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Cynthia Kratzke - One of the best experts on this subject based on the ideXlab platform.
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Ethnic differences in Breast Cancer Prevention information-seeking among rural women: will provider mobile messages work?
Journal of Cancer Education, 2013Co-Authors: Cynthia Kratzke, Susan L WilsonAbstract:Although growing research supports Cancer survivor information-seeking, little is known about Breast Cancer Prevention information-seeking among women. The purpose of the study was to examine differences in Breast Cancer risk factor knowledge, information sources, and desired mobile messages among Hispanic and non-Hispanic rural women. Women were recruited to complete a survey at an imaging center during a mammography screening visit. A total of 156 women (mean age = 61, SD = 12.07) completed the survey. Breast Cancer risk factor knowledge was significantly higher for non-Hispanic women compared to Hispanic women (p = .035). Television, magazines, and Internet were the most frequent information sources. Providers were the most frequent interpersonal information source. Nearly 87 % used cell phones and 47 % used texting. Hispanic women were more likely to desire Breast Cancer Prevention cell voice messages (p < .001) and text messages (p = .001) compared to non-Hispanic women. No significant differences were found for text appointment reminders by ethnicity. Health educators and clinicians must promote mobile messages for Hispanics and non-Hispanics for mammography adherence, Breast Cancer Prevention education, and best practices to manage screening appointments.
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Differences Among College Women for Breast Cancer Prevention Acquired Information-Seeking, Desired Apps and Texts, and Daughter-Initiated Information to Mothers
Journal of Community Health, 2013Co-Authors: Cynthia Kratzke, Anup Amatya, Hugo VilchisAbstract:The purpose of this study was to examine among college women acquired Breast Cancer Prevention information-seeking, desired apps and texts, and information given to mothers. Using a cross-sectional study, a survey was administered to college women at a southwestern university. College women (n = 546) used the Internet (44 %) for active Breast Cancer Prevention information-seeking and used the Internet (74 %), magazines (69 %), and television (59 %) for passive information receipt. Over half of the participants desired Breast Cancer Prevention apps (54 %) and texts (51 %). Logistic regression analyses revealed predictors for interest to receive apps were ethnicity (Hispanic), lower self-efficacy, actively seeking online information, and older age and predictors for interest to receive texts were lower self-efficacy and higher university level. Eighteen percent of college women (n = 99) reported giving information to mothers and reported in an open-ended item the types of information given to mothers. Predictors for giving information to mothers were actively and passively seeking online information, Breast self-exam practice, and higher university level. Screenings were the most frequent types of information given to mothers. Breast Cancer Prevention information using apps, texts, or Internet and daughter-initiated information for mothers should be considered in health promotion targeting college students or young women in communities. Future research is needed to examine the quality of apps, texts, and online information and cultural differences for Breast Cancer Prevention sources.
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Breast Cancer Prevention Knowledge, Attitudes, and Behaviors Among College Women and Mother–Daughter Communication
Journal of Community Health, 2013Co-Authors: Cynthia Kratzke, Hugo Vilchis, Anup AmatyaAbstract:Although Breast Cancer Prevention targets mostly women ages 40 and older, little is known about Breast Cancer Prevention for young women and mother's advice. The purpose of this study was to examine Breast Cancer Prevention knowledge, attitudes, and behaviors among college women and mother-daughter communica- tion. Hispanic and non-Hispanic students at a southwestern university completed a Breast Cancer Prevention survey with items for mother's advice, Breast self-awareness and risk reduction knowledge, self-efficacy, susceptibility, family history, provider Breast self-exam (BSE) recom- mendation, peer norms, BSE practice, and demographics. An openended item was also used to elicit types of mother's advice. Logistic regression was used to assess predictors for receiving mother's advice for Breast Cancer Prevention and BSE practice. Self-reported data using a survey were obtained from 546 college women with a mean age of 23.3 (SD = 7.75). Nearly 36 % received mothers' advice and 55 % conducted BSE. Predictors for receiving mother's advice were age, self-efficacy, and family history of Breast Cancer. Predictors for BSE practice were mother's advice, age, self-efficacy, and provider BSE recommendation. Family history of Breast Cancer and knowledge were not significant predictors for BSE prac- tice. Findings support the need for clinicians, community health educators, and mothers to provide Breast Cancer Prevention education targeting college women.
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Reaching rural women: Breast Cancer Prevention information seeking behaviors and interest in Internet, cell phone, and text use.
