Effects of family health history-based colorectal cancer prevention education among non-adherent Chinese Americans to colorectal cancer screening guidelines. Issue 5 (May 2021)

• Record Type: Journal Article
• Authors: Wang, Haocen; Yeh, Yu-Lyu; Li, Ming; Ma, Ping; Kwok, Oi-Man; Chen, Lei-Shih
• Is Part Of: Patient education and counseling. Volume 104:Issue 5(2021)
• Page Start: 1149
• Page End: 1158
• Publication Date: 2021-05
• Subjects: Family health history -- Colorectal cancer -- Cancer prevention -- Chinese American -- Community-based participatory research; Patient education -- Periodicals; Health counseling -- Periodicals; Health education -- Periodicals; Counseling -- Periodicals; Patient Education -- Periodicals; Éducation des patients -- Périodiques; Counseling -- Périodiques; Éducation sanitaire -- Périodiques; 615.5071
• DOI: 10.1016/j.pec.2020.10.005
• Languages: English
• ISSNs: 0738-3991

Abstract

Highlights: FHH-based CRC prevention education promoted Chinese Americans' FHH communication. After participating in the workshops, 91.9 % of Chinese Americans underwent FOBT. Participants thought the workshops improved their FHH and CRC prevention knowledge. Abstract: Objective: This study examined the effects of the first family health history (FHH)-based colorectal cancer (CRC) prevention education on 1) FHH of CRC communication with family members and primary care physicians (PCPs), 2) fecal occult blood test (FOBT) uptake, and 3) CRC preventive lifestyle modifications among 50- to 75-year-old Chinese Americans non-adherent to CRC screening guidelines. Methods: Using a community–based participatory research approach, we developed and implemented 62 culturally and linguistically appropriate, theory-driven, FHH-based CRC prevention educational workshops across Texas for 344 Chinese Americans (mostly with low education/income) aged 50–75 years who were non-adherent to CRC screening guidelines. Results: Linear mixed modeling analyses showed that participants' FHH of CRC communication with PCPs and family members significantly increased two-week post-workshop compared to pre-workshop data ( ps <0.001). Moreover, at two-weeks post-workshop, 91.9 % of participants underwent FOBT. Nevertheless, no significant changes were found in participants' lifestyles. Conclusion: Our educational workshops successfully increased Chinese Americans' FHH of CRC communication and FOBT uptake. Personalized education with longer follow-ups may be needed in future studies to promote lifestyle changes among Chinese Americans. Practice implications: Health and public health professionals may adopt our workshop educational materials to provide patient and public CRC prevention education for Chinese Americans.