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Academic-Community Partnership to Develop a Patient-Centered Breast Cancer Risk Reduction Program for Latina Primary Care Patients

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Abstract

This collaborative study sought to address Latina breast cancer (BC) disparities by increasing health literacy (HL) in a community health center situated on the US-Mexico border region of San Diego County. An academic-community partnership conducted formative research to develop a culturally tailored promotora-based intervention with 109 individuals. The Spanish language program, entitled Nuestra Cocina: Mesa Buena, Vida Sana (Our Kitchen: Good Table, Healthy Life), included six sessions targeting HL, women’s health, BC risk reduction, and patient-provider communication; sessions include cooking demonstrations of recipes with cancer-risk-reducing ingredients. A pilot study with 47 community health center Latina patients was conducted to examine the program’s acceptability, feasibility, and ability to impact knowledge and skills. Pre- and post-analyses demonstrated that participants improved their self-reported cancer screening, BC knowledge, daily fruit and vegetable intake, and ability to read a nutrition label (p < 0.05). Results of the pilot study demonstrate the importance of utilizing patient-centered culturally appropriate noninvasive means to educate and empower Latina patients.

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References

  1. American Cancer Society (ACS). Cancer facts & figures for Hispanics/Latinos 2012–2014. Atlanta: American Cancer Society; 2012.

    Google Scholar 

  2. American Cancer Society (ACS). California cancer facts & figures, 2008. 2008 [cited 2008 February 14]; Available from: http://www.ccrcal.org/PDF/ACS2008.pdf.

  3. California Cancer Registry. Public use data set: California cancer incidence and mortality rates plus interactive maps 2008 [retrieved 2008 August 1]; Available from: http://www.ccrcal.org/dataquery.html.

  4. American Cancer Society. Cancer facts & figures, 2014. Available from: http://www.cancer.org/acs/groups/content/@research/documents/webcontent/acspc-042151.pdf.

  5. American Cancer Society (ACS). Colorectal cancer facts & figures, 2014–2016. 2014 [Retrieved 2008 February 1]; Available from: http://www.cancer.org/acs/groups/content/documents/document/acspc-042280.pdf.

  6. Soni, A. Top 10 most costly conditions among men and women, 2008: estimates for the U.S. civilian noninstitutionalized adult population, age 18 and older. Statistical Brief #331., 2011; Agency for Healthcare Research and Quality, Rockville, MD. http://www.meps.ahrq.gov/mepsweb/data_files/publications/st331/stat331.pdf.

  7. Yabroff KR, Warren JL, Banthin J, Schrag D, Mariotto A, Lawrence W et al. Comparison of approaches for estimating prevalence costs of care for cancer patients: what is the impact of data source? Med Care. 2009;47(7 Suppl 1):S64–9. doi: 10.1097/MLR.0b013e3181a23e25.

  8. Campbell JD, Ramsey SD. The costs of treating breast cancer in the US: a synthesis of published evidence. [Meta-AnalysisResearch Support, Non-U.S. Gov'tReview]. Pharmacoeconomics. 2009;27(3):199–209.

  9. National Cancer Institute. Breast cancer prevention (PDQ®). 2013a; Available from: http://www.cancer.gov/cancertopics/pdq/prevention/breast/Patient/page3.

  10. Zambrana RE, Breen N, Fox SA, Gutierrez-Mohamed ML. Use of cancer screening practices by Hispanic women: analyses by subgroup. Prev Med. 1999;29(6 Pt 1):466–77.

  11. National Cancer Institute. Breast cancer prevention (PDQ®). 2007 [Retrieved 2007 December 7]; Available from: http://www.cancer.gov/cancertopics/pdq/prevention/breast/Patient/.

  12. Elmore JG, Armstrong K, Lehman CD, Fletcher SW. Screening for breast cancer. JAMA. 2005;293(10):1245–56.

  13. Elmore JG, Reisch LM, Barton MB, Barlow WE, Rolnick S, Harris EL et al. Efficacy of breast cancer screening in the community according to risk level. J Natl Cancer Inst. 2005;97(14):1035–43.

