title: Development of culturally tailored educational brochures on HPV and pap tests for American Indian women.
abstract: OBJECTIVE
  Participatory formative research guided the creation of a culturally tailored educational brochure about human papillomavirus (HPV) at an American Indian women's clinic.
  
  
  METHODS
  A review of existing educational materials and in-depth interviews were conducted. Nine steps for creating health communications messages that were patterned after National Cancer Institute guidelines guided the brochure development process.
  
  
  RESULTS
  Of 95 women tested for HPV, 41% were positive, 32 (34%) agreed to the in-depth interview, and 9 agreed to the pretesting interview. Mean age was 41 years. Interviews revealed key themes concerning emotional reactions to abnormal Pap test results and HPV; need for basic information about HPV, Pap tests, and results; concerns about HPV stigma, sexual transmission, and communication with sexual partner; and the preferred source and format for HPV educational materials. A literature review revealed 12 areas of basic HPV content.
  
  
  CONCLUSIONS
  A participatory process successfully engaged nursing staff and patients in creating culturally appropriate brochures for clinic use.
  
  
  CONCLUSIONS
  This article provides specific steps for creating culturally tailored patient education materials.
authors: University of South Carolina, Columbia, SC 29208, USA. sharpep@mailbox.sc.edu
authors: Patricia A
authors: PA
authors: Sharpe
authors: Heather M
authors: HM
authors: Brandt
authors: Donna H
authors: DH
authors: McCree
authors: Elizabeth
authors: E
authors: Owl-Myers
authors: Betty
authors: B
authors: Taylor
authors: Glenda
authors: G
authors: Mullins
mesh_terms: D000328:Adult; D003466:Cultural Characteristics; D005260:Female; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006801:Humans; D007198:Indians, North American / Q000193:education*; D008875:Middle Aged; D010174:Pamphlets; D030361:Papillomavirus Infections / Q000175:diagnosis* / Q000208:ethnology / Q000517:prevention & control; D053918:Papillomavirus Vaccines; D010353:Patient Education as Topic; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control; D014626:Vaginal Smears; D055815:Young Adult
chemical_list: D053918:Papillomavirus Vaccines
keywords: American Indian; transcultural health; women’s health