Oncology Nursing Forum
Volume 41, Issue 3, 2014, Pages E185-E193

The effect of a couples intervention to increase breast cancer screening among Korean Americans (Review)

Lee E. , Menon U. , Nandy K. , Szalacha L. , Kviz F. , Cho Y. , Miller A. , Park H.
  • a School of Nursing, University of California, Los Angeles, CA, United States
  • b College of Nursing, Ohio State University in Columbus, United States
  • c School of Nursing, University of California, Los Angeles, CA, United States
  • d Center for Research and Transdisciplinary Scholarship, College of Nursing, Ohio State University, United States
  • e Department of Community Health Sciences, School of Public Health, University of Illinois, Chicago, IL, United States
  • f School of Public Health, University of Wisconsin, Milwaukee, WI, United States
  • g Department of Community, Systems, and Mental Health Nursing, College of Nursing, Rush University, Chicago, IL, United States
  • h College of Nursing, University of Illinois, Chicago, IL, United States

Abstract

Purpose/Objectives: To assess the efficacy of Korean Immigrants and Mammography-Culture-Specific Health Intervention (KIM-CHI), an educational program for Korean American (KA) couples designed to improve mammography uptake among KA women. Design: A two-group cluster randomized, longitudinal, controlled design. Setting: 50 KA religious organizations in the Chicago area. Sample: 428 married KA women 40 years of age or older who had not had a mammogram in the past year. The women and their husbands were recruited from 50 KA religious organizations. Methods: Couples were randomly assigned to intervention or attention control groups. Those in the KIM-CHI program (n = 211 couples) were compared to an attention control group (n = 217 couples) at baseline, as well as at 6 and 15 months postintervention on mammogram uptake. Main Research Variables: Sociodemographic variables and mammography uptake were measured. Level of acculturation was measured using the Suinn-Lew Asian Self-Identity Acculturation Scale. Researchers asked questions about healthcare resources and use, health insurance status, usual source of care, physical examinations in the past two years, family history of breast cancer, and history of mammography. Findings: The KIM-CHI group showed statistically significant increases in mammography uptake compared to the attention control group at 6 months and 15 months postintervention. Conclusions: The culturally targeted KIM-CHI program was effective in increasing mammogram uptake among nonadherent KA women. Implications for Nursing: Nurses and healthcare providers should consider specific health beliefs as well as inclusion of husbands or significant others. They also should target education to be culturally relevant for KA women to effectively improve frequency of breast cancer screening.

Author Keywords

mammography Breast cancer Detection Clinical trials Korean American prevention

Index Keywords

education Korea longitudinal study health promotion human epidemiology Longitudinal Studies middle aged Chicago controlled study comparative study randomized controlled trial Early Detection of Cancer ethnology procedures marriage United States cluster analysis Humans Breast Neoplasms migrant Mammography psychology Asian Americans male Emigrants and Immigrants Acculturation female Asian American Socioeconomic Factors socioeconomics cultural factor Health Knowledge, Attitudes, Practice patient compliance adult utilization patient attitude Patient Acceptance of Health Care attitude to health early diagnosis
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84901014747&doi=10.1188%2f14.ONF.E185-E193&partnerID=40&md5=534ad42415244f5bcb55441786706d99
DOI: 10.1188/14.ONF.E185-E193
ISSN: 0190535X
Cited by: 20
Original Language: English