Journal of Community Health, 2012Co-Authors: Cynthia Kratzke, Susan L Wilson, Hugo VilchisAbstract:The purpose of this study was to examine the Breast Cancer Prevention information seeking behaviors among rural women, the prevalence of Internet, cell, and text use, and interest to receive Breast Cancer Prevention information cell and text messages. While growing literature for Breast Cancer information sources supports the use of the Internet, little is known about Breast Cancer Prevention information seeking behaviors among rural women and mobile technology. Using a cross-sectional study design, data were collected using a survey. McGuire’s Input–Ouput Model was used as the framework. Self-reported data were obtained from a convenience sample of 157 women with a mean age of 60 (SD = 12.12) at a rural New Mexico imaging center. Common interpersonal information sources were doctors, nurses, and friends and common channel information sources were television, magazines, and Internet. Overall, 87 % used cell phones, 20 % had an interest to receive cell phone Breast Cancer Prevention messages, 47 % used text messaging, 36 % had an interest to receive text Breast Cancer Prevention messages, and 37 % had an interest to receive mammogram reminder text messages. Bivariate analysis revealed significant differences between age, income, and race/ethnicity and use of cell phones or text messaging. There were no differences between age and receiving text messages or text mammogram reminders. Assessment of health information seeking behaviors is important for community health educators to target populations for program development. Future research may identify additional socio-cultural differences.
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Abstract 4452: Mother-daughter communication and Breast Cancer Prevention knowledge, attitudes, and behaviors between Hispanic and non-Hispanic college women
Cancer Research, 2012Co-Authors: Cynthia Kratzke, Hugo Vilchis-liconAbstract:Background: Although Breast Cancer Prevention programs focus primarily on women ages 40 and older, little is known about Breast Cancer Prevention awareness among young women. Cancer communication is essential for early detection and treatment for Hispanic and non-Hispanic women. Data trends show Hispanic women are more likely to be diagnosed with more advanced stages of Breast Cancer at an early age. Aim: The purpose of this exploratory study is to examine mother-daughter communication and Breast Cancer Prevention knowledge, attitudes, and Breast self-examination (BSE) behaviors between Hispanic and non-Hispanic college women. Method: Using a cross sectional study design, a convenience sample of college women ages 18 and older were surveyed in Fall 2010 at a southwestern university. Survey items were developed using the Health Belief Model framework. An open-ended item was included to elicit descriptions of Breast Cancer Prevention advice received from their mothers. Results: Self-reported data were obtained from 71 college women (44% Hispanic and 56% non-Hispanic) ages 18 to 49 with a mean age of 22.6 (SD = 5.6). Overall, 33% received mother-daughter communication about Breast Cancer Prevention, 80% received a provider9s recommendation to conduct BSE, and 62% conducted BSE. Nearly 74% knew someone with Breast Cancer. Bivariate analysis revealed no significant differences for mother-daughter communication, knowledge, and self-efficacy for Breast Cancer Prevention. In content analysis, only non-Hispanic college women received advice from their mothers about modifiable risk factors for Breast Cancer Prevention. Hispanic college women (84%) were more likely compared to non-Hispanic women (63%) to have friends who supported BSE (p=.023). In addition, Hispanic college women (61%) were more likely compared to non-Hispanic women (38%) to seek online Breast Cancer information (p=.023). Conclusion: Our preliminary findings support the need for college educational Breast Cancer Prevention programs including risk factors. Future research is suggested with a larger sample size to validate findings as well as to explore Internet use to seek quality online health information with an emphasis on Breast Cancer Prevention information. Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 103rd Annual Meeting of the American Association for Cancer Research; 2012 Mar 31-Apr 4; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2012;72(8 Suppl):Abstract nr 4452. doi:1538-7445.AM2012-4452
Hugo Vilchis - One of the best experts on this subject based on the ideXlab platform.
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Differences Among College Women for Breast Cancer Prevention Acquired Information-Seeking, Desired Apps and Texts, and Daughter-Initiated Information to Mothers
Journal of Community Health, 2013Co-Authors: Cynthia Kratzke, Anup Amatya, Hugo VilchisAbstract:The purpose of this study was to examine among college women acquired Breast Cancer Prevention information-seeking, desired apps and texts, and information given to mothers. Using a cross-sectional study, a survey was administered to college women at a southwestern university. College women (n = 546) used the Internet (44 %) for active Breast Cancer Prevention information-seeking and used the Internet (74 %), magazines (69 %), and television (59 %) for passive information receipt. Over half of the participants desired Breast Cancer Prevention apps (54 %) and texts (51 %). Logistic regression analyses revealed predictors for interest to receive apps were ethnicity (Hispanic), lower self-efficacy, actively seeking online information, and older age and predictors for interest to receive texts were lower self-efficacy and higher university level. Eighteen percent of college women (n = 99) reported giving information to mothers and reported in an open-ended item the types of information given to mothers. Predictors for giving information to mothers were actively and passively seeking online information, Breast self-exam practice, and higher university level. Screenings were the most frequent types of information given to mothers. Breast Cancer Prevention information using apps, texts, or Internet and daughter-initiated information for mothers should be considered in health promotion targeting college students or young women in communities. Future research is needed to examine the quality of apps, texts, and online information and cultural differences for Breast Cancer Prevention sources.