  14. Wells KJ, Roetzheim RG. Health disparities in receipt of screening mammography in Latinas: a critical review of recent literature. Cancer Control. 2007;14(4):369–79.

    PubMed  Google Scholar 

  15. Vernon SW, McQueen A, Tiro JA, del Junco DJ. Interventions to promote repeat breast cancer screening with mammography: a systematic review and meta-analysis. [Meta-Analysis ResearchSupport, N.I.H., Extramural Research Support, Non-U.S. Gov't Review]. J Natl Cancer Inst. 2010;102(14):1023–39.

  16. Mandelblatt JS, Cronin KA, Bailey S, Berry DA, de Koning HJ, Draisma G et al. Effects of mammography screening under different screening schedules: model estimates of potential benefits and harms. [Research Support, N.I.H., ExtramuralResearch Support, U.S. Gov't,P.H.S.]. Ann Intern Med. 2009;151(10):738–47.

  17. National Cancer Institute. National Cancer Institute factsheet: mammograms. 2013b; Available from: http://www.cancer.gov/cancertopics/factsheet/detection/mammograms#r1. Retrieved July 15, 2013

  18. Agency for Healthcare Research and Quality (AHRQ). Appendix F: screening for breast cancer, guide to clinical preventive services, 2012, Clinical Summary of 2002 U.S. Preventive Services Task Force Recommendation,. 2012 [cited 2013 July 15]; Available from: http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide/appendix-f.html.

  19. Rodriguez MA, Ward LM, Perez-Stable EJ. Breast and cervical cancer screening: impact of health insurance status, ethnicity, and nativity of Latinas. Ann Fam Med. 2005;3(3):235–41.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Frazier EL, Jiles RB, Mayberry R. Use of screening mammography and clinical breast examinations among black, Hispanic, and white women. Prev Med. 1996;25(2):118–25.

    Article  CAS  PubMed  Google Scholar 

  21. Hubbell FA, Chavez LR, Mishra SI, Valdez RB. Differing beliefs about breast cancer among Latinas and Anglo women. West J Med. 1996;164(5):405–9.

  22. Susan G. Komen for the Cure San Diego Affiliate, Community Profile Report, 2011: 4699 Murphy Canyon Road, Suite #207, San Diego, CA 92123.

  23. Castaneda SF, Malcarne VL, Foster-Fishman PG, Davidson WS, Mumman MK, Riley N, Sadler GR. Health care access and breast cancer screening among Latinas along the California-Mexican border. J Immigr Minor Health, 2013. doi: 10.1007/s10903-013-9938-x

  24. Selden CR, Zorn M, Ratzan S, Parker RM. Health literacy. Current bibliographies in medicine. No 2000-1. Bethesda, MD: National Library of Medicine 2000 [Retrieved 2008 May 21]; Available from: http://www.nlm.nih.gov/archive//20061214/pubs/cbm/hliteracy.html

  25. Norris SL, Nichols PJ, Caspersen CJ, Glasgow RE, Engelgau MM, Jack L et al. The effectiveness of disease and case management for people with diabetes. A systematic review. Am J Prev Med. 2002;22(4 Suppl):15–38.

  26. Osborne RH, Batterham RW, Elsworth GR, Hawkins M, Buchbinder R. The grounded psychometric development and initial validation of the Health Literacy Questionnaire (HLQ). BMC Public Health. 2013;13(1):1–17.

  27. Kutner M, Greenberg E, Jin Y, Paulsen C. The health literacy of America’s adults: results from the 2003 National Assessment of Adult Literacy (NCES 2006-483). U.S. Department of Education. Washington, DC: National Center for Education Statistics. 2006 [Retrieved 2008 May 20]; Available from: http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2006483.

