title: Use of the talking circle for Comanche women's breast health education.
abstract: BACKGROUND
  As breast cancer screening is critical to early detection and treatment, it is imperative to furnish health care providers with effective educational materials for the populations they serve. To do so for Comanche American Indian women requires understanding the cultural constructs that influence the use of screening and treatment recommendations.
  
  
  OBJECTIVE
  The purpose of this article is to describe the health-illness beliefs and barriers to breast health for a group of Comanche women.
  
  
  METHODS
  This was a descriptive, qualitative study guided by the principles of community-based participatory research. Seven community health representatives serving Comanche women participated in a "Talking Circle," an indigenous method of making decisions and conducting group process among American Indian people.
  
  
  RESULTS
  Themes were Barriers to Information, Barriers to Screening, Economic Barriers, Barriers to Follow-up, and Protecting Our Women.
  
  
  CONCLUSIONS
  This study provided insight into barriers to breast health for women in the Comanche Nation. These findings contribute to a foundation for enhancements needed to make breast health education and interventions culturally appropriate. These findings also add to the cultural knowledge of nurses for use in the practice area to improve understanding and communication with American Indian patients.
authors.affiliation: University of New Mexico, Albuquerque, NM 87131-0001, USA. ehaozous@salud.unm.edu
authors.forename: Emily A
authors.initials: EA
authors.lastname: Haozous
authors.forename: Valerie
authors.initials: V
authors.lastname: Eschiti
authors.forename: Jana
authors.initials: J
authors.lastname: Lauderdale
authors.forename: Carol
authors.initials: C
authors.lastname: Hill
authors.forename: Connie
authors.initials: C
authors.lastname: Amos
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000517:prevention & control*; D055812:Community-Based Participatory Research; D005260:Female; D017144:Focus Groups / Q000379:methods*; D006293:Health Promotion; D006801:Humans; D007198:Indians, North American / Q000523:psychology; D008403:Mass Screening / Q000523:psychology; D008875:Middle Aged; D009825:Oklahoma; D010342:Patient Acceptance of Health Care / Q000208:ethnology*; D016746:Transcultural Nursing; D014481:United States