Testing Scalable, IVR-supported Cancer Prevention Interventions in the Rural Alabama Black Belt

17012 Background: Promoting physical activity may help reduce the incidence of several cancers. The 5A model, used to promote other patient behavior changes in clinical practice, may be applicable to physical activity. Our goal was to determine clinicians’ use of the 5A (Ask, Advise, Agree, Assist, Arrange) guidelines when communicating about physical activity and cancer risk with an underserved patient population. Methods: Analysis of 50 audiotaped transcribed office visits with adult patients and their clinicians in two community health centers in Rochester, NY. We conducted post-visit interviews to assess patient recall of communication about physical activity.We used descriptive statistics to assess patient demographics and the frequency of each of the 5As occurring in the audiotaped visits. Analysis of the transcripts of the visits explored other contextual factors related to use of the 5As for communication about physical activity and cancer risk. Results: Patients were predominantly female (70%) and were African American (50%), Caucasian (35%) and other/mixed ethnicity (15%). In the 50 office visits, there were twelve (24%) Ask, twelve (24%) Advise, three (6%) Agree, two (4%) Assist, and one (2%) Arrange statement. Physical activity communication was mostly (92%) clinician-initiated; the only discussion which included all 5As was patient-initiated. No discussion linked physical activity to cancer risk or cancer prevention. Patients recalling the most communication about physical activity with their clinician reported that it was contextualized to their specific health needs, included support and encouragement, and consisted of clear, simple advice. Conclusions: Communication about physical activity incorporating the Agree and Arrange steps of the 5As was infrequent. Cancer prevention interventions should target these steps and prompt the patient to initiate communication to improve physical activity in underserved populations. This project was supported by a grant from the National Cancer Institute, R25- CA102618. No significant financial relationships to disclose.

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Factors Associated with Receipt of Mammogram among Caregivers: A Comparison with Non-Caregivers

10.21203/rs.2.23052/v2 ◽

2020 ◽

Author(s):

Soo Young Kim ◽

Yuqi Guo ◽

Chorong Won ◽

Hee Yun Lee

Keyword(s):

Breast Cancer ◽

Cancer Prevention ◽

Secondary Analysis ◽

Behavioral Model ◽

Health Services Use ◽

Prevention Interventions ◽

Education And Care ◽

National Trends ◽

Cancer Beliefs

Abstract Background: caregiving responsibilities significantly impact females’ decisions on adhering to preventive mammography. The purpose of this study is to examine (1) the levels of mammogram receipt, (2) the role of caregiving factors on the receipt of mammogram in caregiving group, and (3) the role of cancer beliefs on mammogram screening in caregivers and non-caregivers.Methods: the 2017 Health Information National Trends Survey (HINTS) provides samples of 1228 women aged 40 to 75 years old for this secondary analysis. By using Andersen’s Behavioral Model of Health Services Use, a binomial logistic regression model was used to analyze associations between mammography and socioeconomic factors, caregiving factors, and cancer belief factors. Results: caregivers who provided more caregiving hours per week (OR=0.749, 95% CI=0.564-0.94) and caregivers who had the belief of rather not knowing the likelihood of getting cancer (OR=0.673, 95% CI=0.496-0.914) were less likely to use mammogram. However, caregivers who believed cancer is more common than heart disease (OR=1.490, 95% CI=1.302- 2.151) were more likely to use a mammogram. Non-caregivers who worried about getting cancer (OR=1.158, 95% CI=0.793-1.691) were more likely to use mammogram, but non-caregivers who had the belief of rather not know the likelihood of getting cancer (OR=0.825, 95% CI=0.713-0.955) were less likely to use mammogram.Conclusions: to support caregivers’ breast cancer prevention, caregiving-related policies based on caregiving hours should be developed. Particularly, effort to promote breast cancer screening education and care support among older primary caregivers will likely increase their adherence to preventive mammography uptake. The development of targeted cancer prevention interventions on specific cancer beliefs held by both groups are also urgently needed to promote mammography.

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Do Caregiving Hours Impact on Female Caregivers’ Receipt of Mammogram?: A Comparison with Non-Caregivers

10.21203/rs.2.23052/v1 ◽

2020 ◽

Author(s):

Soo Young Kim ◽

Yuqi Guo ◽

Chorong Won ◽

Hee Yun Lee

Keyword(s):