  28. Dewalt DA, Berkman ND, Sheridan S, Lohr KN, Pignone MP. Literacy and health outcomes: a systematic review of the literature. J Gen Intern Med. 2004;19(12):1228–39.

  29. DeNavas-Walt, C., Proctor, BD. and Lee. CH. Income, poverty, and health insurance coverage in the United States: 2004. Current Population Reports, P60-229, U. S. Governmental Printing Office, Washington, D. C. 2005 [Retrieved 2008 January 16]; Available from: http://www.census.gov/prod/2005pubs/p60-229.pdf.

  30. National Center for Educational Statistics (NCES). Status and trends in the education of racial and ethnic minorities. NCES 2007-039 2007; Available from: http://nces.ed.gov/pubsearch/pubsinfo.asp?pubid=2007039.

  31. Berkman ND, Dewalt DA, Pignone MP, Sheridan SL, Lohr KN, Lux L et al. Literacy and health outcomes. Evid Rep Technol Assess (Summ); 2004(87): p. 1–8.

  32. Dewalt DA, Pignone MP. The role of literacy in health and health care. Am Fam Physician. 2005;72(3):387–8.

    PubMed  Google Scholar 

  33. Baker DW, Parker RM, Williams MV, Clark WS, Nurss J. The relationship of patient reading ability to self-reported health and use of health services. Am J Public Health. 1997;87(6):1027–30.

  34. Scott TL, Gazmararian JA, Williams MV, Baker DW. Health literacy and preventive health use among Medicare enrollees in a managed care organization. Med Care. 2005;40(5):395–404.

  35. Davis TC, Arnold C, Berkel HJ, Nandy I, Jackson RH, Glass J. Knowledge and attitude on screening mammography among low-literate, low-income women. Cancer. 1996;78(9):1912–20.

  36. Pignone M, DeWalt DA, Sheridan S, Berkman N, Lohr KN. Interventions to improve health outcomes for patients with low literacy. A systematic review. J Gen Intern Med. 2005;20(2):185–92.

  37. Williams MV, Baker DW, Parker RM, Nurss JR. Relationship of functional health literacy to patients’ knowledge of their chronic disease. A study of patients with hypertension and diabetes. Arch Intern Med. 1998;158(2):166–72.

  38. Ridpath JR, Larson EB, Greene SM. Can integrating health literacy into the patient-centered medical home help us weather the perfect storm? J Gen Intern Med. 2012;27(5):588–94.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Sheridan SL, Halpern DJ, Viera AJ, Berkman ND, Donahue KE, Crotty K. Interventions for individuals with low health literacy: a systematic review. J Health Commun. 2011;16 Suppl 3:30–54.

  40. Schaefer CT. Integrated review of health literacy interventions. Orthop Nurs. 2008;27(5):302–17.

    Article  PubMed  Google Scholar 

  41. Breen N, Rao SR, Meissner HI. Immigration, health care access, and recent cancer tests among Mexican-Americans in California. J Immigr Minor Health. 2010;12(4):433–44.

    Article  PubMed  Google Scholar 

  42. Carrasquillo O, Pati S. The role of health insurance on Pap smear and mammography utilization by immigrants living in the United States. Prev Med. 2004;39(5):943–50.

    Article  PubMed  Google Scholar 

  43. Castaneda SF, Rosenbaum RP, Gonzalez P, Holscher JT. Breast and cervical cancer screening among rural midwestern Latina migrant and seasonal farmworkers. J Prim Care Community Health. 2012;3(2):104–10.

  44. Garbers S, Jessop DJ, Foti H, Uribelarrea M, Chiasson MA. Barriers to breast cancer screening for low-income Mexican and Dominican women in New York City. J Urban Health. 2003;80(1):81–91.

  45. Gaylord-Harden NK, Gipson P, Mance G, Grant KE. Coping patterns of African American adolescents: a confirmatory factor analysis and cluster analysis of the Children’s Coping Strategies Checklist. Psychol Assess. 2008;20(1):10–22.

