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Prev Chronic Dis. 2014 Dec 11;11:E217. doi: 10.5888/pcd11.140341.

Engaging traditional medicine providers in colorectal cancer screening education in a chinese american community: a pilot study.

Author information

1
1600 Holloway Ave, Bldg HSS 327, San Francisco State University, San Francisco, CA 94132-4161. E-mail: wangjun@sfsu.edu. Dr Wang is also affiliated with the Asian American Research Center on Health, San Francisco, California.
2
San Francisco State University, Asian American Research Center on Health, San Francisco, California.
3
University of California and Asian American Research Center on Health, San Francisco, California.
4
Ginny Gildengorin, Ching Wong, University of California, San Francisco, California.
5
University of California, Davis, California; Elaine Chow, NICOS Chinese Health Coalition, San Francisco, California.
6
University of California, San Francisco, California.
7
NICOS Chinese Health Coalition, San Francisco, California.
8
NICOS Chinese Health Coalition and Asian American Research Center on Health, San Francisco, California.

Abstract

INTRODUCTION:

Although colorectal cancer (CRC) screening is effective in preventing colon cancer, it remains underused by Asian Americans. Because Chinese Americans often use traditional Chinese medicine (TCM), we conducted a pilot study to explore the feasibility and acceptability of having TCM providers deliver education about CRC screening.

METHODS:

Four TCM providers (2 herbalists and 2 acupuncturists) were trained to deliver small-group educational sessions to promote CRC screening. Each provider recruited 15 participants aged 50 to 75. Participants completed a baseline survey on CRC-related knowledge, attitudes, and behaviors and then attended one 2-hour educational session delivered by the providers in Cantonese or Mandarin. Three months later, participants completed a postintervention survey.

RESULTS:

Sixty participants were recruited from the San Francisco Chinatown neighborhood. The average age was 62.4 years. Most participants had limited English proficiency (96.7%), annual household income less than $20,000 per year (60%), and low educational attainment (65.1% < high school education). At postintervention (n = 57), significant increases were found in having heard of CRC (from 52.6% to 79.0%, P < .001) and colon polyps (from 64.9% to 84.2%, P < .001). Knowledge regarding screening frequency recommendations also increased significantly. The rate of ever having received any CRC screening test increased from 71.9% to 82.5% (P <.001). The rate of up-to-date screening increased from 70.2% to 79.0% (P = .04).

CONCLUSION:

The findings suggest that TCM providers can be trained to deliver culturally and linguistically appropriate outreach on CRC screening within their community. Participants reached by TCM providers increased CRC knowledge and self-reported CRC screening.

PMID:
25496557
PMCID:
PMC4264464
DOI:
10.5888/pcd11.140341
[Indexed for MEDLINE]
Free PMC Article

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