Christian Ochoa|Sheila T. Murphy|Lauren B. Frank|Lourdes Báezconde?Garbanati
Using a Culturally Tailored Narrative to Increase Cervical Cancer Detection Among Spanish-Speaking Mexican-American Women
University of Southern California|University of Southern California|Portland State University|University of Southern California
objective study determine feasibility effectiveness translating films whether use narrative effective vehicle producing changes knowledge attitudes behaviors regarding cervical cancer compared nonnarrative film randomized controlled telephone trial surveyed effectiveness two films team produced among sample 300 monolingual spanishspeaking women ages 25 45 mexican origin participants recruited using random digit dialing rdd procedures 2013 2014 los angeles county randomly selected view either narrative nonnarrative film data collected phone baseline 2 weeks 6 months viewing average participants arrived usa 25 years ago majority reported less high school education limited english proficiency compared nonnarrative counterparts women received cervical cancerrelated information narrative film showed significantly greater increase new knowledge p 001 supportive attitudes pap tests expense p 005 importantly 6 months although statistically significant women viewed narrative film also likely scheduled pap test 62 vs 42 narratives useful underutilized tool communicate information cancer prevention findings important implications delivery health education among spanishspeaking lowliteracy immigrant women reduction cancerrelated disparities