  46. Gelberg L, Andersen RM, Leake BD. The behavioral model for vulnerable populations: application to medical care use and outcomes for homeless people. Health Serv Res. 2000;34(6):1273–302.

    CAS  PubMed  PubMed Central  Google Scholar 

  47. Gonzalez P, Castaneda SF, Mills PJ, Talavera GA, Elder JP, Gallo LC. Determinants of breast, cervical and colorectal cancer screening adherence in Mexican-American women. J Community Health. 2012;37(2):421–33.

  48. Mandelblatt JS, Gold K, O’Malley AS, Taylor K, Cagney K, Hopkins JS, Kerner J. Breast and cervix cancer screening among multiethnic women: role of age, health, and source of care. Prev Med. 1999;28(4):418–25.

  49. Miranda PY, Tarraf W, Gonzalez P, Johnson-Jennings M, Gonzalez HM. Breast cancer screening trends in the United States and ethnicity. Cancer Epidemiol Biomarkers Prev. 2012;21(2):351–7.

  50. Nuno T, Castle PE, Harris R, Estrada A, Garcia F, Yuma Project Technical T. Breast and cervical cancer screening utilization among Hispanic women living near the United States-Mexico border. J Womens Health (Larchmt). 2011;20(5):685–93.

  51. O’Malley AS, Kerner J, Johnson AE, Mandelblatt J. Acculturation and breast cancer screening among Hispanic women in New York City. Am J Public Health. 1999;89(2):219–27.

  52. Ortega AN, Fang H, Perez VH, Rizzo JA, Carter-Pokras O, Wallace SP, Gelberg L. Health care access, use of services, and experiences among undocumented Mexicans and other Latinos. Arch Intern Med. 2007;167(21):2354–60.

  53. Otero-Sabogal R, Stewart S, Sabogal F, Brown BA, Perez-Stable EJ. Access and attitudinal factors related to breast and cervical cancer rescreening: why are Latinas still underscreened? Health Educ Behav. 2003;30(3):337–59.

  54. Ramirez AG, Suarez L, Laufman L, Barroso C, Chalela P. Hispanic women’s breast and cervical cancer knowledge, attitudes, and screening behaviors. Am J Health Promot. 2000;14(5):292–300.

  55. Sambamoorthi U, McAlpine DD. Racial, ethnic, socioeconomic, and access disparities in the use of preventive services among women. Prev Med. 2003;37(5):475–84.

    Article  PubMed  Google Scholar 

  56. Suarez L, Ramirez AG, Villarreal R, Marti J, McAlister A, Talavera GA et al. Social networks and cancer screening in four U.S. Hispanic groups. Am J Prev Med. 2000;19(1):47–52.

  57. Valdez A, Banerjee K, Ackerson L, Fernandez M, Otero-Sabogal R, Somkin CP. Correlates of breast cancer screening among low-income, low-education Latinas. Prev Med. 2001;33(5):495–502.

  58. Sabatino SA, Lawrence B, Elder R, Mercer SL, Wilson KM, DeVinney B, et al. Effectiveness of interventions to increase screening for breast, cervical, and colorectal cancers: nine updated systematic reviews for the guide to community preventive services. Am J Prev Med. 2012;43(1):97–118.

  59. Phillips CE, Rothstein JD, Beaver K, Sherman BJ, Freund KM, Battaglia TA. Patient navigation to increase mammography screening among inner city women. J Gen Intern Med. 2011;26(2):123–9.

  60. Ramirez AG, Perez-Stable EJ, Talavera GA, Penedo FJ, Carrillo JE, Fernandez ME, et al. Time to definitive diagnosis of breast cancer in Latina and non-Hispanic white women: the six cities study. Springerplus. 2013;2(1):84.

  61. Corcoran J, Dattalo P, Crowley M. Interventions to increase mammography rates among U.S. Latinas: a systematic review. J Womens Health (Larchmt). 2010;19(7):1281–8.

