Preventive medicine
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Preventive medicine · Jun 2005
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialTesting a culturally appropriate, theory-based intervention to improve colorectal cancer screening among Native Hawaiians.
We tested an intervention based on social learning theory (SLT) to improve colorectal cancer (CRC) screening among Native Hawaiians, a group with low CRC screening rates. ⋯ For Native Hawaiian individuals belonging to a network of civic clubs, an intervention based on SLT delivered by a Native Hawaiian physician and CRC survivor was less effective at further increasing compliance than was a culturally targeted educational session delivered by a non-Hawaiian nurse. That CRC screening compliance was high prior to our intervention suggests that we targeted a very health conscious segment of the Native Hawaiian population. Future work should focus on underserved segments of this indigenous group.