“Let’s Chat”: process evaluation of an intergenerational group chat intervention to increase cancer prevention screening among Vietnamese American families

2020 ◽  
Author(s):  
Huong T Duong ◽  
Suellen Hopfer
Keyword(s):  
Cancer Screening ◽  
Cancer Prevention ◽  
Hpv Vaccination ◽  
Family Members ◽  
Family Health ◽  
Family Group ◽  
Post Intervention ◽  
Pap Testing ◽  
Crc Screening ◽  
Cancer Screenings

Abstract Vietnamese Americans have a higher rate of cervical and colorectal cancer (CRC) compared to other ethnicities. Increasing CRC screening, Pap testing, and HPV vaccination is critical to preventing disproportionate cancer burden among Vietnamese families. To describe the successes and challenges of implementing a novel intergenerational family group chat intervention that encourages CRC screening, Pap testing, and HPV vaccination. Young adult Family Health Advocates (FHAs) were trained to facilitate online family group chat conversations to encourage cancer screenings. Ten families participated in a 4-week intervention. Data collection included screenshot data of family group chat conversations, family member surveys, and post-intervention FHA interviews. Intervention implementation successes included (a) cultural and language brokering, (b) active co-facilitation by family members to follow up on cancer screenings, (c) high levels of family group chat engagement, (d) high acceptability of intervention among families, and (e) accessibility of intervention curriculum. FHA challenges to implement the intervention included (a) sustaining cancer prevention conversations, (b) comfort with navigating family conversations around cancer screening, (c) relevance for all family members, and (d) missed opportunities for correcting misinformation. Researcher challenges included family recruitment and retention. The intervention made cancer-screening messages more accessible and was well accepted by Vietnamese families. Scaling up the intervention will require (a) training FHAs to monitor family conversations and build confidence in sharing medical accurate messages, (b) segmenting group chats by age and gender, and (c) employing multiple family engagement strategies.

Let’s Chat: Development of a Family Group Chat Cancer Prevention Intervention for Vietnamese Families

2021 ◽  
Vol 48 (2) ◽  
pp. 208-219
Author(s):  
Huong T. Duong ◽  
Suellen Hopfer
Keyword(s):  
Young Adults ◽  
Cancer Screening ◽  
Feasibility Study ◽  
Family Members ◽  
Family Group ◽  
Human Papillomavirus Vaccination ◽  
Online Social Media ◽  
Cancer Screenings ◽  
Vietnamese American ◽  
American Families

Vietnamese Americans are disproportionately affected by preventable late-stage cancers. This study capitalizes on the protective role of family networks to develop an online social media family group chat intervention promoting cancer screening among Vietnamese American families. A feasibility study was conducted to assess implementing Let’s Chat, a 4-week intergenerational family group chat intervention to increase cancer screenings. Vietnamese American young adults were trained to act as family health advocates on their private family group chats and share cancer screening messages. The intervention covered material on recommended screenings for colonoscopy for those aged 45+ years, HPV (human papillomavirus) vaccination for young adults, and Pap testing for women. Ten families ( n = 41) participated. Family group chat content analysis resulted in (a) sharing personal screening experiences, (b) family members being prompted to schedule cancer screening appointments after discussions in the chat, and (c) family members expressing a sense of urgency to follow up with cancer screening. Postintervention survey results revealed that 48% of participants received screening/vaccination, 77% reported intent to schedule an appointment to discuss recommended screenings, 61% reported discussing cancer screenings outside their group chat, 84% felt comfortable discussing screenings with family after the intervention, and 68% agreed that the group chat facilitated comfort around cancer screening discussions. Family members reported feeling closer to their family and greater comfort discussing cancer and cancer screening. Results from the Let’s Chat feasibility study indicate promise for implementing a randomized trial conditional on grouping family chats by age and gender to increase cancer screenings among Vietnamese American families.

“Let’s Chat”: A qualitative study exploring intergenerational communication on social media group chats as a cancer prevention intervention opportunity among Vietnamese American families (Preprint)

2021 ◽  
Author(s):  
Huong Thien Duong ◽  
Suellen Hopfer
Keyword(s):  
Social Media ◽  
Young Adults ◽  
Cancer Screening ◽  
Cancer Prevention ◽  
Family Members ◽  
Family Group ◽  
Family Status ◽  
Vietnamese American ◽  
American Families ◽  
Media Group