    Article  Google Scholar 

  62. Doty, MM. Hispanic patients’ double burden: lack of health insurance and limited English. The Commonwealth Fund. 2003. Retrieved from http://www.commonwealthfund.org/usr_doc/doty_hispanicdoubleburden_592.pdf?section=4039.

  63. Salazar MK. Hispanic women’s beliefs about breast cancer and mammography. Cancer Nurs. 1996;19(6):437–46.

    Article  CAS  PubMed  Google Scholar 

  64. Brach, C. and Chevarley FM. Demographics and health care access and utilization of limited-English-proficient and English-proficient Hispanics. Research Findings No. 28. Agency for Healthcare Research and Quality, 2008. Rockville, MD. Retrieved from http://www.meps.ahrq.gov/papers/rf28/rf28.pdf.

  65. Derose KP, Baker DW. Limited English proficiency and Latinos’ use of physician services. Med Care Res Rev. 2000;57(1):76–91.

    Article  CAS  PubMed  Google Scholar 

  66. Hu DJ, Covell RM. Health care usage by Hispanic outpatients as function of primary language. West J Med. 1986;144(4):490–3.

    CAS  PubMed  PubMed Central  Google Scholar 

  67. Stein JA, Fox SA. Language preference as an indicator of mammography use among Hispanic women. J Natl Cancer Inst. 1990;82(21):1715–6.

    Article  CAS  PubMed  Google Scholar 

  68. Gorin SS, Heck JE. Cancer screening among Latino subgroups in the United States. Prev Med. 2005;40(5):515–26.

    Article  PubMed  Google Scholar 

  69. Suarez L, Pulley L. Comparing acculturation scales and their relationship to cancer screening among older Mexican-American women. J Natl Cancer Inst Monogr. 1995;18:41–7.

    PubMed  Google Scholar 

  70. Borrayo EA, Gonzalez P, Swaim R, Marcus A, Flores E, Espinoza P. The Latina breast cancer screening sacle: beliefs about breast cancer and breast cancer screening. J Health Psychol. 2009;14(7):944–55.

  71. Borrayo EA, Jenkins SR. Feeling healthy: so why should Mexican-descent women screen for breast cancer? Qual Health Res. 2001a;11(6):812–23.

    Article  CAS  PubMed  Google Scholar 

  72. Borrayo EA, Jenkins SR. Feeling indecent: breast cancer screening resistance of Mexican descent women. J Health Psychol. 2001b;6:537–50.

    Article  CAS  PubMed  Google Scholar 

  73. Chavez LR, Hubbell FA, McMullin JM, Martinez RG, Mishra SI. Structure and meaning in models of breast and cervical cancer risk factors: a comparison of perceptions among Latinas, Anglo women, and physicians. Med Anthropol Q. 1995a;9(1):40–74.

  74. Chavez LR, Hubbell FA, McMullin JM, Martinez RG, Mishra SI. Understanding knowledge and attitudes about breast cancer. A cultural analysis Arch Fam Med. 1995;4(2):145–52.

  75. Chavez LR, Hubbell FA, Mishra SI, Valdez RB. The influence of fatalism on self-reported use of Papanicolaou smears. Am J Prev Med. 1997;13(6):418–24.

  76. Florez KR, Aguirre AN, Viladrich A, Cespedes A, De La Cruz AA, Abraido-Lanza AF. Fatalism or destiny? A qualitative study and interpretative framework on Dominican women’s breast cancer beliefs. J Immigr Minor Health, 2008.

  77. Perez-Stable EJ, Sabogal F, Otero-Sabogal R, Hiatt RA, McPhee SJ. Misconceptions about cancer among Latinos and Anglos. JAMA. 1992;268(22):3219–23.

  78. Schettino MR, Hernandez-Valero MA, Moguel R, Hajek RA, Jones LA. Assessing breast cancer knowledge, beliefs, and misconceptions among Latinas in Houston. Texas J Cancer Educ. 2006;21(1 Suppl):S42–6.

