title: As you go, spread the word: spiritually based breast cancer education for African American women.
abstract: BACKGROUND
  In partnership with an African American church, we developed an educational booklet on breast cancer early detection from within a spiritual framework. This booklet included religious themes and biblical scripture supporting the early detection message, for women ages 40 and over to have regular mammograms.
  
  
  METHODS
  The spiritually based booklet was compared against a demographically targeted booklet (for African American women, but with no spiritual or religious content) for communication effectiveness. One hundred and eight African American women were randomly assigned to read one of the booklets and complete a series of questionnaires about the booklet.
  
  
  RESULTS
  Both those in the spiritually based and the secular groups reported significant increases in knowledge about breast cancer treatment and decrease in perceived barriers to mammography. Those in the spiritually based group additionally increased knowledge about mammograms.
  
  
  CONCLUSIONS
  This small study suggests that spiritually based approaches may be more effective than secular based. Our future studies will explore these and other spiritually based interventions in larger sample sizes of patients.
authors.affiliation: University of Alabama at Birmingham, School of Medicine, Division of Preventive Medicine, MT 641, 1530 3rd Avenue South, Birmingham, AL 35294-4410, USA. cholt@uab.edu
authors.forename: Cheryl L
authors.initials: CL
authors.lastname: Holt
authors.forename: Patrick R
authors.initials: PR
authors.lastname: Klem
mesh_terms: D000328:Adult; D001741:Black or African American; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000208:ethnology* / Q000523:psychology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008327:Mammography; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D012068:Religion and Medicine; D029181:Spirituality