Implementation and Outcomes of a Community-Based Educational Program for Colorectal Cancer Prevention in Hispanics

Autor: Segundo Rodriguez-Quilichini, Frances Cordero, Sofía M. López, Jean Pierre Betancourt, Marcia Cruz-Correa, Mirza Rivera, Rafael Mosquera, Yaritza Diaz-Algorri, Victor Carlo-Chevere
Rok vydání: 2016
Předmět:
Zdroj: Journal of Family Medicine and Disease Prevention. 2
ISSN: 2469-5793
DOI: 10.23937/2469-5793/1510042
Popis: Objectives Colorectal cancer (CRC) is the 2nd most diagnosed cancer and leading cause of cancer death in Puerto Rico. However, CRC screening rates remain low. The aim of this study was to test the effectiveness of a Train-the-Trainers' (TTT) program to develop trainers capable of educating others within their communities about CRC prevention. Methods The TTT program consisted of didactics and seminars to capacitate participants to become trainers in CRC prevention. This project was evaluated using three components: (1) training workshops; (2) community educational sessions; and (3) the participant's experience as a trainer. Pre - and post-tests on CRC screening knowledge were given to TTT participants. Program effectiveness was determined by the pre- and post-tests, number of workshop participants completing a community educational session within three months of training and the number of community members reached. Results Among the 115 total participants, 97 participants took the pre- and post-test. There was a significant difference in the scores for the pre-test (M = 10.56, SD = 2.57) and the post-test (M = 11.43, SD = 1.83) given; t (96) = -4.68, p < 0.001. A total of 955 community members were reached. Participants from the community educational sessions (n = 680) evaluated the program. 77.7% of those participants expressed intent to undergo colonoscopy screening in the future. Conclusions TTT was effective in preparing trainers in CRC prevention. Participants increased their knowledge about CRC prevention and successfully reached members of their community. Utilization of community trainers is an effective alternative to increase CRC education and awareness in Hispanic communities, which may positively impact CRC screening rates in this population.
Databáze: OpenAIRE