背景:通过筛选和教育(CHANGE)计划的癌症健康意识提供了癌症意识教育,重点是可改变的危险因素和导航到前列腺筛查,乳房,和结肠直肠癌对公共住房社区的居民来说,他们经历了显著的负面健康社会决定因素。
方法:五个社区的居民参与。招募社区顾问委员会成员,并向当地环境变化项目提供反馈,招募,以及每个站点的社区参与。在每个站点,由训练有素的主持人提供了四次关于癌症风险因素和病因的教育课程,种族差异,癌症筛查的资格,参与临床试验。出席,知识,对癌症的态度和信念,和高度,体重,在基线和更改后1周测量腰围.
结果:90名居民(60%65岁及以上,33%男性,60%高中教育,93%AA)参加了该计划。95%完成干预后评估。参与者有资格获得乳房(n=12),前列腺(n=15),和结肠直肠筛查(n=25)基于美国癌症协会指南,和22个戒烟;21个参与者接受了这些服务的导航援助。在测试后,参与者对肥胖/超重癌症风险的知识和行为显着增加,营养,和身体活动。结肠直肠,前列腺,乳腺癌知识得分也有所提高,但并不重要。
结论:CHANGE参与者表现出改善的健康知识和改善其可改变的健康行为的意图。参与者报告说,他们对寻求预防性护理和对社区参与工作的满意度有积极性和信心。在类似社区中复制该项目可能会改善服务不足人群的知识和健康公平性。
BACKGROUND: The Cancer Health Awareness through screeNinG and Education (CHANGE) initiative delivers cancer awareness education with an emphasis on modifiable risk factors and navigation to screening for prostate, breast, and colorectal cancers to residents of public housing communities who experience significant negative social determinants of health.
METHODS: Residents of five communities participated. Community advisory board members were recruited and provided feedback to local environmental change projects, recruitment, and community engagement at each site. At each site, four education sessions were provided by trained facilitators on cancer risk factors and etiology, racial disparities, eligibility for cancer screening, and participation in clinical trials. Attendance, knowledge, attitudes and beliefs about cancer, and height, weight, and waist circumference were measured at baseline and 1-week post-CHANGE sessions.
RESULTS: 90 residents (60% 65 and older years old, 33% male, 60% High School education, 93% AA) participated in the program. 95% completed post-intervention evaluation. Participants were eligible for breast (n = 12), prostate (n = 15), and colorectal screening (n = 25) based on American Cancer Society guidelines, and 22 for tobacco cessation; 21 participants accepted navigation assistance for these services. At post-test, participants significantly increased in knowledge and behaviors around obesity/overweight risk for cancer, nutrition, and physical activity. Colorectal, prostate, and breast cancer knowledge scores also increased, but were not significant.
CONCLUSIONS: CHANGE participants demonstrated improved health knowledge and intentions to improve their modifiable health behaviors. Participants reported being motivated and confident in seeking preventive care and satisfaction with community engagement efforts. Replication of this project in similar communities may improve knowledge and health equity among underserved populations.