A Cancer Education-Plus-Navigation Intervention Implemented Within a Federally Qualified Health Center and Community-Bas
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A Cancer Education-Plus-Navigation Intervention Implemented Within a Federally Qualified Health Center and Community-Based Settings Cynthia M. Mojica 1
&
Gulaiim Almatkyzy 2 & Daisy Morales-Campos 3
# American Association for Cancer Education 2019
Abstract Despite the availability of effective cancer screening tests, Latinos are screened at lower rates than non-Hispanic Whites. We implemented and evaluated the effectiveness of an evidence-based community health worker (CHW) cancer education-plusnavigation intervention designed to increase cancer screening, knowledge of screening guidelines, and the benefit of early detection. The project included a community and clinic component and served a primarily Latino population. In collaboration with a federally qualified health center (FQHC) and three community-based organizations, bilingual/bicultural CHWs recruited men and women (not up-to-date with the cancer screening guidelines) from a FQHC and the community. Participants received education plus navigation and no-cost cancer screening tests. Together with the FQHC, we outlined eligibility criteria, project protocols, project implementation, and evaluation activities. With the community organizations, we outlined recruitment protocols—when to recruit, how to recruit, and connections with other organizations. CHWs enrolled 3045 men and women into the education-plus-navigation intervention. Overall, 71% received at least one cancer screening. Stratifying by gender, 72% of women received at least one cancer screening test whereas 63% of enrolled men received a test for colorectal cancer. Knowledge of screening guidelines and the belief in early detection also increased from baseline to follow-up. Our evidencebased education-plus-navigation intervention successfully reached large numbers of underserved men and women and yielded positive changes in cancer screening and knowledge of screening guidelines and the belief in early detection. The inclusion of a clinic and community component ensured success of the project. Keywords Cancer screening . Federally qualified health center . Community-based settings . Community health workers . Early detection
Introduction Cancer is the leading cause of death among Latinos in the USA [1]. Despite the availability of effective cancer screening tests, Latinos are screened at lower rates than non-Hispanic Whites. Recent data show that 77% of Hispanic women ages 21 to 65 had a Pap test within the past 3 years (vs. 83% of non-
* Cynthia M. Mojica [email protected] 1
College of Public Health and Human Sciences, Oregon State University, 2250 SW Jefferson Way, Waldo 445, Corvallis, OR 97331, USA
2
College of Public Health and Human Sciences, Oregon State University, 2250 SW Jefferson Way, Corvallis, OR 97331, USA
3
Latino Research Initiative, The University of Texas at Austin, 210 W. 24th Street|Mailcode F9200, GWB 2.102, Austin, TX 78712, USA
Hispanic Whites); 61% of Hispanic women ages 40+ had a mammogram within the past 2 years (vs. 65% of nonHispanicWhites); and 50
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