An Adapted Cancer Screening Education Program for Native American Women With Intellectual and Developmental Disabilities and Their Caregivers: Protocol for Feasibility and Acceptability Testing

BackgroundWomen with intellectual and developmental disabilities (IDD) do not undergo breast and cervical cancer screening at the same rate as women without IDD. IDDs are diagnosed in childhood, are lifelong, and involve difficulties in adaptive behaviors and intellectual fun...

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Main Authors: Julie S Armin, Heather J Williamson, Janet Rothers, Michele S Lee, Julie A Baldwin
Format: Article
Language:English
Published: JMIR Publications 2023-02-01
Series:JMIR Research Protocols
Online Access:https://www.researchprotocols.org/2023/1/e37801
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author Julie S Armin
Heather J Williamson
Janet Rothers
Michele S Lee
Julie A Baldwin
author_facet Julie S Armin
Heather J Williamson
Janet Rothers
Michele S Lee
Julie A Baldwin
author_sort Julie S Armin
collection DOAJ
description BackgroundWomen with intellectual and developmental disabilities (IDD) do not undergo breast and cervical cancer screening at the same rate as women without IDD. IDDs are diagnosed in childhood, are lifelong, and involve difficulties in adaptive behaviors and intellectual functioning. Native American women also experience disparities in breast and cervical cancer screenings. Despite known disparities, women with IDD are often not included in health promotion programs, and there is a need for evidence-based programming for those with intersectional identities, such as Native American women with IDD. ObjectiveThis study aims to assess the feasibility and acceptability of My Health My Choice (MHMC), an adaptation of the Women Be Healthy 2 program. There are 2 parts to the study: adaptation of the Women Be Healthy 2 program and feasibility and acceptability testing of MHMC. MethodsIndividuals aged over 18 years who identify as Native American females with IDD and their caregivers (N=30 women-caregiver dyads) are eligible for the study. Participants, who are affiliated with 2 partnering sites in Arizona (1 rural and 1 urban), complete pre- and postsurveys assessing knowledge, self-efficacy, and screening expectations before and immediately after completing the program. In addition, all participants complete brief satisfaction surveys after each of the 6 educational sessions. A subsample of Native American women with an IDD (n=12), caregivers (n=12), and community health educators (n=2) who participate in the MHMC program will provide semistructured qualitative input regarding the content, delivery, and cultural relevance of the program. ResultsThe adaptation of the culturally responsive MHMC program was completed in August 2021. In November 2021, the project team began recruitment for feasibility and acceptability studies. Feasibility will be examined using participation metrics, and acceptability will be measured using satisfaction measures. Pre- and postmeasures in cancer screening knowledge, self-efficacy, and screening expectations will examine improvements among participants. ConclusionsThe results of feasibility and acceptability testing of MHMC will guide future implementation studies of the program. International Registered Report Identifier (IRRID)DERR1-10.2196/37801
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spelling doaj.art-68d3b4a8ac224ba8a44950c2b106092d2023-08-28T23:44:23ZengJMIR PublicationsJMIR Research Protocols1929-07482023-02-0112e3780110.2196/37801An Adapted Cancer Screening Education Program for Native American Women With Intellectual and Developmental Disabilities and Their Caregivers: Protocol for Feasibility and Acceptability TestingJulie S Arminhttps://orcid.org/0000-0001-8787-9190Heather J Williamsonhttps://orcid.org/0000-0001-7713-4486Janet Rothershttps://orcid.org/0000-0003-4633-9547Michele S Leehttps://orcid.org/0000-0003-2007-7489Julie A Baldwinhttps://orcid.org/0000-0003-1872-1925 BackgroundWomen with intellectual and developmental disabilities (IDD) do not undergo breast and cervical cancer screening at the same rate as women without IDD. IDDs are diagnosed in childhood, are lifelong, and involve difficulties in adaptive behaviors and intellectual functioning. Native American women also experience disparities in breast and cervical cancer screenings. Despite known disparities, women with IDD are often not included in health promotion programs, and there is a need for evidence-based programming for those with intersectional identities, such as Native American women with IDD. ObjectiveThis study aims to assess the feasibility and acceptability of My Health My Choice (MHMC), an adaptation of the Women Be Healthy 2 program. There are 2 parts to the study: adaptation of the Women Be Healthy 2 program and feasibility and acceptability testing of MHMC. MethodsIndividuals aged over 18 years who identify as Native American females with IDD and their caregivers (N=30 women-caregiver dyads) are eligible for the study. Participants, who are affiliated with 2 partnering sites in Arizona (1 rural and 1 urban), complete pre- and postsurveys assessing knowledge, self-efficacy, and screening expectations before and immediately after completing the program. In addition, all participants complete brief satisfaction surveys after each of the 6 educational sessions. A subsample of Native American women with an IDD (n=12), caregivers (n=12), and community health educators (n=2) who participate in the MHMC program will provide semistructured qualitative input regarding the content, delivery, and cultural relevance of the program. ResultsThe adaptation of the culturally responsive MHMC program was completed in August 2021. In November 2021, the project team began recruitment for feasibility and acceptability studies. Feasibility will be examined using participation metrics, and acceptability will be measured using satisfaction measures. Pre- and postmeasures in cancer screening knowledge, self-efficacy, and screening expectations will examine improvements among participants. ConclusionsThe results of feasibility and acceptability testing of MHMC will guide future implementation studies of the program. International Registered Report Identifier (IRRID)DERR1-10.2196/37801https://www.researchprotocols.org/2023/1/e37801
spellingShingle Julie S Armin
Heather J Williamson
Janet Rothers
Michele S Lee
Julie A Baldwin
An Adapted Cancer Screening Education Program for Native American Women With Intellectual and Developmental Disabilities and Their Caregivers: Protocol for Feasibility and Acceptability Testing
JMIR Research Protocols
title An Adapted Cancer Screening Education Program for Native American Women With Intellectual and Developmental Disabilities and Their Caregivers: Protocol for Feasibility and Acceptability Testing
title_full An Adapted Cancer Screening Education Program for Native American Women With Intellectual and Developmental Disabilities and Their Caregivers: Protocol for Feasibility and Acceptability Testing
title_fullStr An Adapted Cancer Screening Education Program for Native American Women With Intellectual and Developmental Disabilities and Their Caregivers: Protocol for Feasibility and Acceptability Testing
title_full_unstemmed An Adapted Cancer Screening Education Program for Native American Women With Intellectual and Developmental Disabilities and Their Caregivers: Protocol for Feasibility and Acceptability Testing
title_short An Adapted Cancer Screening Education Program for Native American Women With Intellectual and Developmental Disabilities and Their Caregivers: Protocol for Feasibility and Acceptability Testing
title_sort adapted cancer screening education program for native american women with intellectual and developmental disabilities and their caregivers protocol for feasibility and acceptability testing
url https://www.researchprotocols.org/2023/1/e37801
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