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Breast Cancer Prevention Knowledge, Attitudes, and Behaviors Among College Women and Mother–Daughter Communication
Journal of Community Health, 2013Co-Authors: Cynthia Kratzke, Hugo Vilchis, Anup AmatyaAbstract:Although Breast Cancer Prevention targets mostly women ages 40 and older, little is known about Breast Cancer Prevention for young women and mother's advice. The purpose of this study was to examine Breast Cancer Prevention knowledge, attitudes, and behaviors among college women and mother-daughter communica- tion. Hispanic and non-Hispanic students at a southwestern university completed a Breast Cancer Prevention survey with items for mother's advice, Breast self-awareness and risk reduction knowledge, self-efficacy, susceptibility, family history, provider Breast self-exam (BSE) recom- mendation, peer norms, BSE practice, and demographics. An openended item was also used to elicit types of mother's advice. Logistic regression was used to assess predictors for receiving mother's advice for Breast Cancer Prevention and BSE practice. Self-reported data using a survey were obtained from 546 college women with a mean age of 23.3 (SD = 7.75). Nearly 36 % received mothers' advice and 55 % conducted BSE. Predictors for receiving mother's advice were age, self-efficacy, and family history of Breast Cancer. Predictors for BSE practice were mother's advice, age, self-efficacy, and provider BSE recommendation. Family history of Breast Cancer and knowledge were not significant predictors for BSE prac- tice. Findings support the need for clinicians, community health educators, and mothers to provide Breast Cancer Prevention education targeting college women.
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Reaching rural women: Breast Cancer Prevention information seeking behaviors and interest in Internet, cell phone, and text use.
Journal of Community Health, 2012Co-Authors: Cynthia Kratzke, Susan L Wilson, Hugo VilchisAbstract:The purpose of this study was to examine the Breast Cancer Prevention information seeking behaviors among rural women, the prevalence of Internet, cell, and text use, and interest to receive Breast Cancer Prevention information cell and text messages. While growing literature for Breast Cancer information sources supports the use of the Internet, little is known about Breast Cancer Prevention information seeking behaviors among rural women and mobile technology. Using a cross-sectional study design, data were collected using a survey. McGuire’s Input–Ouput Model was used as the framework. Self-reported data were obtained from a convenience sample of 157 women with a mean age of 60 (SD = 12.12) at a rural New Mexico imaging center. Common interpersonal information sources were doctors, nurses, and friends and common channel information sources were television, magazines, and Internet. Overall, 87 % used cell phones, 20 % had an interest to receive cell phone Breast Cancer Prevention messages, 47 % used text messaging, 36 % had an interest to receive text Breast Cancer Prevention messages, and 37 % had an interest to receive mammogram reminder text messages. Bivariate analysis revealed significant differences between age, income, and race/ethnicity and use of cell phones or text messaging. There were no differences between age and receiving text messages or text mammogram reminders. Assessment of health information seeking behaviors is important for community health educators to target populations for program development. Future research may identify additional socio-cultural differences.
Susan L Wilson - One of the best experts on this subject based on the ideXlab platform.
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Ethnic differences in Breast Cancer Prevention information-seeking among rural women: will provider mobile messages work?
Journal of Cancer Education, 2013Co-Authors: Cynthia Kratzke, Susan L WilsonAbstract:Although growing research supports Cancer survivor information-seeking, little is known about Breast Cancer Prevention information-seeking among women. The purpose of the study was to examine differences in Breast Cancer risk factor knowledge, information sources, and desired mobile messages among Hispanic and non-Hispanic rural women. Women were recruited to complete a survey at an imaging center during a mammography screening visit. A total of 156 women (mean age = 61, SD = 12.07) completed the survey. Breast Cancer risk factor knowledge was significantly higher for non-Hispanic women compared to Hispanic women (p = .035). Television, magazines, and Internet were the most frequent information sources. Providers were the most frequent interpersonal information source. Nearly 87 % used cell phones and 47 % used texting. Hispanic women were more likely to desire Breast Cancer Prevention cell voice messages (p < .001) and text messages (p = .001) compared to non-Hispanic women. No significant differences were found for text appointment reminders by ethnicity. Health educators and clinicians must promote mobile messages for Hispanics and non-Hispanics for mammography adherence, Breast Cancer Prevention education, and best practices to manage screening appointments.
