Web-based versus in-person methods for training lay community health advisors to implement health promotion workshops: participant outcomes from a cluster-randomized trial

Holt, Cheryl L.; Tagai, Erin K.; Santos, Sherie Lou Z.; Scheirer, Mary Ann; Bowie, Janice V.; Haider, Muhiuddin; Slade, Jimmie

doi:10.1093/tbm/iby065

Cited by 27 publications

(29 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The protocol consisted of 2 main components: 1) a baseline assessment to determine adherence to screening guidelines for multiple cancers and 2) the implementation of up to 3 intervention strategies to promote adherence to guidelines that were not met. Compared with previous research protocols in African American churches (10,17,19), our research protocol was complex: CHAs had to become familiar with screening tests and screening guidelines for breast, cervical, colorectal, and prostate cancer to identify nonadherent persons and to provide counseling on 1 or more screening tests, as needed.…”

Section: Purpose and Objectivesmentioning

confidence: 99%

“…Church–academic partnerships hold promise for reducing cancer disparities (6) and church-based programs are feasible and acceptable in many racial/ethnic minority populations, including African Americans (7–10). Many churches have health ministries that are dedicated to improving the overall health of their members.…”

Section: Introductionmentioning

confidence: 99%

“…Several interventions have promoted cancer screening in collaboration with African American churches. Although most interventions promoted screening for only 1 cancer site (16–19), a recent intervention promoted multiple cancer screening tests (10). In addition, previous studies included participants regardless of their baseline screening status (10,17) and observed that the intervention had a limited opportunity to affect screening rates if screening rates were high in the study sample at baseline.…”

Section: Introductionmentioning

confidence: 99%

“…Although most interventions promoted screening for only 1 cancer site (16–19), a recent intervention promoted multiple cancer screening tests (10). In addition, previous studies included participants regardless of their baseline screening status (10,17) and observed that the intervention had a limited opportunity to affect screening rates if screening rates were high in the study sample at baseline. To our knowledge, only 1 previous study focused on church members not up to date with colorectal cancer screening; in that study, the research team identified eligible participants through a baseline survey (19).…”

Section: Introductionmentioning

confidence: 99%

“…To our knowledge, only 1 previous study focused on church members not up to date with colorectal cancer screening; in that study, the research team identified eligible participants through a baseline survey (19). Intervention strategies have included small group sessions (10,17), distribution of print materials (17,20), tailored newsletters (19), and individual counseling and reminder calls (19,21). Many of these strategies are recommended by the Community Guide (www.thecommunityguide.org).…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Promoting Cancer Screening in Partnership With Health Ministries in 9 African American Churches in South Los Angeles: An Implementation Pilot Study

et al. 2019

View full text Add to dashboard Cite

Purpose and ObjectivesWe conducted a pilot study to assess the degree to which an intervention led by community health advisors (CHAs) to promote cancer screening was delivered as intended and to estimate the potential effect of the intervention on receipt of screening. In contrast to previous studies and to maximize its potential public health impact, the intervention targeted 4 screening tests and only participants who were not up to date with screening guidelines for at least 1 cancer. Because CHAs had to both determine baseline adherence and provide counseling on 4 screening tests, the protocol was complex. Complex protocols can reduce implementation fidelity.Intervention ApproachIn partnership with health ministries at 9 African American churches in South Los Angeles, we conducted a 1-group pretest–posttest pilot study to assess the feasibility of implementing the intervention. CHAs recruited and obtained consent from church members aged 50 to 75 years; assessed adherence to national screening guidelines for breast, cervical, colorectal, and prostate cancer; and provided evidence-based strategies (one-on-one counseling, print materials, reminder calls) to encourage screening for tests that were overdue.Evaluation MethodsWe assessed implementation fidelity by reviewing baseline screening assessments and counseling scripts completed by CHAs. We estimated potential effect of the intervention on receipt of screening by using data from 3-month follow-up surveys, conducted by the research team, of participants who were nonadherent at baseline.ResultsFrom June 2016 to June 2018, 44 CHAs conducted baseline assessments of 775 participants, of whom 338 (44%) were nonadherent to national guidelines for 1 or more cancer screening tests. CHAs provided counseling to most nonadherent participants. At follow-up, about one-third of participants reported that they had discussed cancer screening with their provider and a smaller proportion reported receipt of a screening test; 13% of men and 25% of women reported receipt of colorectal cancer screening.Implications for Public HealthThis study demonstrates that with training and ongoing technical assistance, CHAs at African American health ministries can implement complex research protocols with good fidelity.

show abstract

Section: Purpose and Objectivesmentioning

confidence: 99%