195600 Colorectal cancer screening promotion education for low-income Latinos: An interactive touchscreen kiosk intervention

Tuesday, November 10, 2009: 2:30 PM

Armando Valdez, PhD , HealthPoint Institute, Mountain View, CA
Rene Salazar, MD , Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, San Francisco, CA
Marilyn A. Winkleby, MPH, PhD , Stanford Prevention Research Center, Stanford University, Stanford, CA
Susan Stewart, PhD , UCSF Comprehensive Cancer Center, University of California-San Francisco, San Francisco, CA
Healthy People 2010 sets a 50% colorectal cancer screening rate as the national goal for having had a FOBT within the past two years and for ever having had a sigmoidoscopy. Only 24.4% of Latinos over age 50 had received a FOBT within the past two years and 46.6% had ever had a sigmoidoscopy, according to 2006 CDC data. This health disparity is greater among low-income Latinos. These relatively low screening rates place Latinos at high risk for diagnoses at an advanced stage of the disease, which diminishes their chances of survival. Regular colorectal cancer screening remains the pivotal obstacle to improved Latino colorectal cancer survival. The need for interventions to improve screening and early detection is an urgent public health problem, yet the challenge is to effectively overcome cultural, linguistic and attitudinal barriers with an intervention that promotes adoption of recommended screening and risk reduction practices by low-income Latinos.

This presentation describes an education intervention designed to deliver culturally and linguistically appropriate colorectal cancer information to low-income, low literacy Latinos. The intervention employs interactive touchscreen kiosks to overcome language and cultural barriers in delivering cancer education messages about screening and prevention, correct misconceptions about colorectal cancer risk factors, improve attitudes toward screening, and model recommended screening and risk reduction behaviors. The design of the intervention was guided by formative research that identified barriers to screening among non-adherent, low-income Latinos as well as pathways to screening among low-income Latinos adherent to the 2005 USPSTF recommendations for colorectal cancer screening.

Learning Objectives:
At the conclusion of the session, participants will be able to: (1) describe the culturally and linguistically appropriate colorectal cancer messages delivered to low-income, low literacy Latinos through this intervention, (2) identify the features of the interactive, multimedia features of the kiosks used to deliver an individualized, self-paced education intervention to the intended audiences. and (3) describe the evaluation measures used to assess the efficacy of the intervention.

Keywords: Cancer Prevention, Health Disparities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the Principal Investigator of the study described
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.