265717 AMIGAS: Designing a culturally and linguistically relevant cervical cancer intervention with the participation of the priority community

Monday, October 29, 2012

Carlyn E. Orians, MA , Center for Analytics and Public Health, Battelle Memorial Institute, Seattle, WA
Theresa Byrd, DrPH , Medical Education, Texas Tech Paul L Foster School of Medicine, EL Paso, TX
Katherine M. Wilson, PhD, MPH, CHES , Office of Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention, Atlanta, GA
Carolina Mejia, PhD, MPH , Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC
Stella Vasquez , Yakima Valley Farm Workers Clinic, Toppenish, WA
Beatriz Barraza , Colaborativo SABER, San Diego, CA
Lorena Sprager, BA , Clear Language Group, Lorena Sprager and Associates, LLC and Nuestra Comunidad Sana, Hood River, OR
Judith Lee Smith, PhD , Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA
Background: AMIGAS (Ayudando a Las Mujeres con Información, Guía y Amor para su Salud) is a culturally and linguistically relevant, theory-based intervention. It was developed with the participation of the priority community to support the goal that Latinas aged 18 and over will have a Pap test at least every three years. Methods: Formative research (focus groups, surveys) coupled with theory (Health Belief Model, the Theory of Planned Behavior, Social Cognitive Theory, and the Transtheoretical Model) provided detailed information about predisposing, enabling and reinforcing factors associated with cervical cancer screening among Latinas in El Paso, Texas. Using Intervention Mapping techniques, a Community Advisory Board helped translate these findings into specific performance objectives and intervention strategies. Subsequent evaluations in individual educational sessions with a sample of 200 women and 24 focus groups in urban and rural communities in Texas and California provided further insights into the needs, barriers, and beliefs related to screening among the intended population. Results: The final materials developed (flipchart, movie, informational handout) were informed by an extensive research and participatory process. A Lay Health Worker Advisory Committee comprised of Promotoras and Program Administrators helped refine and expand AMIGAS based on this new research and their own experiences in this broader set of communities. Half-day workshops in Spanish with Promotoras in Washington and California provided additional ideas and experiences to improve the materials and lesson plans. Discussion: This extensive participatory development process was critical to creating an evidence-based intervention that meets Latina and Promotora needs.

Learning Areas:
Administer health education strategies, interventions and programs
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:
Describe the role of community–based participatory research (CBPR) in the development of the AMIGAS intervention.

Keywords: Lay Health Workers, Cancer Screening

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Carlyn Orians is a Research Leader with Battelle. Her research focuses on increasing access to services among disadvantaged populations through community-based approaches to public health promotion.
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.