A Pilot Study of Lay Health Worker Outreach and Colorectal Cancer Screening Among Chinese Americans

Nguyen, Tung T.; Love, Mary Beth; Liang, Cindy; Fung, Lei-Chun; Nguyen, Tuan D.; Wong, Ching; Gildengorin, Ginny; Woo, Kent

doi:10.1007/s13187-010-0064-3

Cited by 41 publications

(53 citation statements)

References 30 publications

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“…Compared to other studies [20,22], our study assisted a relatively large number of participants in obtaining CRC screening, and given their low income and low level of health insurance, many of our participants would probably have remained unscreened if they had not participated in our study. Our multi-component intervention was quite intensive and achieved a relatively high screening rate (around 50 %), similar to high rates achieved in two other CRC screening promotion programs among Korean and Vietnamese Americans in non-clinical settings [18,20]. However, these relatively high screening rates at follow-up may be partially due to selection bias, as explained below.…”

Section: Original Researchsupporting

confidence: 73%

“…Similar to other community-based health promotion programs [18,[23][24][25], community health advisors (CHAs) implemented all program components. Guided by the Racial and Ethnic Approaches to Community Health (REACH) 2010 Model of Change [26], we aimed to increase community awareness of the importance of CRC screening and to develop needed community capacity by training CHAs on how to promote CRC screening in their organizations.…”

Section: Methodsmentioning

confidence: 99%

“…Many prior trials to promote CRC screening have been conducted in clinical settings [10][11][12][13][14][15][16][17]. While a few pilot studies have demonstrated the feasibility of promoting CRC screening in community settings such as churches [18][19][20], few large trials have been conducted in these venues [21,22]. This study reports on a large CRC screening controlled trial conducted in partnership with a variety of community organizations.…”

mentioning

confidence: 99%

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Implementation of an evidence-based intervention to promote colorectal cancer screening in community organizations: a cluster randomized trial

Maxwell

Danao

Cayetano

et al. 2015

Behav. Med. Pract. Policy Res.

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The implementation of evidence-based strategies to promote colorectal cancer (CRC) screening remains challenging. The aim of this study is to evaluate two strategies to implement an evidence-based intervention to promote CRC screening in Filipino American community organizations. Twenty-two community organizations were randomized to either a basic or enhanced implementation strategy. In both arms, community health advisors recruited participants non-adherent to CRC screening guidelines, conducted educational sessions, distributed print materials and free fecal occult blood test kits, reminded participants to get screened, and mailed letters to participants' providers. In the enhanced arm, leaders of the organizations participated in implementation efforts. While the effectiveness was similar in both arms of the study (screening rate at 6-month follow-up was 53 % in the enhanced arm, 49 % in the basic arm), 223 participants were screened in the enhanced arm versus 122 in the basic arm. The enhanced implementation strategy reached 83 % more participants and achieved a higher public health impact.

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Section: Original Researchsupporting

confidence: 73%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Implementation of an evidence-based intervention to promote colorectal cancer screening in community organizations: a cluster randomized trial

Maxwell

Danao

Cayetano

et al. 2015

Behav. Med. Pract. Policy Res.

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“…Since language and cultural barriers decrease appropriate health care utilization and increase inappropriate utilization, recent immigrants in HICs are a major target group of CHWs. 28,29 Tasks undertaken by CHWs…”

Section: Education and Trainingmentioning

confidence: 99%

Community health workers in Canada and other high-income countries: A scoping review and research gaps

