A pilot study of lay health worker outreach and colorectal cancer screening among Chinese Americans

Tung T Nguyen, Mary Beth Love, Cindy Liang, Lei-Chun Fung, Thoa Nguyen, Ching Wong, Ginny Gildengorin, Kent Woo, Tung T Nguyen, Mary Beth Love, Cindy Liang, Lei-Chun Fung, Thoa Nguyen, Ching Wong, Ginny Gildengorin, Kent Woo

Abstract

The research team recruited eight Chinese American (seven females, one male) lay health workers (LHWs). They received 12 h of training about colorectal cancer (CRC), its screening, and basic health education techniques. Each LHW were asked to recruit ten participants and conduct two educational sessions. Of the 81 participants recruited, 73 had not received colorectal cancer screening. Their mean age was 63.0 years, and 72.6% were women. Knowledge of colorectal cancer, its causes, and its screening increased significantly. Receipt of first colorectal cancer screening test increased from 0.0% at baseline to 55.7% for fecal occult blood tests, 7.1% for sigmoidoscopy, and 7.1% for colonoscopy. LHW outreach is feasible and may be effective in promoting CRC screening among Chinese Americans.

References

    1. US Census Bureau. The American Community-Asians . The American Community Survey Reports 2007. Washington DC: US Department of Commerce; 2004.
    1. Miller BA, Chu KC, Hankey BF, et al. Cancer incidence and mortality patterns among specific Asian and Pacific Islander populations in the US. Cancer Causes Control. 2008;19(3):227–256. doi: 10.1007/s10552-007-9088-3.
    1. Le Marchand L, Wilkens LR, Kolonel LN, et al. Associations of sedentary lifestyle, obesity, smoking, alcohol use, and diabetes with the risk of colorectal cancer. Cancer Res. 1997;57(21):4787–4794.
    1. Vernon SW. Participation in colorectal cancer screening: a review. J Natl Cancer Inst. 1997;89(19):1406–1422. doi: 10.1093/jnci/89.19.1406.
    1. Selby JV, Friedman GD, Quesenberry CP, Jr, et al. A case-control study of screening sigmoidoscopy and mortality from colorectal cancer. N Engl J Med. 1992;326(10):653–657. doi: 10.1056/NEJM199203053261001.
    1. Mandel JS, Bond JH, Church TR, et al. Reducing mortality from colorectal cancer by screening for fecal occult blood. Minnesota Colon Cancer Control Study. N Engl J Med. 1993;328(19):1365–1371. doi: 10.1056/NEJM199305133281901.
    1. Hardcastle JD, Chamberlain JO, Robinson MH, et al. Randomised controlled trial of faecal-occult-blood screening for colorectal cancer. Lancet. 1996;348(9040):1472–1477. doi: 10.1016/S0140-6736(96)03386-7.
    1. Maciosek MV, Solberg LI, Coffield AB, et al. Colorectal cancer screening: health impact and cost effectiveness. Am J Prev Med. 2006;31(1):80–89. doi: 10.1016/j.amepre.2006.03.009.
    1. Maciosek MV, Coffield AB, Edwards NM, et al. Priorities among effective clinical preventive services: results of a systematic review and analysis. Am J Prev Med. 2006;31(1):52–61. doi: 10.1016/j.amepre.2006.03.012.
    1. US.. Preventive Services Task Force Screening for colorectal cancer: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2008;149(9):I44.
    1. Wong ST, Gildengorin G, Nguyen T, et al. Disparities in colorectal cancer screening rates among Asian Americans and non-Latino whites. Cancer. 2005;104(12 Suppl):2940–2947. doi: 10.1002/cncr.21521.
    1. Kandula NR, Wen M, Jacobs EA, et al. Low rates of colorectal, cervical, and breast cancer screening in Asian Americans compared with non-Hispanic whites: cultural influences or access to care? Cancer. 2006;107(1):184–192. doi: 10.1002/cncr.21968.
    1. Tu SP, Taylor V, Yasui Y, et al. Promoting culturally appropriate colorectal cancer screening through a health educator: a randomized controlled trial. Cancer. 2006;107(5):959–966. doi: 10.1002/cncr.22091.
    1. Israel BA. Social networks and social support: implications for natural helper and community level interventions. Health Educ Q. 1985;12(1):65–80.
