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Using Intervention Mapping to Develop Health Education Components to Increase Colorectal Cancer Screening in Puerto Rico
INTRODUCTION: Colorectal cancer (CRC) is a leading cause of cancer-related mortality in Puerto Rico (PR). Although largely preventable through screening and treatment of precancerous polyps, CRC screening rates in PR remain low while CRC incidence and mortality continue to increase. METHODS: We used...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5725404/ https://www.ncbi.nlm.nih.gov/pubmed/29270400 http://dx.doi.org/10.3389/fpubh.2017.00324 |
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author | Serra, Yolanda A. Colón-López, Vivian Savas, Lara S. Vernon, Sally W. Fernández-Espada, Natalie Vélez, Camille Ayala, Alelí Fernández, María E. |
author_facet | Serra, Yolanda A. Colón-López, Vivian Savas, Lara S. Vernon, Sally W. Fernández-Espada, Natalie Vélez, Camille Ayala, Alelí Fernández, María E. |
author_sort | Serra, Yolanda A. |
collection | PubMed |
description | INTRODUCTION: Colorectal cancer (CRC) is a leading cause of cancer-related mortality in Puerto Rico (PR). Although largely preventable through screening and treatment of precancerous polyps, CRC screening rates in PR remain low while CRC incidence and mortality continue to increase. METHODS: We used intervention mapping (IM), a systematic framework using theory and evidence to plan a health promotion intervention to increase colorectal cancer screening (CRCS) among Puerto Rican adults 50 years and older who are patients of Federally Qualified Health Centers (FQHCs) in PR. RESULTS: To inform the development of a logic model of the problem during the needs assessment phase, we determined the CRC incidence and mortality rates in PR using recent data from the PR Cancer Registry, conducted a literature review to better understand behavioral and environmental factors influencing CRC among Hispanics in general and in Puerto Ricans, and collected new data. We conducted seven focus groups to identify community needs and resources, specific sub-behaviors related to CRCS (performance objectives) and the determinants of CRCS. We then developed matrices of change objectives that would guide the content, behavioral change method selection, and the practical applications that would be included in the program. We selected two overarching methods: entertainment education and behavioral journalism and developed practical applications, materials, and messages containing several other methods including modeling, persuasion, information, and tailoring. We developed and pretested a Tailored Interactive Multimedia Intervention, newsletter, an action plan, and supplemental print materials for patients. We also developed a patient mediated provider prompt to increase provider recommendation and improve patient provider communication. CONCLUSION: The use of IM for systematic planning produced a detailed coherent plan for the CRCS educational intervention. Guided by IM processes, steps, and tasks, we used community level information, existing literature, theory, and new data to develop health education materials that were well received by the priority population and will likely increase CRCS among FQHC patients in PR. |
format | Online Article Text |
id | pubmed-5725404 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-57254042017-12-21 Using Intervention Mapping to Develop Health Education Components to Increase Colorectal Cancer Screening in Puerto Rico Serra, Yolanda A. Colón-López, Vivian Savas, Lara S. Vernon, Sally W. Fernández-Espada, Natalie Vélez, Camille Ayala, Alelí Fernández, María E. Front Public Health Public Health INTRODUCTION: Colorectal cancer (CRC) is a leading cause of cancer-related mortality in Puerto Rico (PR). Although largely preventable through screening and treatment of precancerous polyps, CRC screening rates in PR remain low while CRC incidence and mortality continue to increase. METHODS: We used intervention mapping (IM), a systematic framework using theory and evidence to plan a health promotion intervention to increase colorectal cancer screening (CRCS) among Puerto Rican adults 50 years and older who are patients of Federally Qualified Health Centers (FQHCs) in PR. RESULTS: To inform the development of a logic model of the problem during the needs assessment phase, we determined the CRC incidence and mortality rates in PR using recent data from the PR Cancer Registry, conducted a literature review to better understand behavioral and environmental factors influencing CRC among Hispanics in general and in Puerto Ricans, and collected new data. We conducted seven focus groups to identify community needs and resources, specific sub-behaviors related to CRCS (performance objectives) and the determinants of CRCS. We then developed matrices of change objectives that would guide the content, behavioral change method selection, and the practical applications that would be included in the program. We selected two overarching methods: entertainment education and behavioral journalism and developed practical applications, materials, and messages containing several other methods including modeling, persuasion, information, and tailoring. We developed and pretested a Tailored Interactive Multimedia Intervention, newsletter, an action plan, and supplemental print materials for patients. We also developed a patient mediated provider prompt to increase provider recommendation and improve patient provider communication. CONCLUSION: The use of IM for systematic planning produced a detailed coherent plan for the CRCS educational intervention. Guided by IM processes, steps, and tasks, we used community level information, existing literature, theory, and new data to develop health education materials that were well received by the priority population and will likely increase CRCS among FQHC patients in PR. Frontiers Media S.A. 2017-12-07 /pmc/articles/PMC5725404/ /pubmed/29270400 http://dx.doi.org/10.3389/fpubh.2017.00324 Text en Copyright © 2017 Serra, Colón-López, Savas, Vernon, Fernández-Espada, Vélez, Ayala and Fernández. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Serra, Yolanda A. Colón-López, Vivian Savas, Lara S. Vernon, Sally W. Fernández-Espada, Natalie Vélez, Camille Ayala, Alelí Fernández, María E. Using Intervention Mapping to Develop Health Education Components to Increase Colorectal Cancer Screening in Puerto Rico |
title | Using Intervention Mapping to Develop Health Education Components to Increase Colorectal Cancer Screening in Puerto Rico |
title_full | Using Intervention Mapping to Develop Health Education Components to Increase Colorectal Cancer Screening in Puerto Rico |
title_fullStr | Using Intervention Mapping to Develop Health Education Components to Increase Colorectal Cancer Screening in Puerto Rico |
title_full_unstemmed | Using Intervention Mapping to Develop Health Education Components to Increase Colorectal Cancer Screening in Puerto Rico |
title_short | Using Intervention Mapping to Develop Health Education Components to Increase Colorectal Cancer Screening in Puerto Rico |
title_sort | using intervention mapping to develop health education components to increase colorectal cancer screening in puerto rico |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5725404/ https://www.ncbi.nlm.nih.gov/pubmed/29270400 http://dx.doi.org/10.3389/fpubh.2017.00324 |
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