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

Abstract

<jats:p> 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 &gt;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. </jats:p>

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

“…No significant difference in attitudes toward how embarrassing, how physically painful, and how important Pap test were by film condition Los Angeles County Pagán-Ortiz 2021 [ 66 ] Multimedia education Website including low literacy text and videos to help manage chronic pain, adapted from an evidence-based workbook None Mixed method Spanish-speaking female adult Latinas with chronic pain Questionnaire developed by researchers Statistically significant improvement in knowledge scores postintervention [t(39) = − 10.13, p < .001, d = 1.39] and in chronic pain self-efficacy scores from baseline (M = 118.6, SD = 27.9) to follow-up (M = 127.6, SD = 24.6; p < .05). No statistically significant decrease in pain severity scores but there was a significant difference in pain interference scores from baseline (M = 4.14, SD = 2.29) to follow-up (M = 3.4, SD = 2.21, p < .001) Community in Greater Boston, Massachusetts area Payan 2020 [ 67 ] Multimedia education Breast cancer prevention brochure verbally reviewed by a community health worker. Group 1 only received the CUIDARSE brochure, group 2 had a promotora deliver the brochure, and group 3 only received the Spanish version of the AHRQ’s guide on reducing the risk of BC McGuire input–output framework and the health belief model Randomized Control Trial Women ≥ 35 years Questionnaire developed by researchers Significant (p ≤ .05) changes in BC knowledge in all groups (8 points at baseline, increases (+ 3) in mean knowledge scores at postintervention, and decrease (-1) point in score at 3 months).…”

Breast Density Knowledge and Awareness Among Latinas in a Low-Resource Setting

“…Although notification laws are a broad-based strategy for increasing MBD knowledge and awareness, written letters may not be effective in all populations; educational messages may need to be targeted to local needs. Women in lowresource settings, for example, may face multiple barriers to education through written notification alone [10][11][12].…”

Application of the theory of regulatory fit to promote adherence to evidence-based breast cancer screening recommendations: experimental versus longitudinal evidence

“…9 For these reasons recommended age for starting screening have varied from 40 10 to 45 11 12 to 50 years. 13 14 In the last years, there has been a vast amount of research on screen intention, including barriers, enablers and how to get women with characteristics matching with the recommended guidelines to adhere to the screening programmes, [15][16][17] . There was also a progressive shift from persuading women to undergo screening to increasing their informed decision making.…”