The Design of a Multi-component Intervention to Promote Screening Mammography in an American Indian Community: The Native Women's Health Project
| Autor: | J. Neil Henderson, Kimberly K. Engelman, Cara Thomas, Cecily Blackwater, L. D. Carson, Tewanna Edwards, Eleni L. Tolma, Norma Neely, Ji Li, Julie A. Stoner, Stephanie Joseph |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Gerontology
socio-ecological model medicine.medical_specialty mammography Population Community-based participatory research Participatory action research 03 medical and health sciences breast cancer participatory research American Indians Native Americans theory of planned behavior 0302 clinical medicine Breast cancer 5. Gender equality Intervention (counseling) medicine Mammography 030212 general & internal medicine education education.field_of_study Discussion group medicine.diagnostic_test business.industry Public health lcsh:Public aspects of medicine lcsh:RA1-1270 General Medicine medicine.disease 3. Good health 030220 oncology & carcinogenesis Family medicine business Research Article |
| Zdroj: | AIMS public health AIMS Public Health, Vol 3, Iss 4, Pp 933-955 (2016) |
| ISSN: | 2327-8994 |
| Popis: | Background: Breast cancer is an important public health issue among American Indian/Alaska Native (AI/AN) women in the US. This article describes the design and implementation of a culturally sensitive intervention to promote breast health among AI/AN women through a hybrid model that incorporates clinical and community-based approaches. This is one of the first studies using this model addressing breast cancer disparities among AI/AN populations in the US. Methods: The Theory of Planned Behavior was used as the guiding framework of the intervention and Community Based Participatory Research was the primary vehicle for the intervention planning and implementation. Three preliminary studies took place that aimed to identify qualitatively and quantitatively what deterred or encouraged AI women to get past or future mammograms. The research results were shared with community members who, through a prioritization process, identified the theoretical focus of the intervention and its corresponding activities. The priority population consisted of AI women ages 40–74, with no recent mammogram, and no breast cancer history. Results: The intervention centered on the promotion of social modeling and physician recommendation. The main corresponding activities included enhancing patient-physician communication about screening mammography through a structured dialogue, receipt of a breast cancer brochure, participation in an inter-generational discussion group, and a congratulatory bracelet upon receipt of a mammogram. Environmental and policy related changes also were developed. Conclusion: Creating a theory-based, culturally-sensitive intervention through tribal participatory research is a challenging approach towards eliminating breast cancer disparities among hard-to-reach populations. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|