"We Are a Powerful Movement": Evaluation of an Endometrial Cancer Education Program for Black Women.
Prog Community Health Partnersh
; 15(4): 439-452, 2021.
Article
en En
| MEDLINE
| ID: mdl-34975026
ABSTRACT
BACKGROUND:
U.S. Black women with endometrial cancer (EC) have a 90% higher mortality rate than White women, driven in part by advanced stage at diagnosis. Black women have expressed reasons for care-seeking delay misattribution of postmenopausal bleeding, symptom endurance, and community silence regarding vaginal bleeding.OBJECTIVES:
In this community-based participatory research study, we adapted, implemented, and evaluated an education program addressing these factors.METHODS:
We adapted an evidenced-based education curriculum-Community Empowerment Partners (CEPs©)-using Public Health Critical Race Praxis and the Health Belief Model. Black EC survivors completed CEPs-EC training and committed to lead community sessions. Our mixed-methods evaluation measured baseline and follow-up knowledge (10-point scale) and social and clinical empowerment (three Likert-scaled items) and assessed change in each construct with linear mixed-effects models and Generalized Estimating Equation models, respectively. The process evaluation examined fidelity, feasibility, and acceptability using qualitative data from coaching and national peer educator calls, with directed content analysis.RESULTS:
Thirteen ambassadors completed training; 10 completed community sessions with 109 total attendees, 62 with complete data. Among community participants, CEPs-EC participation was associated with increased knowledge of 2.02 points (95% confidence interval [CI], 1.06-2.99; p = 0.0001). Social empowerment increased (odds ratio, 8.85; 95% CI, 1.90-41.20), reinforced by qualitative data. There was no change in clinical empowerment. Process data illustrated facilitators of success session tailoring, leveraging social networks, mentorship, and group-level motivation.CONCLUSIONS:
This is the first intervention addressing EC survival among Black women. Results demonstrate efficacy in improving EC knowledge and empowerment, providing the evidence base for a larger public health campaign.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Neoplasias Endometriales
/
Investigación Participativa Basada en la Comunidad
Tipo de estudio:
Evaluation_studies
/
Prognostic_studies
/
Qualitative_research
Límite:
Female
/
Humans
Idioma:
En
Revista:
Prog Community Health Partnersh
Asunto de la revista:
SAUDE PUBLICA
Año:
2021
Tipo del documento:
Article