Promoting Breast Health: Older Black Women's Perceptions of an Innovative Intervention

2.50
Hdl Handle:
http://hdl.handle.net/10755/163411
Category:
Abstract
Type:
Presentation
Title:
Promoting Breast Health: Older Black Women's Perceptions of an Innovative Intervention
Author(s):
Della-Monica, Nola R.; Wood, Robin Y.
Author Details:
Nola R. Della-Monica, PhD(c), RN, Boston College Connell School of Nursing, Chestnut Hill, Massachusetts, USA, email: dellamno@bc.edu; Robin Y. Wood
Abstract:
Purpose: This study is a continuation of prior funded research in which we tested the use of age and ethnically sensitive video breast health kits to increase knowledge about breast cancer and enhance the screening practices of breast self examination (BSE), and mammography among older white and black women. Background: Underutilization of mammography is a problem among older women in the United States. Elders are at the greatest risk for developing and dying from breast cancer, but they are the least likely group to be screened routinely with mammograms or to practice BSE, particularly if they are African American. Methods (Design, Participants, Setting, Data Collection, Analytic approach): Participatory qualitative evaluation focus groups were used to assess the overall impact of the video kit intervention program and to elucidate the quantitative findings of the original study. Four focus groups were conducted in two diverse community settings with a purposive sample of twenty-three participants (N=23). The overall sample was predominantly black (87%) with mean age of 71~ 7.9 years and mean education completed of 12 ~ 3.4 years. A researcher transcribed tapes from each focus group, and coded the resulting texts for themes. Final themes emerged as both researchers' reached agreement of internal homogeneity and external heterogeneity. Results: Five major themes emerged from group discussions: usability and appeal of the intervention, fear and empowerment, personal relevance and intergenerational sharing, impact on screening behaviors, and storytelling. Conclusions and Implications: Analyses suggest that customized media materials constructed especially for older black women empowered participants in this sample to action regarding their own breast health. Given that low-income elderly and minority populations are historically difficult to access and impact, further design and evaluation of innovative and sensitive educational programs such as the one described here are recommended.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePromoting Breast Health: Older Black Women's Perceptions of an Innovative Interventionen_GB
dc.contributor.authorDella-Monica, Nola R.en_US
dc.contributor.authorWood, Robin Y.en_US
dc.author.detailsNola R. Della-Monica, PhD(c), RN, Boston College Connell School of Nursing, Chestnut Hill, Massachusetts, USA, email: dellamno@bc.edu; Robin Y. Wooden_US
dc.identifier.urihttp://hdl.handle.net/10755/163411-
dc.description.abstractPurpose: This study is a continuation of prior funded research in which we tested the use of age and ethnically sensitive video breast health kits to increase knowledge about breast cancer and enhance the screening practices of breast self examination (BSE), and mammography among older white and black women. Background: Underutilization of mammography is a problem among older women in the United States. Elders are at the greatest risk for developing and dying from breast cancer, but they are the least likely group to be screened routinely with mammograms or to practice BSE, particularly if they are African American. Methods (Design, Participants, Setting, Data Collection, Analytic approach): Participatory qualitative evaluation focus groups were used to assess the overall impact of the video kit intervention program and to elucidate the quantitative findings of the original study. Four focus groups were conducted in two diverse community settings with a purposive sample of twenty-three participants (N=23). The overall sample was predominantly black (87%) with mean age of 71~ 7.9 years and mean education completed of 12 ~ 3.4 years. A researcher transcribed tapes from each focus group, and coded the resulting texts for themes. Final themes emerged as both researchers' reached agreement of internal homogeneity and external heterogeneity. Results: Five major themes emerged from group discussions: usability and appeal of the intervention, fear and empowerment, personal relevance and intergenerational sharing, impact on screening behaviors, and storytelling. Conclusions and Implications: Analyses suggest that customized media materials constructed especially for older black women empowered participants in this sample to action regarding their own breast health. Given that low-income elderly and minority populations are historically difficult to access and impact, further design and evaluation of innovative and sensitive educational programs such as the one described here are recommended.en_GB
dc.date.available2011-10-27T11:07:07Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:07:07Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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