Online Program

Examining Learning Preferences for Nutrition and Physical Education Curricula in a Colorectal Cancer Screening Study in Three Asian American Communities

Tuesday, November 3, 2015 : 3:10 p.m. - 3:30 p.m.

Angela Sy, DrPH, John A. Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI
Charlene Cuaresma, MPH, Student Excellence Equity and Diversity Program, University of Hawaii at Manoa, Honolulu, HI
Marjorie Kagawa-Singer, PhD, RN, MN, Department of Community Health Sciences, UCLA School of Public Health and Asian American Studies Center, Los Angeles, CA
Susan Stewart, PhD, Division of Biostatistics, University of California-Davis, Davis, CA
Janice Y. Tsoh, PhD, Department of Psychiatry, University of California San Francisco, and Asian American Research Center on Health (ARCH), San Francisco, CA
Tung T. Nguyen, MD, Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, and Asian American Research Center on Health (ARCH), San Francisco, CA
MJ Sung, UCLA, Los Angeles, CA
Penny Lo, Community Based Organization, Hmong Women's Heritage Association, Sacramento, CA
Ginny Gildengorin, PhD, Department of Medicine, University of California, San Francisco, San Francisco, CA
Background:  The National Center for Reducing Asian American Cancer Disparities implemented a multi-site randomized controlled trial employing lay health workers (LHWs) to promote colorectal cancer (CRC) screening in three Asian American (AA) communities: Sacramento-Hmong, Los Angeles-Koreans, and Hawai`i-Filipinos (N=~1000).  Twenty eight LHWs were recruited and trained from each of the three communities and randomized either to intervention-CRC prevention or a comparison-nutrition and physical activity (NPA)-group. Each site found that the delivery and content of NPA curriculum had to be modified based on ethnic specific cultural and pedagogical participant needs.

Significance: This presentation is one of the first to identify cultural modifications required in standard health education curricula tailored for AA adult learners

Purpose:  This presentation describes content and pedagogical modifications made by three AA groups to NPA curriculum to improve the acceptability and comprehensibility of the information for their respective communities.

Methods: Qualitative data were collected from LHW interviews and observation notes conducted by community site leads.  The multi-site research team reviewed and compared cross-site descriptions of NPA curriculum content, delivery styles and modifications with curriculum protocol.  Quantitative pre-post surveys measure knowledge, attitudes and behavior related to NPA.

Results:  Four themes emerged regarding learning preferences: 1) Nature of relationships and social etiquette in each group; 2) General and health literacy; 3) Modes of learning or didactic preferences; and 4) LHWs’ relationships with participants.  Quantitative results will corroborate the learning outcomes for the NPA curricula.

Conclusion:  The health education content, pedagogy, and relational elements that informed the types of modifications needed highlight components to promote the comfort and engagement of the community participants to effectively communicate health information to these three groups.  These modifications reflect cultural factors that impact transmission of educational information and facilitate the development of effective health promotion strategies to other AA communities and ethnic groups.

Learning Areas:

Assessment of individual and community needs for health education
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education

Learning Objectives:
Describe unique NPA education in each of the three AA communities Describe reasons that LHWs made modifications to existing NPA education curĀ¬riculum

Keyword(s): Asian Americans, Health Promotion and Education

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I served in a key role, i.e., Research Director, on this project.
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.