BACKGROUND The adoption of mobile technology in the family context presents a novel cancer prevention opportunity. There have been few studies to our knowledge that have utilized private social media group chats as a way to promote health information. OBJECTIVE In this formative study, we investigate how family group chat platforms can be leveraged to encourage colorectal, HPV vaccination, and cervical cancer screening among intergenerational Vietnamese American families. METHODS Twenty semi-structured interviews were conducted with Vietnamese young adults to co-create a communication intervention for introducing cancer screening information as part of family social media group chats. RESULTS 13 of the 20 young adults (65%) reported having more than one group chat with immediate and extended family. Preventive health was not a typical topic of family conversations, while food, family announcements, personal updates, humorous videos or photos, and current events were. Young adults expressed openness to initiating conversation with family members about cancer prevention but also raised concerns that may influence family members’ receptivity to the messages. Themes that potentially could impact family members’ willingness to accept cancer prevention messages included (a) family status and hierarchy, (b) gender dynamics, (c) family relational closeness, and (d) source trust and credibility. These considerations may impact whether families will be open to receiving cancer screening information and acting on it. Participants also mentioned practical considerations for intervention and message design including the (a) Vietnamese cultural conversation etiquette of “hỏi thăm,” (b) respect for a doctor’s recommendation, (c) prevention vs. symptom orientation, (d) the FHA’s bilingual capacity, and (e) the busy lives of family members. In response to exemplar messages, participants mentioned that they would prefer to personalize template messages to accommodate conversational norms in their family group chats. CONCLUSIONS Findings from this study inform the development of a social media intervention for increasing preventive cancer screening in Vietnamese American families.

scholarly journals Precision Prevention: The 2019 ASCCP Risk-Based Management Consensus Guidelines for Abnormal Cervical Cancer Screening Tests and Cancer Precursors

2021 ◽  
Vol 2 (3) ◽  
pp. 274-280
Author(s):  
Ritu Nayar
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cancer Prevention ◽  
Cervical Cancer Screening ◽  
Hpv Vaccination ◽  
Management Strategies ◽  
Hpv Infection ◽  
Cervical Cancer Prevention ◽  
Screening Tests ◽  
Consensus Guidelines

The approach to cervical cancer prevention has evolved significantly over the past two decades. HPV immunization has decreased the specificity of screening modalities and HPV-based testing has been replacing our previously successful morphology-only approach. Additionally, there is much more emphasis on providing precision prevention, rather than the previously used “one-fits-all” management strategies. A number of new biomarkers are entering clinical practice and being integrated into cervical cancer screening and management in order to enable a more personalized assessment of the risk for precancer/cancer for an individual patient. The 2019 ASCCP Risk-Based Management Consensus Guidelines expand on the concept of “equal management for equal risk”. They consider a patient’s history in addition to current test results to provide recommendations for increased surveillance/treatment in patients at higher risk for CIN3+ while minimizing interventions for lower-risk patients who have new versus persistent HPV infection. Clinical management decisions are based on immediate risk and 5-year risk estimates for CIN3+, which are determined by referencing an extensive risk table compiled by the National Cancer Institute (NCI). The course of action for a given patient is recommended by comparison of the risk in the risk database, to the predetermined clinical action thresholds. These guidelines address the need for simplification and offer some stability for the provider while being conducive to the incorporation of anticipated continued technologic advances in methods for cervical cancer prevention. Their enduring nature will allow for changes needed based on risk reduction as HPV vaccination uptake increases and vaccinated women reach screening age. Similarly, the design allows for the addition of new tests into the risk assessment calculations after their approval by applicable regulatory agencies and review/consensus approval by the ASCCP new technology and enduring guidelines workgroups. As cytopathologists, we must be familiar with the scientific advancements in primary and secondary prevention, evolving screening and management guidelines, and participate actively in the multidisciplinary approach for the prevention of cervical cancer.

Gaps and opportunities for cervical cancer prevention, diagnosis, treatment and care: evidence from midterm review of the Zimbabwe Cervical Cancer Prevention and Control strategy (2016-2020).

2020 ◽  
Author(s):  
Oscar Tapera ◽  
Anna M Nyakabau ◽  
Ndabaningi Simango ◽  
Bothwell T Guzha ◽  
Shamiso Jombo-Nyakuwa ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cancer Prevention ◽  
Cervical Cancer Screening ◽  
Prevention And Control ◽  
Hpv Vaccination ◽  
Cervical Cancer Prevention ◽  
Draft Report ◽  
Cancer Prevention And Control ◽  
And Control