Breast Cancer ◽

Cancer Prevention ◽

Secondary Analysis ◽

Behavioral Model ◽

Health Services Use ◽

Prevention Interventions ◽

Education And Care ◽

National Trends ◽

Cancer Beliefs

Abstract Background caregiving responsibilities significantly impact females’ decisions on adhering to preventive mammography. The purpose of this study is to examine (1) the levels of Mammogram receipt, (2) the role of caregiving factors on the receipt of mammogram in caregiving group, and (3) the role of cancer beliefs on Mammogram screening in caregivers and non-caregivers. Methods the 2017 Health Information National Trends Survey (HINTS) provides samples of 1228 women aged 40 to 75 years old for this secondary analysis. By using Andersen’s Behavioral Model of Health Services Use, a binomial logistic regression model was used to analyze associations between mammography and socioeconomic factors, caregiving factors, and cancer belief factors. Results caregivers who provided more hours of caregiving per week (OR=0.749, 95% CI=0.564-0.94) and caregivers who had the belief of rather not know the likelihood of getting cancer (OR=0.673, 95% CI=0.496-0.914) were less likely to use mammogram. However, caregivers who believed cancer is more common than heart disease (OR=1.490, 95% CI=1.302- 2.151) were more likely to use mammogram. Non-caregivers who worried about getting cancer (OR=1.158, 95% CI=0.793-1.691) were more likely to use mammogram, but non-caregivers who had the belief of rather not know the likelihood of getting cancer (OR=0.825, 95% CI=0.713-0.955) were less likely to use mammogram. Conclusions to support caregivers’ breast cancer prevention, caregiving-related policies based on caregiving hours should be developed. Particularly, effort to promote breast cancer screening education and care support among older primary caregivers will likely increase their adherence to preventive mammography uptake. Development of targeted cancer prevention interventions on specific cancer beliefs held by both groups are also urgently needed to promote mammography.

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Faith Communities and Breast/Cervical Cancer Prevention: Results of a Rural Alabama Survey

Online Journal of Rural Nursing and Health Care ◽

10.14574/ojrnhc.v5i2.180 ◽

2005 ◽

Vol 5 (2) ◽

pp. 83-92

Author(s):

Linda Dunn ◽

JoAnn Oliver ◽

Margaret Lyons

Keyword(s):

Cervical Cancer ◽

Cancer Prevention ◽

Cervical Cancer Prevention ◽

Faith Communities ◽

Rural Alabama

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Abstract CN11-03: Designing sustainable cancer prevention interventions for populations of low socioeconomic status

10.1158/1940-6207.prev-09-cn11-03 ◽

2010 ◽

Author(s):

Gary G. Bennett

Keyword(s):

Socioeconomic Status ◽

Cancer Prevention ◽

Low Socioeconomic Status ◽

Low Socioeconomic ◽

Prevention Interventions

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Continuing Issues for Dissemination and Implementation of Cancer Prevention Interventions

American Journal of Preventive Medicine ◽

10.1016/j.amepre.2010.01.012 ◽

2010 ◽

Vol 38 (4) ◽

pp. 462-463 ◽

Cited By ~ 6

Author(s):

David B. Buller

Keyword(s):

Cancer Prevention ◽

Dissemination And Implementation ◽

Prevention Interventions

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What Can Twitter Tell Us about Skin Cancer Communication and Prevention on Social Media?

Dermatology ◽

10.1159/000506458 ◽

2020 ◽

Vol 236 (2) ◽

pp. 81-89 ◽

Cited By ~ 2

Author(s):

Carina Vasconcelos Silva ◽

Dilki Jayasinghe ◽

Monika Janda

Keyword(s):

Public Health ◽

Social Media ◽

Skin Cancer ◽

Cancer Prevention ◽

Skin Cancer Prevention ◽

Cancer Communication ◽

Prevention Interventions ◽

Health Related ◽

Quantitative And Qualitative Methods ◽

Protective Behaviours

Background: Skin cancer places a substantial burden on the health system in Australia. The modernisation of skin cancer prevention interventions by using social media may enhance their contemporary reach and relevance, especially among the youth. This study aimed to analyse Twitter posts in Australia to establish a baseline of skin cancer and sun-related communication trends. Methods: Tweets posted over the summer of 2018/2019 relating to relevant keywords and hashtags such as “slipslopslap” and “sunscreen” were analysed using quantitative and qualitative methods. The number of tweets, related communication patterns, and possible factors for sudden changes in tweet volume were studied. Results: Results showed that Australians are using Twitter to communicate about their sun-related and skin cancer experiences and to share advice and information on this matter. Overall, Australians use Twitter more frequently to talk about sunscreen (number of tweets between December 2018 and February 2019 = 5,842) and/or skin cancer (n = 3,936), but not so often to communicate about other sun-protective behaviours (n = 1,972) or skin cancer prevention campaigns (n = 108). The number of tweets is greatly affected by the increase in temperature. Celebrities, non-health-related organisations with a high number of followers, and individuals sharing their own skin cancer experiences achieve a substantial number of likes and retweets and thus influence on Twitter regarding skin cancer-related communication. Conclusions: The results allow deeper understanding of important determinants for effective social media use for health promotion and public health messaging in the future. Linking tweets with temperature, sharing by celebrities or non-health-related organisations and individuals with a high following can all contribute to greater spread of skin cancer and sun-related messages.

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