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Using a Culturally Tailored Narrative to Increase Cervical Cancer Detection Among Spanish-Speaking Mexican-American Women.
Ochoa, Carol Y; Murphy, Sheila T; Frank, Lauren B; Baezconde-Garbanati, Lourdes A.
Afiliação
  • Ochoa CY; Department of Preventive Medicine, Keck School of Medicine, University of Southern California, 2001 N. Soto Street, Los Angeles, CA, 90033, USA. caroloch@usc.edu.
  • Murphy ST; Annenberg School for Communication and Journalism, University of Southern California, Los Angeles, CA, USA.
  • Frank LB; Department of Communication, Portland State University, Portland, OR, USA.
  • Baezconde-Garbanati LA; Department of Preventive Medicine, Keck School of Medicine, and Norris Comprehensive Cancer Center, University of Southern California, Los Angeles, CA, USA.
J Cancer Educ ; 35(4): 736-742, 2020 08.
Article em En | MEDLINE | ID: mdl-31020621
The objective of this study was to determine the feasibility and effectiveness of translating films, and whether the use of narrative is an effective vehicle for producing changes in knowledge, attitudes, and behaviors regarding cervical cancer compared with a nonnarrative film. A randomized controlled telephone trial surveyed the effectiveness of two films our team produced among a sample of 300 monolingual Spanish-speaking women, ages 25 to 45, who were of Mexican origin. Participants were recruited using random digit dialing (RDD) procedures from 2013 to 2014 in Los Angeles County and were randomly selected to view either a narrative or nonnarrative film. Data were collected by phone at baseline, 2 weeks, and 6 months after viewing. On average, participants arrived in the USA 25 years ago. The majority reported having less than high school education and limited English proficiency. Compared with their nonnarrative counterparts, women who received the cervical cancer-related information in the narrative film showed a significantly greater increase in new knowledge (p = 0.01) and in supportive attitudes about Pap tests expense (p = 0.05). Importantly, at 6 months, although not statistically significant, women who viewed the narrative film were also more likely to have had or scheduled a Pap test (62% vs 42%). Narratives are a useful and underutilized tool to communicate information about cancer prevention. These findings have important implications for the delivery of health education among Spanish-speaking, low-literacy immigrant women, and for the reduction of cancer-related disparities.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Esfregaço Vaginal / Comportamentos Relacionados com a Saúde / Neoplasias do Colo do Útero / Conhecimentos, Atitudes e Prática em Saúde / Americanos Mexicanos / Narração / Teste de Papanicolaou Tipo de estudo: Clinical_trials / Diagnostic_studies / Qualitative_research Limite: Adult / Female / Humans / Middle aged País/Região como assunto: America do norte / Mexico Idioma: En Revista: J Cancer Educ Assunto da revista: EDUCACAO / NEOPLASIAS Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Esfregaço Vaginal / Comportamentos Relacionados com a Saúde / Neoplasias do Colo do Útero / Conhecimentos, Atitudes e Prática em Saúde / Americanos Mexicanos / Narração / Teste de Papanicolaou Tipo de estudo: Clinical_trials / Diagnostic_studies / Qualitative_research Limite: Adult / Female / Humans / Middle aged País/Região como assunto: America do norte / Mexico Idioma: En Revista: J Cancer Educ Assunto da revista: EDUCACAO / NEOPLASIAS Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Reino Unido