255286 How to Increase Mammogram Screening Rates Among Disadvantaged Populations: The Use of Computer Kiosks

Wednesday, October 31, 2012 : 8:30 AM - 8:45 AM

Bijou Hunt, MA , Sinai Urban Health Institute, Sinai Health System, Chicago, IL
Janeen Turner, MPA , Sinai Urban Health Institute, Sinai Health System, Chicago, IL
Chela Sproles, PhD , Sinai Urban Health Institute, Sinai Health System, Chicago, IL
Poor access to breast cancer screening may be one cause of widening Black-White disparities in breast cancer mortality (RR=1.62, 2005-07). Building on the successs of traditional patient navigation programs, community navigation aims to reach women who are most at-risk where they live. In May 2011, Helping Her Live launched two breast health (BH) kiosks in our 2 Chicago target communities. The kiosks have been placed in a church, two medical facilities, a grocery store, and a Walgreens pharmacy. The kiosk provides a touch-screen BH assessment and prints a tailored BH magazine with project information, encouraging users to contact the project hotline for assistance obtaining BH services. Between May and November 2011, the kiosks generated 633 uses. Forty-nine percent of users were 40 or above; 51% were Black, 19% Mexican and 3% Puerto Rican; 68% were either un- or under-insured; and 48% had not had a mammogram within the last 2 years (among women 40+). In an effort to better understand how to maximize the effectiveness of the kiosk, we staffed the kiosk with Community Health Workers (CHWs) for two 3-hour slots on four different days (11-2 and 2-5). Kiosk usage increased drastically when a CHW was present, as did the number of women enrolling in services.Educational kiosks can provide an effective means for reaching at-risk women where they are and making services available to them. Kiosks present their own set of challenges which will be discussed at length.

Learning Areas:
Communication and informatics
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe computer kiosks and how they work Discuss how to use computer kiosks to reach disadvantaged women to increase mammogram screening Examine data on kiosk usage Identify optimal community settings for computer kiosk placement

Keywords: Breast Cancer Screening, Outreach Programs

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I helped design the implementation of our kiosk outreach strategy and am familiar with the literature on the topic
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.