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Reaching rural women: Breast Cancer Prevention information seeking behaviors and interest in Internet, cell phone, and text use.
Journal of Community Health, 2012Co-Authors: Cynthia Kratzke, Susan L Wilson, Hugo VilchisAbstract:The purpose of this study was to examine the Breast Cancer Prevention information seeking behaviors among rural women, the prevalence of Internet, cell, and text use, and interest to receive Breast Cancer Prevention information cell and text messages. While growing literature for Breast Cancer information sources supports the use of the Internet, little is known about Breast Cancer Prevention information seeking behaviors among rural women and mobile technology. Using a cross-sectional study design, data were collected using a survey. McGuire’s Input–Ouput Model was used as the framework. Self-reported data were obtained from a convenience sample of 157 women with a mean age of 60 (SD = 12.12) at a rural New Mexico imaging center. Common interpersonal information sources were doctors, nurses, and friends and common channel information sources were television, magazines, and Internet. Overall, 87 % used cell phones, 20 % had an interest to receive cell phone Breast Cancer Prevention messages, 47 % used text messaging, 36 % had an interest to receive text Breast Cancer Prevention messages, and 37 % had an interest to receive mammogram reminder text messages. Bivariate analysis revealed significant differences between age, income, and race/ethnicity and use of cell phones or text messaging. There were no differences between age and receiving text messages or text mammogram reminders. Assessment of health information seeking behaviors is important for community health educators to target populations for program development. Future research may identify additional socio-cultural differences.
Daniel F Hayes - One of the best experts on this subject based on the ideXlab platform.
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women s interest in taking tamoxifen and raloxifene for Breast Cancer Prevention response to a tailored decision aid
Breast Cancer Research and Treatment, 2011Co-Authors: Angela Fagerlin, Amanda J Dillard, Dylan M Smith, Brian J Zikmundfisher, Rosemarie Pitsch, Jennifer B Mcclure, Sarah M Greene, Sharon Hensley Alford, Vijayan N Nair, Daniel F HayesAbstract:Although tamoxifen can prevent primary Breast Cancer, few women use it as a preventive measure. A second option, raloxifene, has recently been approved. The objective of the study was to determine women’s interest in tamoxifen and raloxifene after reading a decision aid (DA) describing the risks and benefits of each medication. Women with 5-year risk of Breast Cancer ≥ 1.66 from two large health maintenance organizations were randomized to receive a DA versus usual care. After reading an on-line DA that discussed the risks and benefits of tamoxifen and raloxifene, women completed measures of risk perception, decisional conflict, behavioral intentions, and actual behavior related to tamoxifen and raloxifene. 3 months following the intervention, 8.1% of participants had looked for additional information about Breast Cancer Prevention drugs, and 1.8% had talked to their doctor about tamoxifen and/or raloxifene. The majority, 54.7%, had decided to not take either drug, 0.5% had started raloxifene, and none had started tamoxifen. Participants were not particularly worried about taking tamoxifen or raloxifene and did not perceive significant benefits from taking these drugs. Over 50% did not perceive a change in their risk of getting Breast Cancer if they took tamoxifen or raloxifene. After reading a DA about tamoxifen and raloxifene, few women were interested in taking either Breast Cancer Prevention drug.
Asnarulkhadi Abu Samah - One of the best experts on this subject based on the ideXlab platform.
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A Model for Community Participation in Breast Cancer Prevention in Iran
Asian Pacific Journal of Cancer Prevention, 2012Co-Authors: Maryam Ahmadian, Asnarulkhadi Abu SamahAbstract:Context: Genuine community participation does not denote taking part in an action planned by health care professionals in a medical or top-down approach. Further, community participation and health education on Breast Cancer Prevention are not similar to other activities incorporated in primary health care services in Iran. Objective: To propose a model that provides a methodological tool to increase women’s participation in the decision making process towards Breast Cancer Prevention. To address this, an evaluation framework was developed that includes a typology of community participation approaches (models) in health, as well as five levels of participation in health programs proposed by Rifkin (1985&1991). Method: This model explains the community participation approaches in Breast Cancer Prevention in Iran. In a ‘medical approach’, participation occurs in the form of women’s adherence to mammography recommendations. As a ‘health services approach’, women get the benefits of a health project or participate in the available program activities related to Breast Cancer Prevention. The model provides the five levels of participation in health programs along with the ‘health services approach’ and explains how to implement those levels for women’s participation in available Breast Cancer Prevention programs at the local level. Conclusion: It is hoped that a focus on the ‘medical approach’ (top-down) and the ‘health services approach’ (top-down) will bring sustainable changes in Breast Cancer Prevention and will consequently produce the ‘community development approach’ (bottom-up). This could be achieved using a comprehensive approach to Breast Cancer Prevention by combining the individual and community strategies in designing an intervention program for Breast Cancer Prevention.
