title: Community-based colorectal cancer intervention in underserved Korean Americans.
abstract: BACKGROUND
  Despite evidence of a decline in both incidence and prevalence of colorectal cancer nationwide, it remains the second most commonly diagnosed cancer and the third highest cause of mortality among Asian Americans, including Korean Americans. This community-based and theoretically guided study evaluated a culturally appropriate intervention program that included a bilingual cancer educational program among Korean Americans including information on CRC risks, counseling to address psychosocial and access barriers, and patient navigation assistance.
  
  
  METHODS
  A two-group quasi-experimental design with baseline and post-intervention assessment and a 12-month follow-up on screening was used in the study. Korean Americans (N=167) were enrolled from six Korean churches. The intervention group received culturally appropriate intervention program addressing accessibility and psychosocial barriers, and navigation assistance for screening. The control group received general health education that included cancer-related health issues and screening.
  
  
  RESULTS
  There was a significant difference (p<0.05) between the post-intervention and control groups in awareness of CRC risk factors. There was also a significant improvement in the pre-post across HBM measures in the intervention group for perceived susceptibility (p<0.05) and benefits and barriers to screening (p<0.001). At baseline, 13% of participants in the intervention group and 10% in control group reported having had a CRC cancer screening test in the previous year. At the 12-month post-intervention follow-up, 77.4% of participants in the intervention group had obtained screening compared to 10.8% in the control group.
  
  
  CONCLUSIONS
  While health disparities result from numerous factors, a culturally appropriate and church-based intervention can be highly effective in increasing knowledge of and access to, and in reducing barriers to CRC screening among underserved Koreans.
authors.affiliation: Department of Public Health, Center for Asian Health, College of Health Professions, Temple University, Philadelphia, PA 19122-0843, USA. grace.ma@temple.edu
authors.forename: Grace X
authors.initials: GX
authors.lastname: Ma
authors.forename: Steve
authors.initials: S
authors.lastname: Shive
authors.forename: Yin
authors.initials: Y
authors.lastname: Tan
authors.forename: Wanzhen
authors.initials: W
authors.lastname: Gao
authors.forename: Joanne
authors.initials: J
authors.lastname: Rhee
authors.forename: Micah
authors.initials: M
authors.lastname: Park
authors.forename: Jaesool
authors.initials: J
authors.lastname: Kim
authors.forename: Jamil I
authors.initials: JI
authors.lastname: Toubbeh
mesh_terms: D001213:Asian; D015179:Colorectal Neoplasms / Q000517:prevention & control* / Q000523:psychology*; D055088:Early Detection of Cancer / Q000523:psychology* / Q000706:statistics & numerical data; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008507:Medically Underserved Area; D008875:Middle Aged