A Systematic Review Of Promising Strategies Of Faith-Based Cancer Education And Lifestyle Interventions Among Racial/Ethnic Minority Groups

Keywords

Faith-based cancer education; Promising strategy; Racial / ethnic minority; Systematic reviews; The community guide

Abstract

Church-based interventions have been used to reach racial/ethnic minorities. In order to develop effective programs, we conducted a comprehensive systematic review of faith-based cancer prevention studies (2005~2016) to examine characteristics and promising strategies. Combination terms “church or faith-based or religion,” “intervention or program,” and “cancer education or lifestyle” were used in searching the five major databases: CINAHL; ERIC; Health Technology Assessments; MEDLINE; and PsycInfo. A total of 20 studies met study criteria. CDC’s Community Guide was used to analyze and review group interventions. Analyses were organized by two racial groups: African American (AA) and Latino/Hispanic American groups. Results showed most studies reviewed focused on breast cancer alone or in combination with other cancers. Studies of Latino/Hispanic groups targeted more on uninsured, Medicare, or Medicaid individuals, whereas AA studies generally did not include specific insurance criteria. The sample sizes of the AA studies were generally larger. The majority of these studies reviewed used pre-post, posttest only with control group, or quasi-experience designs. The Health Belief Model was the most commonly used theory in both groups. Community-based participatory research and empowerment/ecological frameworks were also used frequently in the Latino/Hispanic studies. Small media and group education were the top two most popular intervention strategies in both groups. Although one-on-one strategy was used in some Latino studies, neither group used reducing client out-of-pocket costs strategy. Client reminders could also be used more in both groups as well. Current review showed church-based cancer education programs were effective in changing knowledge, but not always screening utilization. Results show faith-based cancer educational interventions are promising. To maximize intervention impact, future studies might consider using stronger study designs, incorporating a variety of proven effective strategies, including those frequently used evidence-based strategies, as well as exploring promising strategies among specific target groups.

Publication Date

12-1-2018

Publication Title

Journal of Cancer Education

Volume

33

Issue

6

Number of Pages

1161-1175

Document Type

Review

Personal Identifier

scopus

DOI Link

https://doi.org/10.1007/s13187-017-1277-5

Socpus ID

85029425238 (Scopus)

Source API URL

https://api.elsevier.com/content/abstract/scopus_id/85029425238

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