Outcomes of a structured education intervention for Latinas concerning breast cancer and mammography

Laughman, Anna Bawtinhimer; Boselli, Danielle; Love, Magbis; Steuerwald, Nury; Symanowski, James T.; Blackley, Kris; Wheeler, Mellisa; Arevalo, Gustavo; Carrizosa, Daniel R.

doi:10.1177/0017896917691789

Cited by 5 publications

(5 citation statements)

References 11 publications

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“…Culturally geared interventions have shown to increase BC screening and knowledge (Meneses, Gisiger-Camata, Schoenberger, Weech-Maldonado, & McNees, 2015; Shirazi, Shirazi, & Bloom, 2015). Despite the effectiveness of such interventions (Laughman et al, 2017; Ramiirez et al, 2014), the women in our sample struggled to find the resources they feel would have provided aid during their BC. Women expressed the need for an online community with doctors and program references in their areas and the ability to interact with other women who are going through a similar process or who have already gone through it.…”

Section: Discussionmentioning

confidence: 96%

Emotions and Coping Strategies During Breast Cancer in Latina Women: A Focus Group Study

Castillo

Mendiola

Tiemensma

2019

Hisp Health Care Int

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We conducted three focus groups among Latina breast cancer (BC) survivors ( N = 23). The aim was to qualitatively identify how Latina women cope with BC treatment, what emotions arose during their treatment, and if they experienced any medical barriers during their journey. Women were also asked about a potential online resource. Specific emotions of anger and fear were commonly identified but related to different contexts. Family support and spirituality were frequently cited as two positive coping resources during BC and its treatment. Additionally, women expressed what they believe would be essential in an online community that would provide aid with BC support. Given the importance of reaching this vulnerable minority group, we recommend that future studies contextualize Latina women’s emotional experiences and coping skills associated with BC as indicators of well-being. Along with previous studies, this study highlights the importance of developing culturally appropriate interventions. Additionally, we address alternative forms of resources that may be more accessible.

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Section: Discussionmentioning

confidence: 96%

Emotions and Coping Strategies During Breast Cancer in Latina Women: A Focus Group Study

Castillo

Mendiola

Tiemensma

2019

Hisp Health Care Int

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“…Significantly greater mean change in self-efficacy to discuss FHH with family members and doctors (0.66[SD = 1.4] vs 0.24[SD = 1.0], p = 0.0003 and 0.69[SD = 1.3] vs 0.30[SD = 1.1], p = 0.0008; respectively. No significant difference in posttest mean knowledge score 2 community health centers in Oakland, CA and Washington, DC Laughman 2017 [ 35 ] In-person Education Culturally sensitive health education classes hosted by certified bilingual Latina health educator regarding breast cancer and mammography None Pretest–Posttest Design Underserved adult female Latinas in North Carolina without history of breast cancer Questionnaire developed by researchers Prepost results varied depending on the three major themes: risk factors, screening and signs and symptoms. Of the 25 total questions, 15 (60%) showed statistically significant improvement in correct response rate, 8 showed nonstatistically significant improvement, and no question showed statistically significant worsening.…”

Section: Resultsmentioning

confidence: 99%

“…Linguistic and culturally concordant care, including cultural competency training for providers, has also repeatedly been identified as a successful strategy for increasing HL among immigrant populations generally [ 18 ]. Furthermore, successful interventions often consider the opinions of the target population when designing content to ensure that the experience is culturally relevant [ 16 , 28 , 29 , 34 , 35 , 40 , 44 , 45 , 55 , 62 , 65 , 73 , 76 ].…”

Section: Discussionmentioning

confidence: 99%

A systematic review and narrative synthesis of health literacy interventions among Spanish speaking populations in the United States

