubeidi, Mark S. Litaker, Cheryl L. Holt, Chastity McDavid, Isabel C. Scarinci, Michelle Y. Martin, Crystal Lee, Martha R. Crowther |
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| Rok vydání: | 2012 |
| Předmět: |
Male
Health Knowledge Attitudes Practice medicine.medical_specialty Health (social science) Urban Population Colorectal cancer Psychological intervention Alternative medicine Library and Information Sciences law.invention Underserved Population Randomized controlled trial law Intervention (counseling) medicine Humans Health belief model Spirituality Health Education Aged business.industry Communication Public Health Environmental and Occupational Health Middle Aged medicine.disease Black or African American Family medicine Community health Physical therapy Female Colorectal Neoplasms business Follow-Up Studies Program Evaluation |
| Zdroj: | Journal of Health Communication. 17:1028-1049 |
| ISSN: | 1087-0415 1081-0730 |
| DOI: | 10.1080/10810730.2012.665418 |
| Popis: | Colorectal cancer screening, while effective for reducing mortality, remains underutilized particularly among underserved populations such as African Americans. The present study evaluated a spiritually based approach to increasing Health Belief Model-based pre-screening outcomes in a Community Health Advisor-led intervention conducted in African American churches. Sixteen urban churches were randomized to receive either the spiritually based intervention or a nonspiritual comparison of the same structure and core colorectal cancer content. Trained Community Health Advisors led a series of two educational sessions on colorectal cancer early detection. The educational sessions were delivered over a 1-month period. Participants (N = 316) completed a baseline survey at enrollment and a follow-up survey one month after the first session. Both interventions resulted in significant pre/post increases in knowledge, perceived benefits of screening, and decreases in perceived barriers to screening. Among women, the spiritually based intervention resulted in significantly greater increases in perceived benefits of screening relative to the nonspiritual comparison. This finding was marginal in the sample as a whole. In addition, perceived benefits to screening were associated with behavioral intention for screening. It is concluded that in this population, the spiritually based was generally as effective as the nonspiritual (secular) communication. |
| Databáze: | OpenAIRE |
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