Skip to main content
Log in

Colorectal Cancer Screening Brochure for Latinos: Focus Group Evaluation

  • Published:
Journal of Cancer Education Aims and scope Submit manuscript

Abstract

Colorectal cancer (CRC) can be effectively prevented via screening colonoscopy, yet adherence rates remain low among Latinos. Interventions targeting individual and cultural barriers to screening are needed. We developed an educational brochure to target these barriers faced by a diverse Latino population. The objective was to evaluate the responses of the target population to the culturally and theoretically informed brochure through community member focus groups. Facilitators conducted six focus groups, stratified by gender, language, and prior colonoscopy experience. Topics included: brochure content and layout, cancer knowledge, and CRC screening determinants. Focus groups documented community members’ responses to the brochure’s overall message and its informational and visual components. Changes to wording, visual aids, and content were suggested to make the brochure culturally more acceptable. Results indicated relevance of the theoretically and culturally guided approach to the development of the brochure leading to refinement of its content and design.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. American Cancer Society. 2013. Cancer Facts & Figures 2013.

  2. Levin B, Lieberman DA, McFarland B, Smith RA, Brooks D, Andrews KS,Dash C, Giardiello FM, Glick S, Levin TR, Pickhardt P, Rex DK, Thorson A, Winawer SJ, American Cancer Society Colorectal Cancer Advisory Group, US Multi-Society Task Force and American College of Radiology Colon Cancer Committee. 2008. Screening and surveillance for the early detection of colorectal cancer and adenomatous polyps, 2008: a joint guideline from the American Cancer Society, the US Multi-Society Task Force on Colorectal Cancer, and the American College of Radiology. CA: a cancer journal for clinicians. doi: 10.3322/CA.2007.0018

  3. Baxter NN, Goldwasser MA, Paszat LF, Saskin R, Urbach DR, Rabeneck L (2009) Association of colonoscopy and death from colorectal cancer. Annals of Internal Medicine.

  4. American Cancer Society. 2011. Colorectal Cancer Facts & Figures 2011–2013.

  5. American Cancer Society. 2012. Cancer Facts & Figures for Hispanics/Latinos 2012–2014.

  6. American Cancer Society. 2009. Cancer Facts and Figures for Hispanics/Latinos 2009–2011.

  7. Powe, Barbara D, Dexter L, Cooper, Lokie H, Louie R, Flavia E, Mercado, Rachel F (2009) Comparing knowledge of colorectal and prostate cancer among African American and Hispanic men. Cancer Nursing

  8. Glenn, Beth A, Roshan B, Annette E, Maxwell, Cynthia M, Mojica, Alison K, Herrmann, Nilsa V, Gallardo, Karen A, Swanson and L, Cindy C (2012) Prostate cancer screening among ethnically diverse first-degree relatives of prostate cancer cases. Health Psychology

  9. Green AR, Peters-Lewis A, Percac-Lima S, Betancourt JR, Richter JM, Janairo MP, Gamba GB, Atlas SJ (2008) Barriers to screening colonoscopy for low-income Latino and white patients in an urban community health center. J Gen Intern Med. doi:10.1007/s11606-008-0572-6

    Google Scholar 

  10. Shelton RC, Jandorf L, Ellison J, Villagra C, DuHamel KN (2011) The influence of sociocultural factors on colonoscopy and FOBT screening adherence among low-income Hispanics. J Health Care Poor Underserved. doi:10.1353/hpu.2011.0074

    PubMed  Google Scholar 

  11. Jandorf L, Ellison J, Villagra C, Winkel G, Varela A, Quintero-Canetti Z, Castillo A, Thelemaque L, King S, Duhamel K (2010) Understanding the barriers and facilitators of colorectal cancer screening among low income immigrant hispanics. J Immigr Minor health Center for Minor Public Health. doi:10.1007/s10903-009-9274-3

    Google Scholar 

  12. Shokar NK, Carlson CA, Weller SC (2008) Factors associated with racial/ethnic differences in colorectal cancer screening. J Am Board Fam Med JABFM. doi:10.3122/jabfm.2008.05.070266

    Google Scholar 

  13. Ellison J, Jandorf L, Villagra C, Winkel G, DuHamel K (2011). Screening adherence for colorectal cancer among immigrant Hispanic women. Journal of the National Medical Association

  14. Erwin DO, Jandorf L, Thelemaque LD, Trevino M, Saad-Harfouche FG, Castillo AG, Bursac Z, Colon J, Pulley L, Aguirre E, Hannigan M, Mendez EI, Horowitz C (2011) Chapter 15: Esperanza y Vida: Familias saludables empiezan con mujeres saludables: Hope and Life: Healthy families begin with healthy women. In: Elk R, Landrine H (eds) In Cancer Disparities: Causes and Evidence-Based Solutions. Springer Publishing Company, Incorporated, American Cancer Society, pp 339–366

    Google Scholar 

  15. Makoul G, Cameron KA, Baker DW, Francis L, Scholtens D, Wolf MS (2009) A multimedia patient education program on colorectal cancer screening increases knowledge and willingness to consider screening among Hispanic/Latino patients. Patient Educ Couns. doi:10.1016/j.pec.2009.01.006

    Google Scholar 

  16. Larkey LK, Lopez AM, Minnal A, Gonzalez J (2009) Storytelling for promoting colorectal cancer screening among underserved Latina women: a randomized pilot study. Cancer control : Journal of the Moffitt Cancer Center.

