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1.
Ethn Health ; 25(2): 206-221, 2020 02.
Article in English | MEDLINE | ID: mdl-29319331

ABSTRACT

Objective: Colorectal cancer (CRC) screening efforts have effectively reduced CRC morbidity and mortality, yet screening remains relatively low among Latinos. The study's purpose was to document the awareness/knowledge of Fecal Immunochemical Test (FIT) among Latinos, gain better understanding of patient and health care provider perceptions about FIT, and explore the feasibility of adoption/uptake.Design/Methods: The study was guided by qualitative, ethnography design and methods. Eight focus groups (FG) with patients who self-identified as Hispanic/Latino between 50-75 years of age and key informant interviews with providers (N = 10) were conducted followed by a brief demographic questionnaire.Results: Awareness levels varied based on prior screening experiences among patients and providers. Both patients and providers believed the FIT is simple and easy to use; although, a minority of patients expressed doubts about the efficacy of the FIT when compared to colonoscopy.Conclusions: Despite the increasing acceptance of the FIT among the health care community, a significant lag time still exists among our study's populations. Study findings speak to novelty of the FIT test among underserved populations and the health disparity gap between health innovations/discoveries. Increased awareness and education efforts about the efficacy coupled with information about its accessibility, ease, and user instructions may increase the adoption of FIT.


Subject(s)
Awareness , Colorectal Neoplasms , Early Detection of Cancer , Hispanic or Latino , Occult Blood , Patient Acceptance of Health Care , Adult , Anthropology, Cultural , Colorectal Neoplasms/diagnosis , Colorectal Neoplasms/prevention & control , Female , Focus Groups , Health Personnel/psychology , Health Personnel/statistics & numerical data , Hispanic or Latino/psychology , Hispanic or Latino/statistics & numerical data , Humans , Male , Middle Aged , Surveys and Questionnaires
2.
Eval Program Plann ; 52: 19-26, 2015 Oct.
Article in English | MEDLINE | ID: mdl-25863014

ABSTRACT

The Tampa Bay Community Cancer Network (TBCCN) was formed as a partnership comprised of committed community based organizations (grassroots, service, health care organizations) and a National Cancer Institute designated cancer center working together to reduce cancer health disparities. Adhering to principles of community-based participatory research, TBCCN's primary aims are to develop and sustain outreach, training, and research programs that aim to reach medically underserved, multicultural and multilingual populations within the Tampa Bay tri-county area. Using a participatory evaluation approach, we recently evaluated the partnerships' priorities for cancer education and outreach; perspectives on the partnerships' adherence to CBPR principles; and suggestions for sustaining TBCCN and its efforts. The purpose of this paper is to describe implementation and outcomes of this participatory evaluation of a community/academic partnership, and to illustrate the application of evaluation findings for partnership capacity-building and sustainability. Our evaluation provides evidence for partners' perceived benefits and realized expectations of the partnership and illustrates the value of ongoing and continued partnership assessment to directly inform program activities and build community capacity and sustainability.


Subject(s)
Capacity Building/organization & administration , Community Networks/organization & administration , Community-Based Participatory Research/organization & administration , Cultural Competency , Health Status Disparities , Neoplasms/prevention & control , Capacity Building/methods , Community Networks/standards , Community-Based Participatory Research/methods , Community-Institutional Relations , Florida/epidemiology , Humans , Interviews as Topic/methods , Medically Underserved Area , Minority Health/standards , Neoplasms/ethnology , Program Evaluation , Quality Improvement/organization & administration , Quality Improvement/standards , Universities
3.
Am J Public Health ; 104(7): e20-37, 2014 Jul.
Article in English | MEDLINE | ID: mdl-24832403

ABSTRACT

Little is known about how social media are used in cancer care. We conducted a systematic review of the use and taxonomy of social media in cancer-related studies, in PubMed, Web of Knowledge, CINAHL, and Google Scholar. We located 1350 articles published through October 2013; 69 met study inclusion criteria. Early research (1996-2007) was predominantly descriptive studies of online forums. Later, researchers began analyzing blogs, videos shared on YouTube, and social networking sites. Most studies (n = 62) were descriptive, and only 7 reported intervention studies published since 2010. Future research should include more intervention studies to determine how social media can influence behavior, and more empirical research is needed on how social media may be used to reduce health disparities.


Subject(s)
Biomedical Research/methods , Health Services Research/methods , Neoplasms/psychology , Neoplasms/therapy , Social Media/statistics & numerical data , Communication , Health Status Disparities , Humans , Social Support , Time Factors
4.
J Cancer Educ ; 29(1): 122-8, 2014 Mar.
Article in English | MEDLINE | ID: mdl-24078328

ABSTRACT

Journal clubs may enhance the knowledge and skills necessary to engage in community-based participatory research (CBPR) that will ultimately impact cancer health disparities. This article (1) describes an innovative approach to adapting the traditional journal club format to meet community and academic participants' needs, (2) presents evaluation data, and (3) explores whether responses differed between academic and community members. Five journal clubs occurred between February 2011 and May 2012 as a training activity of a regional cancer health disparities initiative. Each journal club was jointly planned and facilitated by an academic member in collaboration with a community partner. Attendees were recruited from academic programs across the Moffitt Cancer Center/University and community partners. Responses to a 13-item evaluation of each journal club session were compared to assess whether certain topics were evaluated more favorably, and explore differences between academic and community participants' assessment of the topic relevance. Evaluations were positive (mean ratings >4 out of 5) on most items and overall. No statistically significant differences were observed between academic and community members' ratings. Key overlapping interests by community partners and academic researchers/trainees for future journal club topics included discussing real-world CBPR examples and methods for involving the community in research. Although the initial goal was to use journal clubs as an educational tool to increase CBPR knowledge and skills of junior faculty trainees, results suggest mutual academic-community benefit and interest in learning more about CBPR as a way to reduce cancer health disparities.


Subject(s)
Academies and Institutes/statistics & numerical data , Community Networks/organization & administration , Community-Based Participatory Research , Cooperative Behavior , Health Services Research , Healthcare Disparities/ethnology , Neoplasms/ethnology , Research Personnel/statistics & numerical data , Humans
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