  79. Austin LT, Ahmad F, McNally MJ, Stewart DE. Breast and cervical cancer screening in Hispanic women: a literature review using the health belief model. Womens Health Issues. 2002;12(3):122–8.

  80. Hubbell FA, Mishra SI, Chavez LR, Valdez RB. The influence of knowledge and attitudes about breast cancer on mammography use among Latinas and Anglo women. J Gen Intern Med. 1997;12(8):505–8.

  81. Garces IC, Scarinci IC, Harrison L. An examination of sociocultural factors associated with health and health care seeking among Latina immigrants. J Immigr Minor Health. 2006;8(4):377–85.

    Article  PubMed  Google Scholar 

  82. Natale-Pereira A, Marks J, Vega M, Mouzon D, Hudson SV, Salas-Lopez D. Barriers and facilitators for colorectal cancer screening practices in the Latino community: perspectives from community leaders. Cancer Control. 2008;15(2):157–65.

  83. Suarez L, Roche RA, Nichols D, Simpson DM. Knowledge, behavior, and fears concerning breast and cervical cancer among older low-income Mexican-American women. Am J Prev Med. 1997;13(2):137–42.

  84. Balcazar H, Castro FG, Krull JL. Cancer risk reduction in Mexican American women: the role of acculturation, education, and health risk factors. Health Educ Q. 1995;22(1):61–84.

    Article  CAS  PubMed  Google Scholar 

  85. Erwin DO, Trevino M, Saad-Harfouche FG, Rodriguez EM, Gage E, Jandorf L. Contextualizing diversity and culture within cancer control interventions for Latinas: changing interventions, not cultures. Soc Sci Med. 2010;71(4):693–701.

  86. Schmid KL, Rivers SE, Latimer AE, Salovey P. Targeting or tailoring? Mark Health Serv. 2008;28(1):32–7.

  87. Kreuter MW, Wray RJ. Tailored and targeted health communication: strategies for enhancing information relevance. Am J Health Behav. 2003;27 Suppl 3:S227–32.

    Article  PubMed  Google Scholar 

  88. Kreuter MW, Lukwago SN, Bucholtz RD, Clark EM, Sanders-Thompson V. Achieving cultural appropriateness in health promotion programs: targeted and tailored approaches. Health Educ Behav. 2003;30(2):133–46.

  89. Navarro AM, Senn KL, McNicholas LJ, Kaplan RM, Roppe B, Campo MC. Por La Vida model intervention enhances use of cancer screening tests among Latinas. Am J Prev Med. 1998;15(1):32–41.

  90. Nuno T, Martinez ME, Harris R, Garcia F. A Promotora-administered group education intervention to promote breast and cervical cancer screening in a rural community along the U.S.-Mexico border: a randomized controlled trial. Cancer Causes Control. 2011;22(3):367–74.

  91. Martinez-Donate AP. Using lay health advisors to promote breast and cervical cancer screening among Latinas: a review. WMJ. 2009;108(5):259–62.

    PubMed  Google Scholar 

  92. Albarran CR, Heilemann MV, Koniak-Griffin D. Promotoras as facilitators of change: Latinas’ perspectives after participating in a lifestyle behaviour intervention program. J Adv Nurs, 2014. doi:10.1111/jan.12383

  93. Johnson CM, Sharkey JR, Dean WR, St John JA, Castillo M. Promotoras as research partners to engage health disparity communities. J Acad Nutr Diet. 2013;113(5):638–42.

  94. Stacciarini JM, Rosa A, Ortiz M, Munari DB, Uicab G, Balam M. Promotoras in mental health: a review of English, Spanish, and Portuguese literature. Fam Community Health. 2012;35(2):92–102.

  95. Findley S, Matos S, Hicks A, Chang J, Reich D. Community health worker integration into the health care team accomplishes the triple aim in a patient-centered medical home: a Bronx tale. J Ambul Care Manag. 2014;37(1):82–91.