  17. Lebwohl B, Neugut AI, Stavsky E, Villegas S, Meli C, Rodriguez O, Franco C, Krauskopf MS, Rosenberg R (2011) Effect of a patient navigator program on the volume and quality of colonoscopy. J Clin Gastroenterol. doi:10.1097/MCG.0b013e3181f595c3

    Google Scholar 

  18. Jandorf L, Fatone A, Borker PV, Levin M, Esmond WA, Brenner B, Butts G, Redd WH (2006) Creating alliances to improve cancer prevention and detection among urban medically underserved minority groups. East Harlem Partnership Cancer Aware Cancer. doi:10.1002/cncr.22153

    Google Scholar 

  19. Varela A, Jandorf L, Duhamel K (2010) Understanding factors related to Colorectal Cancer (CRC) screening among urban Hispanics: use of focus group methodology. J Cancer Educ Off J Am Assoc Cancer Educ. doi:10.1007/s13187-009-0015-z

    Google Scholar 

  20. Freeman KL, Jandorf L, Thompson H, Duhamel KN (2010) Colorectal cancer brochure development for African Americans. J Health Disparities Res Pract 3:43–56

    Google Scholar 

  21. Shankaran, Veena, June M, McKoy, Neal Dandade, Narissa Nonzee, Cara A, Tigue, Charles L, Bennett, Tom D, Denberg (2007). Costs and cost-effectiveness of a low-intensity patient-directed intervention to promote colorectal cancer screening. Journal of Clinical Oncology

  22. Philip EJ, DuHamel K, Jandorf L (2010) Evaluating the impact of an educational intervention to increase CRC screening rates in the African American community: a preliminary study. Cancer Causes Control CCC. doi:10.1007/s10552-010-9597-3

    PubMed  Google Scholar 

  23. Janz NK, Becker MH (1984) The Health Belief Model: a decade later. Health education quarterly

  24. Prochaska, James. 1982. Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy (Chicago, Ill.)

  25. Manne S, Markowitz A, Winawer S, Meropol NJ, Haller D, Rakowski W, Babb J, Jandorf L (2002) Correlates of colorectal cancer screening compliance and stage of adoption among siblings of individuals with early onset colorectal cancer. Health psychology : official journal of the Division of Health Psychology, American Psychological Association

  26. Kreuter MW, Green MC, Cappella JN, Slater MD, Wise ME, Storey D, Clark EM, O'Keefe DJ, Erwin DO, Holmes K, Hinyard LJ, Houston T, Woolley S (2007) Narrative communication in cancer prevention and control: a framework to guide research and application. Ann Behav Med Publ Soc Behav Med. doi:10.1080/08836610701357922

    Google Scholar 

  27. Hinyard, Leslie J, Matthew W, Kreuter (2007) Using narrative communication as a tool for health behavior change: a conceptual, theoretical, and empirical overview. Health Education & Behavior

  28. Vogt DS, King DW, King LA (2004) Focus groups in psychological assessment: enhancing content validity by consulting members of the target population. Psychol Assess. doi:10.1037/1040-3590.16.3.231

    PubMed  Google Scholar 

  29. Larkey, Linda K, Gonzalez J (2007) Storytelling for promoting colorectal cancer prevention and early detection among Latinos. Patient education and counseling

  30. Larkey, Linda K, Hecht M (2010) A model of effects of narrative as culture-centric health promotion. Journal of health communication

  31. Tajfel H (1981) Chapter 4: The importance of exaggerating; Chapter 12: Social categorizations, social identity and social comparison; Chapter 13: The achievement of group differentiation. In: Tajfel H (ed) In Human Groups and Social Categries: Studies in Social Psychology. Cambridge University Press, New York, pp 268–287, 62-254-267

    Google Scholar 

  32. Strauss A, Corbin J (1998) Basics of qualitative research: techniques and procedures for developing grounded theory. SAGE Publications, Thousand Oaks, CA

    Google Scholar 

  33. Allen B Jr, Bazargan-Hejazi S (2005) Evaluating a tailored intervention to increase screening mammography in an urban area. Journal of the National Medical Association

  34. Rawl SM, Menon U, Burness A, Breslau ES (2012) Interventions to promote colorectal cancer screening: an integrative review. Nurs Outlook. doi:10.1016/j.outlook.2011.11.003

    PubMed  Google Scholar 

  35. Moralez, Ernesto A, Rao SP, Jennifer C, Livaudais Thompson B (2012) Improving Knowledge and Screening for Colorectal Cancer Among Hispanics: Overcoming Barriers Through a PROMOTORA-Led Home-Based Educational Intervention. Journal of Cancer Education

  36. Jun, Jungmi Kyeung Mi Oh (2013) Asian and Hispanic Americans' Cancer Fatalism and Colon Cancer Screening. American Journal of Health Behavior

Download references

Acknowledgments

We would like to thank all the community members who participated in focus groups and the East Harlem Partnership for Cancer Prevention Community Advisory Board for sharing their thoughts and opinions. We would also like to thank Alejandro Varela for his expert facilitation of focus groups for men, Clarissa Martinez for assisting in focus groups for women, and the rest of our staff for recruiting participants for focus groups. This study was funded by the National Cancer Institute, Grant # R01 CA140737-01A2.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Katherine DuHamel.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cooperman, J.L., Efuni, E., Villagra, C. et al. Colorectal Cancer Screening Brochure for Latinos: Focus Group Evaluation. J Canc Educ 28, 582–590 (2013). https://doi.org/10.1007/s13187-013-0506-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13187-013-0506-9

Keywords

Navigation