Abstract Background Cervical cancer is the fourth most common cancer amongst women globally and it accounts for many cancer deaths among females in Zimbabwe. The objective of this midterm review was to measure the progress of cervical cancer prevention and control interventions in Zimbabwe. Methods A mixed methods approach was used for the midterm review. Secondary data was collected from programme documents, published and grey literature. Primary data was collected in six provinces, including Harare Metropolitan. Key informant interviews were conducted with officials from relevant departments in the Ministry of Health and Child Care (MoHCC) and partners working in cervical cancer spaces. Two focus group discussions with beneficiaries were facilitated in Manicaland and Matabeleland South Provinces. After data analysis, a draft report was presented to a technical working group to validate the findings and to fill in any gaps. Results The cervical cancer strategy led to the raising of awareness especially around cervical cancer screening and this created demand for services. Coverage of HPV vaccination achieved by 2019 was 86% against a target of 80%. Every district in Zimbabwe had a screening site with a total of 106 clinics across the whole country. Almost two thirds (66%) of women with precancerous lesions received treatment in 2018 against a target of 80%. Tertiary hospitals are offering surgery to eligible women with cervical cancer and there are ongoing efforts towards establishing two centres of excellence in the country. There are opportunities for collaborative, coordinated comprehensive cervical cancer care and research at institutions (public and academic) that can be strengthened and better coordinated by MoHCC. Successes scored in fundraising for ZCCPCS strategy thematic areas including awareness, cervical cancer screening and HPV vaccination set the pace for comprehensive inclusion of diagnosis, treatment and palliative care. Conclusions This midterm review revealed a myriad of gaps of the strategy particularly in diagnosis, treatment and care of cervical cancer and the primary focus was on secondary prevention. Lessons learnt reveals that development and implementation of the next strategy will require increased stakeholder collaboration between government, private sector, academia and non-governmental organizations for more sustainable cervical cancer interventions.

scholarly journals Cancer risk perception and physician communication behaviors on cervical cancer and colorectal cancer screening

eLife ◽  
2021 ◽  
Vol 10 ◽  
Author(s):  
Diane M Harper ◽  
Madiha Tariq ◽  
Asraa Alhawli ◽  
Nadia Syed ◽  
Minal Patel ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Cervical Cancer ◽  
Decision Making ◽  
Cancer Screening ◽  
Cancer Risk ◽  
Communication Behavior ◽  
Communication Behaviors ◽  
Crc Screening ◽  
Cancer Screenings

Background:Women 50–65 years of age have the lowest cervical and colorectal cancer (CRC) screening rates among ages recommended for screening. The primary aim of this work is to determine how cancer risk perceptions and provider communication behaviors, in addition to known demographic factors, influence the uptake of both cervical and CRC screening or a single screen among women in southeast Michigan.Methods:Fourteen health services and communication behavior questions were adapted from the Health Information National Trends Survey (HINTS) and administered to a multiethnic sample of adults in southeast Michigan. The outcome variable was self-reported up-to-date cervical cancer and/or CRC screening as defined by the United States Preventive Services Task Force (USPSTF). Demographic and cancer risk/communication behavior responses of the four screening populations (both tests, one test, no tests) were analyzed with multinomial regression for all comparisons.Results:Of the 394 respondents, 54% were up to date for both cervical and CRC screening, 21% were up to date with only cervical cancer screening and 12% were up to date for only CRC screening. Of the 14 risk perception and communication behavior questions, only ‘Did your primary care physician (PCP) involve you in the decisions about your health care as much as you wanted?’ was significantly associated with women having both screens compared to only cervical cancer screening (aOR 1.67; 95% CI: 1.08, 2.57). The multivariate model showed age, and Middle East and North African (MENA) ethnicity and Black race, in addition to PCP-patient dyad decision-making to be associated with the cancer screenings women completed.Conclusions:Optimizing PCP-patient decision-making in health care may increase opportunities for both cervical cancer and CRC screening either in the office or by self-sampling. Understanding the effects of age and the different interventional strategies needed for MENA women compared to Black women will inform future intervention trials aimed to increase both cancer screenings.Funding:This work was supported by NIH through the Michigan Institute for Clinical and Health Research UL1TR002240 and by NCI through The University of Michigan Rogel Cancer Center P30CA046592-29-S4 grants.

scholarly journals The Usefulness of Brief Family Health Conversations Offered to Families Following the Diagnosis of Breast Cancer

2020 ◽  
Vol 26 (4) ◽  
pp. 327-336
Author(s):  
Annette Holst-Hansson ◽  
Vedrana Vejzovic ◽  
Ewa Idvall ◽  
Anne Wennick
Keyword(s):  
Breast Cancer ◽  
Family Member ◽  
Thematic Analysis ◽  
Family Members ◽  
Family Health ◽  
Nursing Intervention ◽  
Family Group ◽  
Family Nursing ◽  
The Family ◽  
Group A