Najafizada

Bourgeault

Labonté

et al. 2015

Can J Public Health

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OBJECTIVES: Community health workers (CHWs) have been deployed to provide health-related services to their fellow community members and to guide them through often complex health systems. They help address concerns about how marginalized populations in many countries experience health inequities that are due, in part, to lack of appropriate primary health care services, possibly resulting in inappropriate use of higher-cost health services or facilities. This paper reviews studies on CHW interventions in a number of high-income countries, including Canada, to identify research gaps on CHW roles. METHODS:A scoping review using 68 sources of interventions involving CHWs was undertaken. The five-step Arksey and O'Malley model guided this review with the aim of summarizing research findings and identifying research gaps in the existing literature on CHWs in Canada (23 sources). A standardized extraction tool was employed to synthesize the literature. SYNTHESIS:We found that CHWs provide a wide range of health-related services but in a manner that, in Canada, is unrecognized and unregulated. In highincome countries, CHW interventions have contributed to health-related issues in communities and demonstrated potential to both reduce health inequity in marginalized populations and reduce the cost of medical services. CONCLUSION:CHWs are an under-recognized, and therefore underutilized, public health workforce, which has a promising capacity to reduce health inequities in marginalized populations in Canada. There is growing support to suggest that CHW roles need to be better integrated within the broader health and social services systems to enable their full potential to be realized.KEY WORDS: Community health workers; human resources; Canada La traduction du résumé se trouve à la fin de l'article.Can J Public Health 2015;106(3):e157-e164 doi: 10.17269/CJPH.106.4747C ommunity health workers (CHWs) have been deployed in most countries (whether low-, middle-or highincome) to provide health-related services to their fellow community members and to guide them through often complex health systems. They help to address concerns about how marginalized populations and communities in many countries experience health inequities that are due, in part, to lack of appropriate primary health care services, possibly resulting in inappropriate use of higher-cost health services or facilities. [1][2][3][4] The World Health Organization (WHO) defines CHWs as "members of communities where they work, selected by and answerable to the communities for their activities, supported by the health system but not necessarily a part of its organization, and have shorter training than professional workers." 5 The 2006 World Health Report identified the use of CHWs as an important strategy to address the growing shortage of health workers, particularly in low-resource settings, as well as to achieve the health-related Millennium Development Goals. 6 The key research priorities related to CHWs in these settings are to know more about their re...

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“…A small number of studies referred to the training of health care workers to promote cancer screening in underserved populations, but training was limited to the screening of one cancer and didn't address any education regarding cancer risk factors, and signs & symptoms [13,14].…”

Section: Fatma Mohammed Ahmed Et Al: Competency-building Of Rural Womentioning

confidence: 99%

Competency-Building of Rural Women Pioneers Focused on Early Detection of Breast Cancer in New Valley Governorate

Ahmed

Mosalem²,

Sorour

2016

AJNS

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Abstract:Background: Worldwide, breast cancer is the leading cause of cancer deaths among women. The practice of breast self-examination can heighten women awareness about the normal breast structure and composition, such option is recommended for early detection of breast cancer. The global shortage of medical workers has increased the call for involving and training community workers as rural pioneers to bridge such gap. The present study aimed to develop competency of rural women pioneers focused on early detection of breast cancer in New Valley governorate -Egypt. Subjects and Methods: A quasi-experimental design was used with a pre post-test. Purposive sample of 82 rural women pioneers in New Valley governorate was invited to take part in the study. Besides personal data, two tools were used to collect required data; a selfadministered questionnaire sheet was prepared guided by Cancer Awareness Measure (CAM) and breast self-examination checklist adapted from the document prepared by Egypt Health Workforce Development Project. Results: More than half of the pioneers were at age group 30 to 40, with the mean age 39.1 ± 6.5 years, and 78% of them had more than 10 years of experience as rural pioneers. A statistically significant difference was found between study subjects' knowledge concerning cancer risk factors & warning signs pre-post intervention, and also in the practice of breast self-examination. Conclusion & recommendation: Nursing educational intervention designed for community manpower can successfully enhance breast cancer knowledge and practice. On the other hand, further research is recommended to replicate the study at different settings using larger samples to permit for generalization.

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A Pilot Study of Lay Health Worker Outreach and Colorectal Cancer Screening Among Chinese Americans

Cited by 41 publications

References 30 publications

Implementation of an evidence-based intervention to promote colorectal cancer screening in community organizations: a cluster randomized trial

Implementation of an evidence-based intervention to promote colorectal cancer screening in community organizations: a cluster randomized trial

Community health workers in Canada and other high-income countries: A scoping review and research gaps

Competency-Building of Rural Women Pioneers Focused on Early Detection of Breast Cancer in New Valley Governorate

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