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An Online Survey and Focus Groups for Promoting Cancer Prevention Measures

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Abstract

In order to design a cancer prevention promotion program in the region, suggestions were solicited at a medical center. We hypothesized that a majority would be native to state, and would be able to articulate about the barriers that may exist. Through online survey and focus groups, suggestions were sought, and the knowledge and the compliance with cancer prevention recommendations were assessed to determine the participants’ qualifications as potential educators. Sixty-five point two percent of participants (n = 1018) graduated from high school in Arkansas. The most commonly given suggestions were to provide education to increase awareness, to use social media for promotion, to improve access, and to reduce costs. Self-reported adherence rates to breast, cervical, and colorectal cancer screening were 82.6% (n = 954), 75.8% (n = 541), and 76.7% (n = 453), respectively. Having a personal history of cancer significantly increased colorectal cancer screening uptake (p = 0.04), but paradoxically decreased mammography uptake (p = 0.007). Salary of $40,000 and more and having a Bachelor’s degree or higher were associated with higher compliance of Papanicolaou test only (p = 0.007 and p = 0.001, respectively). A majority (67.7%, n = 1056) of respondents expressed willingness to contribute to promoting cancer prevention measures, and 38.3% (n = 559) were willing to participate in focus groups. However, only 6.3% (n = 35) actually participated. The participants’ knowledge and compliance appeared to be sufficient, but their follow through in focus group participation was poor.

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The focus group transcripts are available upon request to the corresponding author.

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Acknowledgements

The authors would like to thank Ronda Henry-Tillman, M.D., Michael Preston, Ph.D., Pebbles Fagan, Ph.D., Sharp Malak, M.D., and Jennifer Dillaha, M.D. for their advice in creating the online survey, Karen Yeary, Ph.D. for conducting the focus group, and Benjamin J. Lieblong, Ph.D. for critical review of the manuscript.

Funding

This work was supported by the Arkansas Biosciences Institute (the major component of the Tobacco Settlement Proceeds Act of 2000), the Drs. Mae and Anderson Nettleship Endowed Chair of Oncologic Pathology (US 31005156), and the National Institutes of Health (U54 TR001629, UL1 TR003107, and R01 CA 143130).

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Correspondence to Mayumi Nakagawa.

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Ethics Approval

Separate Institutional Review Board (IRB) approvals were obtained for the online survey and the focus groups.

Consent to Participate

For the online survey, clicking on the link embedded in the email served as an informed consent and confirmation that the respondent is at least 18 years old. Focus group participants were provided with an information sheet about the study which served as informed consent.

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Data are being published in a de-identified manner.

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The authors declare no competing interests.

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Shah, S.K., Jones-Carr, M., Bimali, M. et al. An Online Survey and Focus Groups for Promoting Cancer Prevention Measures. J Canc Educ 37, 1782–1789 (2022). https://doi.org/10.1007/s13187-021-02027-w

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