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.