Currently, there are few studies which examine targeted family-focused support when a family member is diagnosed with breast cancer. Thus, the aim of this study was to explore families’ experiences of participating in a family nursing intervention identified as Brief Family Health Conversations (BFamHC) following the diagnosis of breast cancer. Semi-structured family interviews were conducted with nine families (including 29 family members) 2 weeks following the family-focused intervention of three sessions of BFamHC. Thematic analysis was used to analyze the data. Families reported the BFamHC as positive and as a unique kind of family health conversation, one that afforded them the opportunity to communicate and share their experiences as a family group. A family conversation, even one as time-limited as BFamHC, offered a sense of relational sharing and togetherness, thus preventing feelings of isolation and vulnerability. Therapeutic family-focused conversations, such as BFamHC, hold promise as a useful family nursing intervention following the diagnosis of breast cancer.

scholarly journals Cancer screening information at community health fairs: What the participants do with information they receive

2017 ◽  
Vol 6 (2) ◽  
Author(s):  
Erica Monrose ◽  
Jessica Ledergerber ◽  
Derrick Acheampong ◽  
Lina Jandorf
Keyword(s):  
New York ◽  
New York City ◽  
Cancer Screening ◽  
Cancer Prevention ◽  
Community Health ◽  
York City ◽  
Local Community ◽  
Cancer Screenings ◽  
Health Fairs

<em>Background</em>. To assess participants’ reasons for seeking cancer screening information at community health fairs and what they do with the information they receive. <em><br />Design and methods.</em> Mixed quantitative and qualitative approach was used. Community health fairs are organized in underserved New York City neighbourhoods. From June 14, 2016 to August 26, 2016, cancer prevention tables providing information about various cancer screenings were established at 12 local community health fairs in New York City. In-person and follow up telephone surveys assessing interest in the cancer prevention table, personal cancer screening adherence rates, information-sharing behaviours and demographic variables have been taken into account. Statistical analyses were performed using IBM SPSS 22.0: frequencies, descriptive, cross tabulations. All qualitative data was coded by theme so that it could be analysed through SPSS. For example, Were you interested in a specific cancer? may be coded as 2 for yes, breast cancer. <br /><em>Results</em>. One hundred and sixteen patrons participated in the initial survey. Of those, 88 (78%) agreed to give their contact information for the follow-up survey and 60 follow-up surveys were completed (68%). Of those who reported reading the material, 45% shared the information; 15% subsequently spoke to a provider about cancer screenings and 40% intended to speak to a provider. <br /><em>Conclusions</em>. Participants disseminated information without prompting; suggesting the reach of these fairs extends beyond the people who visit our table. Future studies should look at whether patrons would share information at higher rates when they are explicitly encouraged to share the information.

The Influence of Health Literacy on Knowledge of Cervical Cancer Prevention and Screening Practices among Female Undergraduates at a University in Southwest Nigeria

2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Sunday Joseph Ayamolowo ◽  
Lydia Feyisayo Akinrinde ◽  
Monisola Omoyeni Oginni ◽  
Love Bukola Ayamolowo
Keyword(s):  
Cervical Cancer ◽  
Health Literacy ◽  
Cancer Screening ◽  
Cancer Prevention ◽  
Cervical Cancer Screening ◽  
Low Income ◽  
Cervical Cancer Prevention ◽  
Screening Practices ◽  
Cancer Prevention And Screening ◽  
Southwest Nigeria

The global incidence of cancer is rising, and low-income and lower-middle-income countries have the worst figures. However, knowledge of cervical cancer prevention and cervical cancer screening practices remains poor in these regions. This study assessed the concept of health literacy as a potential determinant of knowledge of cervical cancer prevention and screening practices among female undergraduates. A descriptive cross-sectional study was conducted among 385 female undergraduates at a university in southwest Nigeria. A validated questionnaire composed of subscales on nine components of health literacy, knowledge of cervical cancer prevention, and cervical cancer screening practices was used for data collection. The majority of the respondents obtained a high score on most of the components of health literacy and 66% had good knowledge of cervical cancer prevention. Only 11% demonstrated good practices of Pap smear testing. Of all the components of health literacy, “feeling understood and supported by healthcare providers” (OR = 0.075; 95% CI [0.036–0.115]; p = 0.015) and “understanding health information well enough to know what to do” (OR = 0.055; 95% CI [0.006–0.104]; p = 0.029) were significantly associated with knowledge of cervical cancer prevention. Out of the major challenges related to cervical cancer screening among undergraduates, the feeling of being at risk (OR = 4.71; p < 0.05) and uncomfortable experiences from past screening (OR = 0.12; p < 0.05) were significantly associated with going for cervical cancer screening. The study concluded that levels of health literacy influenced knowledge of cervical cancer prevention among female undergraduates, but it did not affect their engagement in cervical cancer screening practices.

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