Eunice Lee1, Usha Menon2, Karabi Nandy1, Laura Szalacha3, Frederick Kviz4, Young Cho5, Arlene Miller6, Hanjong Park7. 1. School of Nursing, University of California, Los Angeles. 2. College of Nursing, Ohio State University in Columbus. 3. Center for Research and Transdisciplinary Scholarship in the College of Nursing, Ohio State University. 4. Department of Community Health Sciences in the School of Public Health, University of Illinois at Chicago. 5. School of Public Health, University of Wisconsin-Milwaukee. 6. Department of Community, Systems, and Mental Health Nursing in the College of Nursing, Rush University, Chicago, IL. 7. College of Nursing, University of Illinois at Chicago.
Abstract
PURPOSE/ OBJECTIVES: To assess the efficacy of Korean Immigrants and Mammography-Culture-Specific Health Intervention (KIM-CHI), an educational program for Korean American (KA) couples designed to improve mammography uptake among KA women. DESIGN: A two-group cluster randomized, longitudinal, controlled design. SETTING: 50 KA religious organizations in the Chicago area. SAMPLE: 428 married KA women 40 years of age or older who had not had a mammogram in the past year. The women and their husbands were recruited from 50 KA religious organizations. METHODS: Couples were randomly assigned to intervention or attention control groups. Those in the KIM-CHI program (n = 211 couples) were compared to an attention control group (n = 217 couples) at baseline, as well as at 6 and 15 months postintervention on mammogram uptake. MAIN RESEARCH VARIABLES: Sociodemographic variables and mammography uptake were measured. Level of acculturation was measured using the Suinn-Lew Asian Self-Identity Acculturation Scale. Researchers asked questions about healthcare resources and use, health insurance status, usual source of care, physical examinations in the past two years, family history of breast cancer, and history of mammography. FINDINGS: The KIM-CHI group showed statistically significant increases in mammography uptake compared to the attention control group at 6 months and 15 months postintervention. CONCLUSIONS: The culturally targeted KIM-CHI program was effective in increasing mammogram uptake among nonadherent KA women. IMPLICATIONS FOR NURSING: Nurses and healthcare providers should consider specific health beliefs as well as inclusion of husbands or significant others. They also should target education to be culturally relevant for KA women to effectively improve frequency of breast cancer screening.
RCT Entities:
PURPOSE/ OBJECTIVES: To assess the efficacy of Korean Immigrants and Mammography-Culture-Specific Health Intervention (KIM-CHI), an educational program for Korean American (KA) couples designed to improve mammography uptake among KA women. DESIGN: A two-group cluster randomized, longitudinal, controlled design. SETTING: 50 KA religious organizations in the Chicago area. SAMPLE: 428 married KA women 40 years of age or older who had not had a mammogram in the past year. The women and their husbands were recruited from 50 KA religious organizations. METHODS: Couples were randomly assigned to intervention or attention control groups. Those in the KIM-CHI program (n = 211 couples) were compared to an attention control group (n = 217 couples) at baseline, as well as at 6 and 15 months postintervention on mammogram uptake. MAIN RESEARCH VARIABLES: Sociodemographic variables and mammography uptake were measured. Level of acculturation was measured using the Suinn-Lew Asian Self-Identity Acculturation Scale. Researchers asked questions about healthcare resources and use, health insurance status, usual source of care, physical examinations in the past two years, family history of breast cancer, and history of mammography. FINDINGS: The KIM-CHI group showed statistically significant increases in mammography uptake compared to the attention control group at 6 months and 15 months postintervention. CONCLUSIONS: The culturally targeted KIM-CHI program was effective in increasing mammogram uptake among nonadherent KA women. IMPLICATIONS FOR NURSING: Nurses and healthcare providers should consider specific health beliefs as well as inclusion of husbands or significant others. They also should target education to be culturally relevant for KA women to effectively improve frequency of breast cancer screening.
Entities:
Keywords:
Korean American; breast cancer; clinical trials; detection; mammography; prevention
Authors: B A Wismer; J M Moskowitz; K Min; A M Chen; Y Ahn; S Cho; S Jun; A Lew; Y M Pak; J M Wong; I B Tager Journal: J Public Health Manag Pract Date: 2001-03
Authors: Victoria M Taylor; T Gregory Hislop; J Carey Jackson; Shin-Ping Tu; Yutaka Yasui; Stephen M Schwartz; Chong Teh; Alan Kuniyuki; Elizabeth Acorda; Ann Marchand; Beti Thompson Journal: J Natl Cancer Inst Date: 2002-05-01 Impact factor: 13.506