Cultural tailoring for mammography and fruit and vegetable intake among low-income African-American women in urban public health centers

Kreuter, Matthew W.; Sugg-Skinner, Celette; Holt, Cheryl L.; Clark, Eddie M.; Haire‐Joshu, Debra; Fu, Qiang; Booker, Angela C.; Steger-May, Karen; Bucholtz, Dawn C.

doi:10.1016/j.ypmed.2004.10.013

Cited by 209 publications

(224 citation statements)

References 41 publications

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“…With this trend also apparent for Hispanic patients (37), our results suggest that future educational interventions to reduce the racial disparity in access to transplant should focus on dialysis centers with high proportions of patients who are ethnic/racial minorities. Further, transplant educational approaches may need to be culturally or individually tailored to better serve patients of different racial/ethnic groups who have different knowledge gaps, fears about DDKT or LDKT, or biases about transplant (38)(39)(40).…”

Section: Discussionmentioning

confidence: 99%

Assessing Transplant Education Practices in Dialysis Centers

Waterman

Peipert

Goalby

et al. 2015

Clinical Journal of the American Society of Nephrology

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Background and objectives The Centers for Medicare & Medicaid Services (CMS) requires that dialysis centers inform new patients of their transplant options and document compliance using the CMS-2728 Medical Evidence Form (Form-2728). This study compared reports of transplant education for new dialysis patients reported to CMS with descriptions from transplant educators (predominantly dialysis nurses and social workers) of their centers' quantity of and specific educational practices. The goal was to determine what specific transplant education occurred and whether provision of transplant education was associated with center-level variation in transplant wait-listing rates.Design, setting, participants, & measurements Form-2728 data were drawn for 1558 incident dialysis patients at 170 centers in the Heartland Kidney Network (Iowa, Kansas, Missouri, and Nebraska) in 2009-2011; educators at these centers completed a survey describing their transplant educational practices. Educators' own survey responses were compared with Form-2728 reports for patients at each corresponding center. The association of quantity of transplant education practices used with wait-listing rates across dialysis centers was examined using multivariable negative binomial regression.Results According to Form-2728, 77% of patients (n=1203) were informed of their transplant options within 45 days. Educators, who reported low levels of transplant knowledge themselves (six of 12 questions answered correctly), most commonly reported giving oral recommendations to begin transplant evaluation (988 informed patients educated, 81% of centers) and referrals to external transplant education programs (959 informed patients educated, 81% of centers). Only 18% reported having detailed discussions about transplant with their patients. Compared with others, centers that used more than three educational activities (incident rate ratio, 1.36; 95% confidence interval, 1.07 to 1.73) had higher transplant wait-listing rates.Conclusions While most educators inform new patients that transplant is an option, dialysis centers with higher wait-listing rates use multiple transplant education strategies.

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Section: Discussionmentioning

confidence: 99%

Assessing Transplant Education Practices in Dialysis Centers

Waterman

Peipert

Goalby

et al. 2015

Clinical Journal of the American Society of Nephrology

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“…20,21,32,[36][37][38][39][40][41][42] In order to successfully implement interventions that overcome such barriers, the emerging consensus is that such initiatives need to be culturally tailored to the specific group of individuals in need. [43][44][45][46][47] Interventions should also involve the local community and should be related to each aspect of the described barriers that may be contributing to the delays in follow-up. For example, community health workers could be used to assist in educating patients and helping them to navigate the complex healthcare system.…”

Section: Figmentioning

confidence: 99%

Racial/Ethnic Disparities in Time to Follow-Up after an Abnormal Mammogram

Press

Carrasquillo

Sciacca³

et al. 2008

Journal of Women's Health

141

111

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Background: Although non-Hispanic white women have an increased risk of developing breast cancer, the disease-specific survival is lower for African American and Hispanic women. Little is known about disparities in follow-up after an abnormal mammogram. The goal of this study was to investigate potential disparities in follow-up after an abnormal mammogram. Methods: A retrospective cohort study of 6722 women with an abnormal mammogram and documented follow-up from January 2000 through December 2002 was performed at an academic medical center in New York City. The outcome was the number of days between the abnormal mammogram and follow-up imaging or biopsy. Cox proportional hazards models were used to assess the effect of race/ethnicity and other potential covariates. Results: The median number of days to diagnostic follow-up after an abnormal mammogram was greater for African American (20 days) and Hispanic (21 days) women compared with non-Hispanic white (14 days) women (p Ͻ 0.001). Racial/ethnic disparities remained significant in a multivariable model controlling for age, Breast Imaging Reporting and Data System (BIRADS) category, insurance status, provider practice location, and median household income. Conclusions: After an abnormal mammogram, African American and Hispanic women had longer times to diagnostic follow-up compared with non-Hispanic white women. Future efforts will focus on identifying the barriers to follow-up so that effective interventions may be implemented.

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“…Self-report is easily accessible, and is generally thought to be accurate (Kreuter et al, 2005;Saywell et al, 1999). Studies found that over 90% of women accurately reported their mammography screening in the past 12 months as validated by medical records (Barrat et al, 2000;King et al, 1990).…”

Section: Variability In Outcome Assessmentmentioning

confidence: 99%

Tailored interventions to promote mammography screening: A meta-analytic review

Sohl¹,

Moyer²

2007

Preventive Medicine

175

141

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Objective-To evaluate the effectiveness of tailored interventions, designed to reach one specific person based on her unique characteristics, for promoting mammography use.Method-This systematic review used meta-analytic techniques to aggregate the effect size of 28 studies published from 1997 through 2005. Potential study-level moderators of outcomes (sample, intervention, and methodological characteristics) were also examined.Results-A small but significant aggregate odds ratio effect size of 1.42 indicated that women exposed to tailored interventions were significantly more likely to get a mammogram (p < 0.001).The type of population recruited and participants' pre-intervention level of mammography adherence did not significantly influence this effect. Tailored interventions that used the Health Belief Model and included a physician recommendation produced the strongest effects. Interventions delivered in person, by telephone, or in print were similarly effective. Finally, defining adherence as a single recent mammogram as opposed to regular or repeated mammograms yielded higher effect sizes. Tailored interventions, particularly those that employ the Health Belief Model and use a physician recommendation, are effective in promoting mammography screening. Future investigations should strive to use more standardized definitions of tailoring and assessments of mammography outcomes. Conclusion-

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Cultural tailoring for mammography and fruit and vegetable intake among low-income African-American women in urban public health centers

Cited by 209 publications

References 41 publications

Assessing Transplant Education Practices in Dialysis Centers

Assessing Transplant Education Practices in Dialysis Centers

Racial/Ethnic Disparities in Time to Follow-Up after an Abnormal Mammogram

Tailored interventions to promote mammography screening: A meta-analytic review

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