Using dissemination research to identify optimal community settings for tailored breast cancer information kiosks.
OBJECTIVE
Selecting appropriate community channels or settings for delivering evidence-based health promotion programs can be critical to successful dissemination. This article describes how five criteria--accessibility, opportunity, appropriateness, reach, and specificity--were applied in identifying and comparing seven community settings as host sites for a tailored breast cancer education computer kiosk for African American women.


METHODS
Data were gathered from 10,306 kiosk uses in 92 beauty salons, churches, neighborhood health centers, laundromats, social service agencies, health fairs, and public libraries between June 2003 and March 2007.


RESULTS
Of the seven settings, only laundromats were found to provide both high reach (ie, frequent kiosk use) and high specificity (ie, a large proportion of users with no health insurance, unaware of where to get a mammogram, reporting no recent mammogram and barriers to getting one, and having little knowledge about breast cancer and mammography).


CONCLUSIONS
Systematic, data-based evaluations of potential dissemination channels can help identify optimal settings for cancer control interventions.
Kreuter
Matthew W
MW
Health Communication Research Laboratory, School of Public Health, Saint Louis University, 3545 Lafayette Ave, St. Louis, MO 63104, USA. kreuter@slu.edu
Alcaraz
Kassandra I
KI
Pfeiffer
Debra
D
Christopher
Kara
K
D000293:Adolescent; D000328:Adult; D001741:Black or African American; D000367:Age Factors; D001943:Breast Neoplasms / Q000208:ethnology / Q000517:prevention & control*; D003159:Community-Institutional Relations; D054626:Consumer Health Information; D005260:Female; D006277:Health Fairs; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D033181:Information Dissemination / Q000379:methods*; D008327:Mammography; D008875:Middle Aged; D011633:Public Facilities; D014584:User-Computer Interface