Storytelling for promoting colorectal cancer prevention and early detection among Latinos

Patient Educ Couns. 2007 Aug;67(3):272-8. doi: 10.1016/j.pec.2007.04.003. Epub 2007 May 23.

Abstract

Objective: Health promotion efforts directed at Latinos may be more effective when culturally adapted methods are used. Our study was designed to test a novel communication modality for promoting colorectal cancer (CRC) prevention and screening messages among Latinos.

Methods: We compared a culturally aligned, brief storytelling educational intervention (ST) to a numeric risk tool intervention (NR) based on the Harvard Cancer Risk Index. Both interventions included risk factor information and recommendations for primary prevention and screening for CRC. Sixty-four Latinos (mean age 46.8, 86% female) were randomized and completed pre- and post-tests.

Results: Participants in ST indicated intent to add significantly more servings of vegetables (p=.030) and more minutes of exercise (p=.018) to daily routines than those in NR. Most respondents (ST and NR) reported intentions to recommend CRC screening to friends and relatives.

Conclusions: These data provide support for storytelling's potential to promote health behavior change with cultural relevance for Latinos.

Practice implications: Storytelling shows promise as an effective method for reaching one of the historically underserved ethnic groups with cancer prevention and screening information.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Colorectal Neoplasms* / diagnosis
  • Colorectal Neoplasms* / ethnology
  • Colorectal Neoplasms* / prevention & control
  • Early Diagnosis*
  • Exercise
  • Fear
  • Feeding Behavior / ethnology
  • Female
  • Health Education / methods*
  • Health Knowledge, Attitudes, Practice
  • Health Promotion / methods
  • Hispanic or Latino* / education
  • Hispanic or Latino* / ethnology
  • Humans
  • Intention
  • Male
  • Mass Screening
  • Middle Aged
  • Narration*
  • Patient Acceptance of Health Care / ethnology
  • Pilot Projects
  • Primary Prevention
  • Program Evaluation
  • Risk Assessment