Group Versus Individual Culturally Tailored and Theory-Based Education to Promote Cervical Cancer Screening Among the Underserved Hispanics: A Cluster Randomized Trial.
Am J Health Promot
; 34(1): 15-24, 2020 01.
Article
em En
| MEDLINE
| ID: mdl-31455085
ABSTRACT
PURPOSE:
To determine whether group education is as effective as individual education in improving cervical cancer screening uptake along the US-Mexico border.DESIGN:
Cluster randomized controlled study.SETTING:
El Paso and Hudspeth Counties, Texas.PARTICIPANTS:
Three hundred women aged 21 to 65 years, uninsured, due for a Pap test, no prior history of cervical cancer or hysterectomy. INTERVENTION Theory-based, culturally appropriate program comprised of outreach, educational session, navigation services, and no-cost cervical cancer testing.MEASURES:
Baseline, immediate postintervention, and 4-month follow-up surveys measured knowledge and theoretical constructs from the Health Belief Model, Theory of Reasoned Action, and the Social Cognitive Theory.ANALYSIS:
Relative risk regression analyses to assess the effects of educational delivery mode on the uptake of screening. Mixed effect models to analyze changes in psychosocial variables.RESULTS:
One hundred and fifty women assigned to each educational group; 99% Hispanic. Of all, 85.7% completed the follow-up survey. Differences in screening rate at follow-up were analyzed by education type. Overall screening rate at follow-up was 73.2%, no significant difference by education type (individual 77.6%, group 68.9% P = .124). Significant increases among group education at follow-up for knowledge, perceived susceptibility, perceived seriousness, and subjective norms and significant decrease for perceived benefits.CONCLUSION:
This study provides evidence to support the effectiveness of group education to promote cervical cancer screening among vulnerable Hispanic women and offers an additional method to address cervical cancer disparities.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
Base de dados:
MEDLINE
Assunto principal:
Hispânico ou Latino
/
Neoplasias do Colo do Útero
/
Programas de Rastreamento
/
Educação em Saúde
/
Competência Cultural
/
Detecção Precoce de Câncer
/
Área Carente de Assistência Médica
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
/
Qualitative_research
/
Screening_studies
Limite:
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
País/Região como assunto:
Mexico
Idioma:
En
Revista:
Am J Health Promot
Ano de publicação:
2020
Tipo de documento:
Article