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. 2010 Nov;100(11):2228–2234. doi: 10.2105/AJPH.2009.176230

TABLE 1.

Selected Health Behavior Framework Factors Addressed by the Colorectal Cancer Screening Intervention: Filipino Health Study, Los Angeles, CA, 2004–2009

Intervention
Individual factors
Knowledge CRC information, all types of screening tests, and guidelines are discussed in the small-group session
Take-home print information includes a table that lists advantages and disadvantages or limitations of all CRC screening tests
Beliefs
    Perceived susceptibility Mortality of CRC among Filipino Americans is graphically shown to be higher than mortality of other cancers
    Self-efficacy to do FOBT FOBT demonstration with peanut butter and easy-to-read instructions with pictures to increase self-efficacy to do FOBT
Barriers Barriers such as cost, not knowing that the test is needed, concern about finding CRC, and absence of symptoms are discussed interactively
FOBT kits are provided at no cost to 1 intervention arm
Screening reminder letter is sent to participants after the session
Social norms and support Discussion group format among peers establishes positive social norms and social support for CRC screening
Filipino social organizations and groups endorse study and screening
Group members share previous screening experiences
Communication with provider Strong recommendation from health educator to discuss CRC screening with provider
Handout: “Questions to Ask Your Doctor”
Cultural CRC is discussed in small groups that know each other with opportunity for socializing and refreshments
Sessions are provided in English and Filipino or “Taglish” language by Filipino American health professional at community sites
Provider and Health Care System factors
Practice pattern Provider is informed that patient received CRC education and FOBT kit and urged to recommend screening

Note. CRC = colorectal cancer; FOBT = fecal occult blood test.