  96. Minkler M, Wallerstein N. Introduction to community-based participatory research. In: Minkler M, Wallerstein N, editors. Community-based participatory research for health. Jossey-Boss: San Francisco; 2003. p. 3–27.

    Google Scholar 

  97. U.S. Census Bureau. The Hispanic population: 2010, 2010 census briefs. 2013 [cited 2013 November 20]; Available from: http://www.census.gov/prod/cen2010/briefs/c2010br-04.pdf.

  98. Bandura A. Social foundations of thought and action. Englewood Cliffs: Prentice Hall; 1986.

    Google Scholar 

  99. Guba EG, Lincoln YS. Fourth generation evaluation. Newbury Park: Sage; 1989.

    Google Scholar 

  100. Miles MB, Huberman AM. Qualitative data analysis: an expanded source book. Thousand Oaks: Sage; 1994.

    Google Scholar 

  101. Patton MQ. Qualitative evaluation and research methods. 3rd ed. Newbury Park: Sage; 2002.

    Google Scholar 

  102. Poss JE. Developing an instrument to study the tuberculosis screening behaviors of Mexican migrant farmworkers. J Transcult Nurs. 1999;10(4):306–19.

    Article  CAS  PubMed  Google Scholar 

  103. Airhihenbuwa CO, Webster JD. Culture and African contexts of HIV/AIDS prevention, care and support. SAHARA J. 2004;1(1):4–13.

    Article  CAS  PubMed  Google Scholar 

  104. Hubbell FA, Chavez LR, Mishra SI, Magana JR, Burciaga Valdez R. From ethnography to intervention: developing a breast cancer control program for Latinas. J Natl Cancer Inst Monogr. 1995;18:109–15.

  105. National Institute for Literacy. Research-based health literacy materials and instruction guide: beginning ABE and ESL levels. 2012 [Retrieved 2012 June 30]; Available from: http://healthliteracynetwork.org/materials.

  106. Helitzer D, Hollis C, Cotner J, Oestreicher N. Health literacy demands of written health information materials: an assessment of cervical cancer prevention materials. Cancer Control. 2009;16(1):70–8.

  107. Hill-Briggs F, Smith AS. Evaluation of diabetes and cardiovascular disease print patient education materials for use with low-health literate populations. Diabetes Care. 2008;31(4):667–71.

    Article  PubMed  Google Scholar 

  108. Castañeda SF, Xiong Y, Gallo LC, Yepes-Rios M, Ji M, Talavera AC et al. Colorectal cancer educational intervention targeting Latino patients attending a community health center. J Primary Care Commun Health. 2012;3(3):164–9.

  109. Sadler GR, Gonzalez J, Mumman M, Cullen L, Lahousse SF, Malcarne V et al. Adapting a program to inform African American and Hispanic American women about cancer clinical trials. J Cancer Educ. 2010;25(2):142–5.

  110. Resnicow K, Baranowski T, Ahluwalia JS, Braithwaite RL. Cultural sensitivity in public health: defined and demystified. Ethn Dis. 1999;9(1):10–21.

  111. Marin G, Marin BV. Research with Hispanic populations. Newbury Park: Sage; 1991.

    Google Scholar 

  112. Chew LD, Bradley KA, Boyko EJ. Brief questions to identify patients with inadequate health literacy. Fam Med. 2004;36(8):588–94.

    PubMed  Google Scholar 

  113. Castaneda SF, Holscher J, Mumman MK, Salgado H, Keir KB, Foster-Fishman PG, Talavera GA. Dimensions of community and organizational readiness for change. Prog Community Health Partnersh. 2012;6(2):219–26.

  114. Weiss BD, Mays MZ, Martz W, Castro KM, DeWalt DA, Pignone MP et al. Quick assessment of literacy in primary care: the newest vital sign. Ann Fam Med. 2005;3(6):514–22.

