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Learning Objective 1: Identify what culturally competent breast and colon cancer screening information and decision tools were important to Hispanic women during traditional cafecitos.
Learning Objective 2: Describe the cultural methods and procedures used during traditional cafecitos that made them distinct from focus group methodology.
Two traditional cafecitos were conducted to explore Hispanic women’s opinions of the content and structure of informative and effective decision aids. Cafecitos are small, traditional, informal discussions among similar people with coffee and pan dulce (sugar-free sweet breads). The settings were in a semi-rural Nueces county South Texas colonia as well as an urban setting with women aged 50-70 years of age. Recordings were transcribed and data from the two groups were coded and analyzed for frequencies of relevant content themes.
Results indicate that women (n = 21) had little education about both breast andCRC screenings. Women revealed misinformation about their personal risk and early stage diagnoses for both cancers. These findings indicate strong participant interest in communication strategies necessary to understand and reduce the risk of developing breast and CRC.
Faith/religiosity, fatalism, external locus of control, and familialism played a large role in screening decision aid tools. Future nursing interventions should focus their efforts on all four components. According to women’s suggestions, several decision aid tools should be incorporated and presented together as one large and more comprehensive decision aid tool to help individuals make informed decisions.
These findings have global implications for women because of our commonalities as women. All women need information about their personal risk of developing targeted cancers and ways to reduce their cancer risk in formats that are meaningful to them. Global networks of women, health providers, family, and friends can be effective dissemination tools to advocate breast and CRC screening.
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