A Mobile Health Breast Cancer Educational and Screening Intervention Tailored for Low-Income, Uninsured Latina Immigrants

Objective: To investigate the efficacy of mobile health (mHealth) intervention strategies that delivered either personalized, culturally, and linguistically tailored cell phone voice messages or text messages related to breast cancer and prevention, compared to the control group, to determine which...

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Main Authors: Maria De Jesus, Shalini Ramachandra, Alexis De Silva, Shirley Liu, Ethan Dubnansky, Kingsley Iyawe, Astrid Jimenez, Laura Logie, M.C. Jackson
Format: Article
Language:English
Published: Mary Ann Liebert 2021-08-01
Series:Women's Health Reports
Subjects:
Online Access:https://www.liebertpub.com/doi/full/10.1089/WHR.2020.0112
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author Maria De Jesus
Shalini Ramachandra
Alexis De Silva
Shirley Liu
Ethan Dubnansky
Kingsley Iyawe
Astrid Jimenez
Laura Logie
M.C. Jackson
author_facet Maria De Jesus
Shalini Ramachandra
Alexis De Silva
Shirley Liu
Ethan Dubnansky
Kingsley Iyawe
Astrid Jimenez
Laura Logie
M.C. Jackson
author_sort Maria De Jesus
collection DOAJ
description Objective: To investigate the efficacy of mobile health (mHealth) intervention strategies that delivered either personalized, culturally, and linguistically tailored cell phone voice messages or text messages related to breast cancer and prevention, compared to the control group, to determine which strategy is more likely to increase breast cancer knowledge and screening mammography among low-income Latina immigrants. Methods: This randomized controlled trial assigned 256 Latina immigrants 40 years of age or older to one of three groups: an automated cell phone voice message group, an automated text message group, or the control group (mail). The mHealth intervention employed a comprehensive approach that included breast cancer and prevention education and free mammography screening. Outcome measures included knowledge of breast cancer and breast cancer prevention, and adherence to screening mammography. Results: There was a general increase in breast cancer knowledge after the educational intervention for all the groups [p?=?0.01, t(199)?=?3.996]. Knowledge increase and mammography adherence did not differ based on group. Conclusion: More important than the actual method of communication is how breast cancer and prevention messages are constructed, who the messenger is, and the enabling factors that facilitate screening adherence. A breast cancer preventive intervention program that is personalized, culturally and linguistically tailored, and offers a free or low-cost mammogram holds promise to be an effective method in reaching an underserved Latina population with a high breast cancer burden.
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spelling doaj.art-e14168033a1e403b864a9e1c3e0392462024-01-26T05:42:13ZengMary Ann LiebertWomen's Health Reports2688-48442021-08-012132533610.1089/WHR.2020.0112A Mobile Health Breast Cancer Educational and Screening Intervention Tailored for Low-Income, Uninsured Latina ImmigrantsMaria De JesusShalini RamachandraAlexis De SilvaShirley LiuEthan DubnanskyKingsley IyaweAstrid JimenezLaura LogieM.C. JacksonObjective: To investigate the efficacy of mobile health (mHealth) intervention strategies that delivered either personalized, culturally, and linguistically tailored cell phone voice messages or text messages related to breast cancer and prevention, compared to the control group, to determine which strategy is more likely to increase breast cancer knowledge and screening mammography among low-income Latina immigrants. Methods: This randomized controlled trial assigned 256 Latina immigrants 40 years of age or older to one of three groups: an automated cell phone voice message group, an automated text message group, or the control group (mail). The mHealth intervention employed a comprehensive approach that included breast cancer and prevention education and free mammography screening. Outcome measures included knowledge of breast cancer and breast cancer prevention, and adherence to screening mammography. Results: There was a general increase in breast cancer knowledge after the educational intervention for all the groups [p?=?0.01, t(199)?=?3.996]. Knowledge increase and mammography adherence did not differ based on group. Conclusion: More important than the actual method of communication is how breast cancer and prevention messages are constructed, who the messenger is, and the enabling factors that facilitate screening adherence. A breast cancer preventive intervention program that is personalized, culturally and linguistically tailored, and offers a free or low-cost mammogram holds promise to be an effective method in reaching an underserved Latina population with a high breast cancer burden.https://www.liebertpub.com/doi/full/10.1089/WHR.2020.0112educational interventionmHealthbreast cancerscreening mammographyLatina immigrants
spellingShingle Maria De Jesus
Shalini Ramachandra
Alexis De Silva
Shirley Liu
Ethan Dubnansky
Kingsley Iyawe
Astrid Jimenez
Laura Logie
M.C. Jackson
A Mobile Health Breast Cancer Educational and Screening Intervention Tailored for Low-Income, Uninsured Latina Immigrants
Women's Health Reports
educational intervention
mHealth
breast cancer
screening mammography
Latina immigrants
title A Mobile Health Breast Cancer Educational and Screening Intervention Tailored for Low-Income, Uninsured Latina Immigrants
title_full A Mobile Health Breast Cancer Educational and Screening Intervention Tailored for Low-Income, Uninsured Latina Immigrants
title_fullStr A Mobile Health Breast Cancer Educational and Screening Intervention Tailored for Low-Income, Uninsured Latina Immigrants
title_full_unstemmed A Mobile Health Breast Cancer Educational and Screening Intervention Tailored for Low-Income, Uninsured Latina Immigrants
title_short A Mobile Health Breast Cancer Educational and Screening Intervention Tailored for Low-Income, Uninsured Latina Immigrants
title_sort mobile health breast cancer educational and screening intervention tailored for low income uninsured latina immigrants
topic educational intervention
mHealth
breast cancer
screening mammography
Latina immigrants
url https://www.liebertpub.com/doi/full/10.1089/WHR.2020.0112
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