Culturally Sensitive, Stage-Based Mammography Promotion Education for Korean-American Women

Monday, 13 July 2009: 3:05 PM

Jin H. Kim, PhD, RN
College of Nursing, University of Illinois at Chicago, Chicago, IL

Learning Objective 1: understand the effects of education on the stages of readiness for mammography use among ethnic minority Korean American women

Learning Objective 2: understand the educational contents to be emphasized in innovative and culturally relevant interventions to promote mammography adoption among diverse underrepresented women in the U.S

Purpose: A prospective, repeated-measures, two-group study was conducted to test a culturally relevant, stage-based, targeted intervention titled GO EARLY Save Your Life, specifically designed to promote  the stage of readiness for mammography use among non-adherent, Korean American women aged 40 years or older.
Methods: The integration of the transtheoretical model of change (TTM) and the health belief model (HBM) guided the study. A total of 180 KA women participated. The GO EARLY Save Your Life educational program was a 45-minute, stage-based, interactive session on breast cancer/early screening knowledge, breast cancer-related beliefs, and Korean traditional health/illness-related beliefs for KA women grouped according to stages of readiness for mammography adoption. Each woman in the intervention group (n=90) completed a baseline survey, attended an educational session arranged by mammography stage at baseline, and completed a follow-up survey 16 and 24 weeks after the educational session. Women in the control group (n=90) completed questionnaires only at the same intervals as the intervention group.
Results: Mammography use increased by 15% for the intervention group and 7% for the control group. No statistically significant intervention effect on mammography use was found between the intervention (34%) and control group (23%) at 24 weeks post baseline. The education was effective in increasing breast cancer knowledge and perceived benefits, and decreasing perceived barriers, fear, seriousness, fatalism, and traditional Korean preventive health orientation.
Conclusion: The GO EARLY Save Your Life intervention was feasible and culturally sensitive to KA women, and can be replicated in other KA communities. A longitudinal study with more repeated measures of mammography use is needed to assess the further educational impact on mammography use and estimate the length of time that KA women need to follow through the steps for completion of mammography.