224465 Process evaluation of culturally tailored liver cancer education material for Asian Americans

Monday, November 8, 2010

Hyeyeon Yoon , Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Sunmin Lee, ScD, MPH , Department of Epidemiology and Biostatistics, University of Maryland School of Public Health, College Park, MD
Carol Strong , Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD
Tonghan Chung , Department of Epidemiology and Biostatistics, University of Maryland, College Park, MD
Hee-Soon Juon, PhD , Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Background: One in 10 Asian Americans have chronic hepatitis B, which contributes to 80% of liver cancer. Culturally tailored education material is in needs to increase hepatitis B awareness and screening behavior among this population.

Objective: To evaluate photonovel, a culturally tailored material for hepatitis B education as a part of process evaluation for Asian American Liver Cancer Education Program in Maryland (2009-2010).

Methods: Two-page survey was mailed to 264 participants one month after photonovel distribution at our hepatitis B education session and 157(59.5%) replied. Exposure, understandability, cultural relevancy, motivation were evaluated and additional multivariate analysis was conducted to see the associated factors with the participants' intention for hepatitis B screening after reading photonovel.

Results: Most participants read photonovel (98%) and strongly agreed or agreed on its usefulness (84%). 36% recommended to others. They also strongly agreed or agreed on photonovel's cultural relevancy (77%) and easy understandability (84%). After reading photonovel, 50% became strongly confident for getting hepatitis B screening and 45.5% showed intention for screening within five months, which was significantly associated with self efficacy (OR=8.94, 95% CI 4.32-18.52) and female (OR=3.95, 95% CI 1.06-12.70) after controlling the participants' hepatitis B knowledge, insurance status, doctor's recommendation as well as socio-demographics.

Conclusions: The results indicate that this photonovel would be a good teaching tool for hepatitis B education for Asian Americans. Encouraging females who are usually health gatekeepers in family as photonovel message deliverers may extend the effectiveness of photonovel to maximize liver cancer awareness among Asian American families.

Learning Areas:
Communication and informatics
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
1. Evaluate exposure, cultural relevancy, understandability and motivation factor of photonovel as a culturally tailored hepatitis B education material for Asian Americans. 2. Describe favored parts of photonovel by Asian American readers. 3. Identify factors associated photonovel readers’ intention for hepatitis B screening and discuss potential strategies using those factors to maximize the photonovel and program improvement.

Keywords: Hepatitis B, Asian Americans

Presenting author's disclosure statement:

Not Answered

Back to: 3344.0: Taking culture and language into account in health education and promotion