María E. Fernández|Alicia Gonzales|Guillermo Tortolero?Luna|Janet Williams|Monica Saavedra-Embesi|Wenyaw Chan|Sally W. Vernon
Effectiveness of <i>Cultivando La Salud</i>: A Breast and Cervical Cancer Screening Promotion Program for Low-Income Hispanic Women
National Center for Farmworker Health|National Center for Farmworker Health|National Center for Farmworker Health|National Center for Farmworker Health|National Center for Farmworker Health|National Center for Farmworker Health|National Center for Farmworker Health
objectives tested effectiveness lay health worker intervention increase breast cervical cancer screening among lowincome hispanic women methods participants women 50 years older nonadherent mammography n 464 papanicolaou pap test n 243 screening guidelines collection baseline data lay health workers implemented cultivando la salud cls cultivating health intervention data collectors interviewed participants 6 months later results followup screening completion higher among women intervention group control group mammography 408 vs 299 p lt 05 pap test 395 vs 236 p lt 05 screening intenttotreat analysis differences remained significant intervention increased mammography selfefficacy perceived susceptibility perceived survivability perceived benefits mammography subjective norms processes change intervention also significantly increased pap test selfefficacy perceived benefits pap test subjective norms perceived survivability cancer change pap test knowledge perceived susceptibility perceptions negative aspects pap test screening conclusions results add evidence concerning effectiveness lay health worker interventions increasing pap test screening mammography future research explore effectiveness cls hispanic groups mechanisms interpersonal communication influences decisions screening effective interventions cls best adopted implemented communitybased organizations settings