Open AccessComparing Different Interventions’ Effects on Latinas’ Screening Mammography Attainment and Participant-Driven Information Diffusion
Author(s) -
Yamilé Molina,
Liliana G. San Miguel,
Lizeth I. Tamayo,
Catherine M. Pichardo,
Paola Torres,
Casandra Robledo,
Leslie Diaz,
Izalia Ruiz,
Carola T. Sánchez Díaz,
Juanita Arroyo,
Maria Camila Medina,
Nora Coronado,
Olivia Allende Hernández,
Araceli Lucio,
Marian L. Fitzgibbon,
Candyce H. Kroenke
Publication year - 2021
Publication title -
health education and behavior
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.888
H-Index - 92
eISSN - 1552-6127
pISSN - 1090-1981
DOI - 10.1177/10901981211010448
Subject(s) - medicine , psychological intervention , mammography , referral , public health , breast cancer screening , gerontology , family medicine , intervention (counseling) , breast cancer , clinical psychology , nursing , cancer
Evaluation of multiple community-based approaches to improve Latinas' breast cancer (BC) screening utilization has resulted in inconsistent findings. Factors contributing to this variation include heterogeneity in approaches (e.g., types of conceptual frameworks) and study quality (e.g., lack of measurement of spillover effects). This pilot study sought to clarify which approach may be most effective by evaluating the relative efficacy of two conceptual approaches using an area-level design with 145 Latinas nonadherent to U.S. Preventive Services Taskforce (USPSTF) BC screening guidelines. Each study arm included identical intervention format and duration (e.g., three group-based sessions, logistic assistance (LA) via five monthly calls and referral to free/low-cost screening programs). However, study content differed. While educate+LA addressed participants' BC prevention and screening behavior, empower+LA addressed participants' and their social networks' BC screening. After adjusting for age, insurance status, and baseline mammography intention, when compared with educate+LA participants, empower+LA participants were more likely to report obtaining mammograms, engaging more individuals about BC, initiating BC conversations in public settings, and discussing mammography specifically. Our study has important implications regarding the utility of evaluating behavioral interventions overall in terms of behavioral and spillover network effects.