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Community Participation in Breast Cancer Prevention Programs Towards Building Sustainable Programs: Involvement or Participation?
2012Co-Authors: Asnarulkhadi Abu Samah, Maryam Ahmadian, Ma'rof Redzuan, Zahid EmbyAbstract:For future sustainable Breast Cancer Prevention programs implementation, broad participation in Prevention programs is necessary. In the context of developing strategies for health promotion, community participation is most relevant. Literatures also suggested that community involvement is essential for the successful promotion of health. This paper examines the levels of women’s participation in Breast Cancer Prevention programs. Community participation and community involvement are occasionally presumed to go hand in hand, but these two prominent concepts has potential difference. At times, the problem is that involvement does not mean participation. The study was conducted among 35-69 years old women who had mammogram in the last two years at 4 obstetric and gynecologic clinics in Tehran. A multistage cluster random sampling procedure and face-to-face interviewing method was used in the data collection process. Results from this study showed that the higher levels of participation (implementation monitoring, evaluation and planning), as mostly through health care professionals. Women’s participation in Breast Cancer Prevention programs is limited and it was just carried out at level1 (health benefits) and level 2 (activities). Although women were only involved at some health programs, they have no participation in decision making level. Nevertheless, the continuation of their involvement with commitment to the programs represents sustainability in community-based health programs.
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The influence of psycho-social factors on participation levels in community-based Breast Cancer Prevention programs in Tehran, Iran.
Global Journal of Health Science, 2012Co-Authors: Maryam Ahmadian, Asnarulkhadi Abu Samah, Ma'rof Redzuan, Zahid EmbyAbstract:Background: Although significant consideration has been devoted to women participation in Breast Cancer Prevention programs, our understanding about the psychosocial factors which influence participation remains incomplete. Method: The study applied a quantitative approach based on the cross-sectional survey design and multistage cluster random sampling . A total of 400 women aged 35-69 years, were surveyed at 4 obstetric and gynecologic clinics affiliated to Tehran University of Medical Sciences in Tehran: the participation levels of 86 women who have had a mammogram were analyzed based on their self-efficacy, belief, social influence, and barriers concerning mammography utilization. Results: Consistent with the study framework, in bivariate analysis, the higher level of women’s participation in Breast Cancer Prevention programs was significantly related to more positive belief about mammography (p< .05), greater social influence on mammography (p< .01) and fewer barriers to mammography (p< .01). Self efficacy (p= .114) was not significantly related to the higher level of participation. Conclusion: Results suggest that women’s participation levels in Breast Cancer Prevention programs might be associated with the specific psychosocial factors on Breast Cancer preventive behavior such as mammography screening.
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Women’s Community Participation Levels in Community-based Health Programs Regarding Breast Cancer Prevention in Metropolitan Tehran, Iran
Asian Social Science, 2010Co-Authors: Maryam Ahmadian, Ma'rof Redzuan, Zahid Emby, Asnarulkhadi Abu SamahAbstract:Iran has recognized community participation in health research as an essential part of the country’s health system. Community participation is focused on the Prevention of communicable diseases, mother and child care, family planning and first aid. Besides, the issues of health education and community participation regarding Breast Cancer Prevention are not similar to other activities included into primary health care services, such as family planning in Iran. Within this context, increasing the participation of women community regarding Breast Cancer Prevention, through recognized channels such as health workers, community leaders, health educators, health care professionals, teachers and women volunteers should be given high priority at on the community, district, province and national levels. Local community participation in health and wellbeing is strongly supported as a fundamental element to development. Thus, the objective of the current study was to identify the levels of women’s community participation in community-based program on Breast Cancer Prevention. The study involves a cross sectional survey of women who have participated in mammography in the last two years (n=86). The actual level of community participation was assessed based on Rifkin’s perspective. Using five levels of participation in health programs by Rifkin (1991), the study examined the feasibility of public participation in health and relieves effort on Breast Cancer Prevention based on local community participation. The study assessed the level of women’s community participation in Breast Cancer Prevention programs, due to the importance of women’s role in the community. Women’s community participation in Breast Cancer Prevention is currently insignificant. The maintenance of benefits and activities denotes sustainability in community -based health programs. More researches are therefore needed to understand the role of local communities in the development of community- based health programs.
