Effects of family health history-based colorectal cancer prevention education among non-adherent Chinese Americans to colorectal cancer screening guidelines |
| |
| Authors: | Haocen Wang Yu-Lyu Yeh Ming Li Ping Ma Oi-Man Kwok Lei-Shih Chen |
| |
| Institution: | 1. Department of Health and Kinesiology, Texas A&M University, College Station, USA;2. Department of Health Sciences, Towson University, Towson, USA;3. Department of Health Promotion & Community Health Sciences, Texas A&M University, College Station, USA;4. Department of Educational Psychology, Texas A&M University, College Station, USA;1. Deptartment of Family Medicine, Hanyang University Medical Centre, Seoul, Republic of Korea;2. Department of Medical Humanities and Ethics, Hanyang University Medical College, Seoul, Republic of Korea;3. Deptartment of Environmental Biology and Medical Parasitology, Hanyang University Medical College, Seoul, Republic of Korea;4. Department of Anaesthesiology and Pain Medicine, Inha University Medical College, Incheon, Republic of Korea;1. School of Nursing, Sun Yat-sen University, Guangzhou, China;2. School of Nursing, Guangdong Pharmaceutical University, Guangzhou, China;3. School of Nursing, Oregon Health & Science University, Portland, USA;4. The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China;5. State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Department of Nursing, Sun Yat-sen University Cancer Center, Guangzhou, China;6. Department of Gastrointestinal Surgery, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, China;1. University of California, Berkeley, Institute of Human Development and Graduate School of Education, 2121 Berkeley Way, Berkeley, CA, 94720, United States;2. University of Rome, La Sapienza, Department of Social and Developmental Psychology, Via dei Marsi 78, 00185, Rome, Italy;1. Department of Communication, University of Kentucky, United States;2. Department of Communication Studies, University of Miami, Coral Gables, FL, 33146, United States;3. The Edward R. Murrow College of Communication, Washington State University, United States;4. Department of Communication Studies, University of Georgia, Athens, GA, 30602, United States;5. Department of Interactive Media, University of Miami, Coral Gables, FL, 33146, United States;6. Department of Health Outcomes and Behavior, Moffit Cancer Center, Tampa, FL, 33612, United States;1. Lineagen, Inc., Salt Lake City, UT, USA;2. Social and Behavioral Research Branch, National Human Genome Research Institute, NIH, Bethesda, USA;3. Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA;4. Geisinger, Genomic Medicine Institute, Danville, USA;5. Coriell Institute for Medical Research, Camden, USA;6. Behavioral Research Program, National Cancer Institute, NIH, Bethesda, USA;1. Nivel, Netherlands Institute of Health Services Research, P.O. Box 1568, 3500 BN Utrecht, Netherlands;2. Alzheimer Nederland, Amersfoort, Netherlands;3. Faculty of Social and Behavioral Sciences, University of Amsterdam, Amsterdam, Netherlands;4. Julius Centre for Health Sciences and Primary Care, University Medical Centre, Utrecht, Netherlands;5. Department of Public and Occupational Health, Amsterdam Public Health Research Institute, VU University, Amsterdam, Netherlands |
| |
| Abstract: | ObjectiveThis study examined the effects of the first family health history (FHH)-based colorectal cancer (CRC) prevention education on 1) FHH of CRC communication with family members and primary care physicians (PCPs), 2) fecal occult blood test (FOBT) uptake, and 3) CRC preventive lifestyle modifications among 50- to 75-year-old Chinese Americans non-adherent to CRC screening guidelines.MethodsUsing a community–based participatory research approach, we developed and implemented 62 culturally and linguistically appropriate, theory-driven, FHH-based CRC prevention educational workshops across Texas for 344 Chinese Americans (mostly with low education/income) aged 50–75 years who were non-adherent to CRC screening guidelines.ResultsLinear mixed modeling analyses showed that participants’ FHH of CRC communication with PCPs and family members significantly increased two-week post-workshop compared to pre-workshop data (ps<0.001). Moreover, at two-weeks post-workshop, 91.9 % of participants underwent FOBT. Nevertheless, no significant changes were found in participants’ lifestyles.ConclusionOur educational workshops successfully increased Chinese Americans’ FHH of CRC communication and FOBT uptake. Personalized education with longer follow-ups may be needed in future studies to promote lifestyle changes among Chinese Americans.Practice implicationsHealth and public health professionals may adopt our workshop educational materials to provide patient and public CRC prevention education for Chinese Americans. |
| |
| Keywords: | Family health history Colorectal cancer Cancer prevention Chinese American Community-based participatory research |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