  115. Bird Y, Moraros J, Banegas MP, King S, Prapasiri S, Thompson B. Breast cancer knowledge and early detection among Hispanic women with a family history of breast cancer along the U.S.-Mexico border. J Health Care Poor Underserved. 2010;21(2):475–88.

  116. Glasgow RE, McKay HG, Piette JD, Reynolds KD. The RE-AIM framework for evaluating interventions: what can it tell us about approaches to chronic illness management? Patient Educ Couns. 2001;44(2):119–27.

  117. Glasgow RE, Nelson CC, Strycker LA, King DK. Using RE-AIM metrics to evaluate diabetes self-management support interventions. Am J Prev Med. 2006;30(1):67–73.

  118. Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999;89(9):1322–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  119. Philis-Tsimikas A, Fortmann A, Lleva-Ocana L, Walker C, Gallo LC. Peer-led diabetes education programs in high-risk Mexican Americans improve glycemic control compared with standard approaches: a project Dulce promotora randomized trial. Diabetes Care. 2011;34(9):1926–31.

  120. Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M, Medical Research Council G. Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008;337:a1655.

  121. Saunders RP, Evans MH, Joshi P. Developing a process-evaluation plan for assessing health promotion program implementation: a how-to guide. Health Promot Pract. 2005;6(2):134–47.

    Article  PubMed  Google Scholar 

  122. Steckler A, Linnan L. Process evaluation for public health interventions and research. San Francisco: Jossey-Bass; 2002.

    Google Scholar 

  123. Cohen J, Cohen P, West S, Aiken L. Applied multiple regression/correlation analysis for the behavioral sciences. 3rd ed. Hillsdale: Lawrence Erlbaum Associates; 2003.

  124. Kleinbaum DG, Kupper LL, Nizam A, Muller KE. Applied regression analysis and multivariable methods. 4th ed. Pacific Grove: Duxbury; 2007.

  125. Fernandez ME, Savas LS, Lipizzi E, Smith JS, Vernon SW. Cervical cancer control for Hispanic women in Texas: strategies from research and practice. Gynecol Oncol. 2014;132 Suppl 1:S26–32.

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Acknowledgments

This research was made possible by the California Breast Cancer Research Program (18AB-1100), the National Cancer Institute’s Center to Reduce Cancer Health Disparities (U01 CA114657-05 and U54 CA153511), and the National Institute for Minority Health and Health Disparities (R25MD006853-01). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIH or CBCRP. The authors thank the San Diego Cancer Care Access Partnership (C-CAP) Coalition. Special thanks go to patients at San Ysidro Health Center, Inc. who made this research possible.

Conflict of Interest

All authors declare that they have no conflicts of interest.

Ethical Standards Statement

This research study involved human subjects and was approved by the San Diego State University and San Ysidro Health Center, Inc. institutional review boards. All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all participants for being included in the study.

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Authors and Affiliations

  1. Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, 9245 Sky Park Ct. St. 110, San Diego, CA, 92123, USA

    Sheila F. Castañeda, Rebeca E. Giacinto, Elizabeth A. Medeiros & Gregory A. Talavera

  2. Research and Health Promotion Department, San Ysidro Health Center, Inc., San Diego, USA

    Ilana Brongiel, Olga Cardona & Patricia Perez

Authors
  1. Sheila F. Castañeda
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  2. Rebeca E. Giacinto
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  3. Elizabeth A. Medeiros
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  4. Ilana Brongiel
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  5. Olga Cardona
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  6. Patricia Perez
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  7. Gregory A. Talavera
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Corresponding author

Correspondence to Sheila F. Castañeda.

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Castañeda, S.F., Giacinto, R.E., Medeiros, E.A. et al. Academic-Community Partnership to Develop a Patient-Centered Breast Cancer Risk Reduction Program for Latina Primary Care Patients. J. Racial and Ethnic Health Disparities 3, 189–199 (2016). https://doi.org/10.1007/s40615-015-0125-8

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  • DOI: https://doi.org/10.1007/s40615-015-0125-8

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