Community Health Workers Speak Out About the Kin KeeperSM Model

Mousa, Shimaa M.; Brooks, Emily; Dietrich, M; Henderson, Aisha; McLean, Casey; Williams, Karen Patricia

doi:10.1007/s13187-010-0049-2

Cited by 4 publications

(2 citation statements)

References 39 publications

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“…These CHWs each had more than eight years of experience, including recruiting clients for university-based research projects. They all completed 24 hours of Kin Keeper SM Cancer Prevention Intervention training on topics including breast and cervical cancer prevention and early detection and how to implement the Kin Keeper SM model and the research protocol [15]…”

Section: Methodsmentioning

confidence: 99%

Kin KeeperSM: Design and baseline characteristics of a community-based randomized controlled trial promoting cancer screening in Black, Latina, and Arab women

Williams

Roman

Meghea

et al. 2013

Contemporary Clinical Trials

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Background Although breast and cervical cancer deaths have declined due to early screening, detection, and more effective treatment, racial and ethnic disparities persist. This paper describes the study design and baseline characteristics of a randomized controlled trial (RCT) evaluating the effectiveness of the Kin KeeperSM Cancer Prevention Intervention, a family-focused educational intervention for underserved women applied in a community-based setting to promote health literacy and screening adherence to address cancer disparities Methods Female public health community health workers (CHWs) were trained to administer the intervention. They recruited female clients from their public health program caseload and asked each to assemble two to four adult female family members for the breast and cervical cancer home-based education sessions the CHWs would deliver in English, Spanish or Arabic. We randomized the clients into the kin keeper group (treatment) or the participant client group (control) Results Complete data were obtained on 514 Black, Latina, and Arab women. Close to half were unemployed and had yearly family income below $20,000. Thirty-four percent had no medical insurance, and 21% had diabetes. Almost 40% had no mammography in the last year. Treatment and control groups were similar on most sociodemographics but showed differences in breast and cervical screening history. Conclusions This innovative study demonstrates the implementation of an RCT using community-based participatory research, while delivering cancer prevention education across woman’s life span with women not connected to the health care system.

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Section: Methodsmentioning

confidence: 99%

Kin KeeperSM: Design and baseline characteristics of a community-based randomized controlled trial promoting cancer screening in Black, Latina, and Arab women

Williams

Roman

Meghea

et al. 2013

Contemporary Clinical Trials

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show abstract

“…The aim of the intervention is to promote breast and cervical cancer screening, and it focuses on the strong kinship ties between female family members and engaged community health workers (Ford et al, 2014; Mousa et al, 2010; Williams, Mabiso, Jackson, Lawshe, & Maurer, 2009). Overall, Arab women’s cervical cancer literacy and screening rates are similar to those of Black and Latina women in the United States.…”

Section: Data Synthesismentioning

confidence: 99%

Cervical Cancer Screening Among Arab Women in the United States: An Integrative Review

Abboud¹,

Penning²,

Brawner³

et al. 2017

ONF

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Problem Identification Arab American women are an ethnic minority and immigrant population in the United States with unique and nuanced sociocultural factors that influence preventive health behaviors. The aims of this article are to evaluate and synthesize the existing evidence on cervical cancer screening behaviors, as well as determine factors that influence these behaviors, among Arab American women. Literature Search Extensive literature searches were performed using PubMed, CINAHL®, Scopus, Embase, and Cochrane databases; articles published through October 2015 were sought. Data Evaluation Of 17 articles, 14 explicitly identified Arab and/or Muslim women and cervical cancer screening in either the title or the abstract; the remaining three focused on cancer attitudes and behaviors in Arab Americans in general but measured cervical cancer screening. Eleven articles reported different aspects of one intervention. Because of methodologic heterogeneity, the current authors synthesized results narratively. Synthesis Key factors influencing cervical cancer screening were identified as the following: knowledge of cervical cancer screening and prevention; attitudes and beliefs; healthcare setting; education, marital status, income, and social support; and immigration and acculturation. Conclusions Cervical cancer screening rates among Arab American women are comparable to other ethnic minorities and lower than non-Hispanic White women. Findings are inconsistent regarding factors influencing cervical cancer screening behaviors in this underrepresented group. Implications for Research Significant need exists for more research to better understand cervical cancer prevention behaviors in this group to inform culturally relevant interventions. Healthcare providers play a crucial role in increasing cervical cancer screening awareness and recommendations for Arab American women.

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