Translating new science into the community to promote opportunities for breast and cervical cancer prevention among African American women

Autor: Detric Johnson, Julia A. Devonish, Nikia Clark, Elisa M. Rodriguez, Christy A. Widman, Frances G. Saad-Harfouche, Anika Stewart, Lina Jandorf, Deborah O. Erwin
Rok vydání: 2019
Předmět:
medicine.medical_specialty
Community-Based Participatory Research
Health Knowledge
Attitudes
Practice
Community-based participatory research
Participatory action research
Uterine Cervical Neoplasms
Breast Neoplasms
dissemination
03 medical and health sciences
0302 clinical medicine
Cancer screening
Medicine
Humans
030212 general & internal medicine
African American
Curriculum
Early Detection of Cancer
African american
Cervical cancer
lcsh:R5-920
Cancer prevention
business.industry
lcsh:Public aspects of medicine
030503 health policy & services
Public Health
Environmental and Occupational Health
lcsh:RA1-1270
medicine.disease
Community-Institutional Relations
Outreach
Black or African American
Original Research Paper
cancer education
Family medicine
community‐based participatory research
Female
lcsh:Medicine (General)
0305 other medical science
business
Original Research Papers
Zdroj: Health Expectations : An International Journal of Public Participation in Health Care and Health Policy
Health Expectations, Vol 23, Iss 2, Pp 337-347 (2020)
ISSN: 1369-7625
Popis: Background New evidence has found breast and cervical cancer risk factors unique to African American women. Thus, there is a significant need to increase their knowledge and understanding of relevant risk factors and the potential protective benefits associated with breast‐feeding and HPV vaccination. The National Witness Project is a robust, evidence‐ and community‐based lay health advisor programme that uses group education, navigation and survivor narratives to increase cancer screening among diverse underserved women. Methods A multi‐phase, community‐based participatory research study was conducted across three sites in Buffalo, NY, New York City and Arkansas between October 2016 and January 2017. Pre‐/post‐test surveys were administered during volunteer trainings and community programmes. An evaluation survey was also administered at the Annual Meeting for Education and Networking. Paired sample t tests were used to compare pre‐/post‐test survey scores. Results Trainee survey results showed the overall mean per cent correct pre‐/post‐test scores were 47.7% (SD: 21.87) and 79.2% (SD: 16.14). Altogether, 31 educational programmes reached 332 community participants. Participants’ breast and cervical cancer knowledge scores were significantly higher after the education programme (84.4%) than before (55.3%) with a mean change score of 29% (P ≤ .001). Conclusion This paper reveals the underlying complexities to update the educational curriculum content of a multi‐site, community‐based outreach organization. The new curriculum significantly improved African American women's knowledge about breast and cervical cancer by 10%‐36%, clearly demonstrating that this information was new to them. The need for education programming in African American communities to disseminate cancer prevention and risk information remains high.
Databáze: OpenAIRE
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