Hernandez,

Demiranda,

Perisetla

et al. 2024

BMC Public Health

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Background While many populations struggle with health literacy, those who speak Spanish preferentially or exclusively, including Hispanic, immigrant, or migrant populations, may face particular barriers, as they navigate a predominantly English-language healthcare system. This population also faces greater morbidity and mortality from treatable chronic diseases, such as hypertension and diabetes. The aim of this systematic review was to describe existing health literacy interventions for patients with a Spanish-language preference and present their effectiveness. Methods We carried out a systematic review where Web of Science, EMBASE, and PubMed were queried using MeSH terms to identify relevant literature. Included articles described patients with a Spanish-language preference participating in interventions to improve health literacy levels in the United States. Screening and data abstraction were conducted independently and in pairs. Risk of bias assessments were conducted using validated appraisal tools. Results A total of 2823 studies were identified, of which 62 met our eligibility criteria. The studies took place in a variety of community and clinical settings and used varied tools for measuring health literacy. Of the interventions, 28 consisted of in-person education and 27 implemented multimedia education, with 89% of studies in each category finding significant results. The remaining seven studies featured multimodal interventions, all of which achieved significant results. Conclusion Successful strategies included the addition of liaison roles, such as promotores (Hispanic community health workers), and the use of multimedia fotonovelas (photo comics) with linguistic and cultural adaptations. In some cases, the external validity of the results was limited. Improving low health literacy in patients with a Spanish-language preference, a population with existing barriers to high quality of care, may help them better navigate health infrastructure and make informed decisions regarding their health. Registration PROSPERO (available at https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021257655.t).

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“…A study on the effectiveness of a breast and cervical cancer screening promotion program (Cultivando La Salud) for low-income Latinas with a CHW intervention found no significant differences in BC knowledge between the intervention and control groups after 6 months (Fernandez et al, 2009). Another study that assessed the effects of group educational sessions for Latinas in North Carolina compared BC knowledge (risk factors, screening, signs and symptoms) at baseline, postintervention, and 3 months—the authors found the postintervention increases in BC risk factor knowledge were only somewhat sustained after 3 months (Laughman et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Taking Care of Yourself and Your Risk for Breast Cancer (CUIDARSE): A Randomized Controlled Trial of a Health Communication Intervention for Latinas

et al. 2020

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Latinas in the United States are more likely to be diagnosed with late-stage breast cancer (BC) compared to non-Latinas. Literacy-appropriate and culturally sensitive cancer communication interventions can help address existing racial/ethnic BC disparities. We formatively developed a new BC prevention brochure for Spanish-speaking Latinas (≥35 years). Eligible women ( n = 240) from a large public hospital in California were randomly assigned to one of three study arms: Group 1 received the new brochure, Group 2 included a community health worker (CHW) who delivered the new brochure’s content, and a control group received a standard educational brochure. Participants completed three surveys (baseline, postintervention, 3-month follow-up) with a 100% completion rate for the first two surveys and 80.4% completion after 3 months. We assessed the difference in outcomes for BC risk knowledge, perceived BC susceptibility, and BC information self-efficacy between groups. Participant mean age was 52.3 years, and 82.1% reported low English proficiency. Mean knowledge scores increased and perceived BC susceptibility improved for all groups ( p ≤ .05), yet treatment effects were not significant between groups for these outcomes. BC information self-efficacy also increased from baseline to postintervention for all groups to >80%. After 3 months, only Group 2 and the control group retained their increases and treatment effects were significant only for Group 2 compared to other groups in unadjusted and adjusted models. A CHW-delivered intervention may be more effective in improving BC information self-efficacy among Latinas compared to print material alone. More research is needed to examine the efficacy of CHW-delivered interventions.

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Outcomes of a structured education intervention for Latinas concerning breast cancer and mammography

Cited by 5 publications

References 11 publications

Emotions and Coping Strategies During Breast Cancer in Latina Women: A Focus Group Study

Emotions and Coping Strategies During Breast Cancer in Latina Women: A Focus Group Study

A systematic review and narrative synthesis of health literacy interventions among Spanish speaking populations in the United States

Taking Care of Yourself and Your Risk for Breast Cancer (CUIDARSE): A Randomized Controlled Trial of a Health Communication Intervention for Latinas

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