    1. Brownstein JN, Cheal N, Ackermann SP, et al. Breast and cervical cancer screening in minority populations: a model for using lay health educators. J Cancer Educ. 1992;7(4):321–326. doi: 10.1080/08858199209528189.
    1. Schulz AJ, Israel BA, Becker AB, et al. “It's a 24-hour thing... a living-for-each-other concept”: identity, networks, and community in an urban village health worker project. Health Educ Behav. 1997;24(4):465–480. doi: 10.1177/109019819702400406.
    1. Swider SM. Outcome effectiveness of community health workers: an integrative literature review. Public Health Nurs. 2002;19(1):11–20. doi: 10.1046/j.1525-1446.2002.19003.x.
    1. WHO . Community health workers: working document for the WHO study group. Geneva: World Health Organization; 1987.
    1. Rhodes SD, Foley KL, Zometa CS, et al. Lay health advisor interventions among Hispanics/Latinos: a qualitative systematic review. Am J Prev Med. 2007;33(5):418–427. doi: 10.1016/j.amepre.2007.07.023.
    1. Sung JF, Blumenthal DS, Coates RJ, et al. Effect of a cancer screening intervention conducted by lay health workers among inner-city women. Am J Prev Med. 1997;13(1):51–57.
    1. Navarro AM, Senn KL, McNicholas LJ, et al. Por La Vida model intervention enhances use of cancer screening tests among Latinas. Am J Prev Med. 1998;15(1):32–41. doi: 10.1016/S0749-3797(98)00023-3.
    1. Slater JS, Ha CN, Malone ME, et al. A randomized community trial to increase mammography utilization among low-income women living in public housing. Prev Med. 1998;27(6):862–870. doi: 10.1006/pmed.1998.0370.
    1. Mock J, McPhee SJ, Nguyen T, et al. Effective lay health worker outreach and media-based education for promoting cervical cancer screening among Vietnamese American women. Am J Public Health. 2007;97(9):1693–1700. doi: 10.2105/AJPH.2006.086470.
    1. Nguyen TT, Le G, Nguyen T, et al. Breast cancer screening among Vietnamese Americans: a randomized controlled trial of lay health worker outreach. Am J Prev Med. 2009;37(4):306–313. doi: 10.1016/j.amepre.2009.06.009.
    1. Engelstad LP, Stewart S, Otero-Sabogal R, et al. The effectiveness of a community outreach intervention to improve follow-up among underserved women at highest risk for cervical cancer. Prev Med. 2005;41(3–4):741–748. doi: 10.1016/j.ypmed.2005.06.003.
    1. Campbell MK, James A, Hudson MA, et al. Improving multiple behaviors for colorectal cancer prevention among African American church members. Health Psychol. 2004;23(5):492–502. doi: 10.1037/0278-6133.23.5.492.
    1. Nash D, Azeez S, Vlahov D, et al. Evaluation of an intervention to increase screening colonoscopy in an urban public hospital setting. J Urban Health. 2006;83(2):231–243. doi: 10.1007/s11524-006-9029-6.
    1. Chen LA, Santos S, Jandorf L, et al. A program to enhance completion of screening colonoscopy among urban minorities. Clin Gastroenterol Hepatol. 2008;6(4):443–450. doi: 10.1016/j.cgh.2007.12.009.
    1. Christie J, Itzkowitz S, Lihau-Nkanza I, et al. A randomized controlled trial using patient navigation to increase colonoscopy screening among low-income minorities. J Natl Med Assoc. 2008;100(3):278–284.
    1. Myers RE, Hyslop T, Sifri R, et al. Tailored navigation in colorectal cancer screening. Med Care. 2008;46(9 Suppl 1):S123–S131. doi: 10.1097/MLR.0b013e31817fdf46.
    1. Lasser KE, Murillo J, Medlin E, et al. A multilevel intervention to promote colorectal cancer screening among community health center patients: results of a pilot study. BMC Fam Pract. 2009;10:37. doi: 10.1186/1471-2296-10-37.
    1. Green LW, Ottoson JM, Garcia C, et al. Diffusion theory, and knowledge dissemination, utilization, and integration in public health. Annu Rev Public Health. 2009;30:151–174. doi: 10.1146/annurev.publhealth.031308.100049.
    1. Rogers EM. Diffusion of innovations. 5. New York: Free Press; 2003.
    1. Bird JA, McPhee SJ, Ha NT, et al. Opening pathways to cancer screening for Vietnamese-American women: lay health workers hold a key. Prev Med. 1998;27(6):821–829. doi: 10.1006/pmed.1998.0365.

Source: PubMed

3
Abonnere