title: Assessing the fidelity of the Kin KeeperSM prevention intervention in African American, Latina and Arab women.
abstract: BACKGROUND
  We evaluated a randomized controlled treatment, utilizing Community Health Workers (CHW) to deliver breast and cervical cancer education intervention to African American, Latina, and Arab women in Detroit and Dearborn, Michigan. The main objectives of the study are to: (1) examine fidelity and consistency of treatment delivery and (2) assess qualitative elements of the intervention.
  
  
  METHODS
  We surveyed 305 women who received the intervention and 16 CHWs Survey included questions regarding the treatment integrity, treatment received, and training provided. Surveys included both quantitative and questions.
  
  
  RESULTS
  The intervention group (n = 305) was made up of 48% Black, 11% Latina, and 41% Arab women. Almost all (≥ 90%) women agreed that they received the treatment in the way that it was intended. Sixteen CHWs responded affirmatively as well.
  
  
  CONCLUSIONS
  Both participants and CHWs indicated that the program was mutually rewarding, indicating that there was "cross fertilization and cross benefit" of working with each other. These benefits served to endorse and confirm that CHWs are a very important mechanism in increasing health literacy in the community and referring underserved individuals to health providers. Second, with strong treatment fidelity the Kin Keeper(SM) program and has the potential to be replicated for a number of diseases in a variety of venues especially for those facing health disparities.
authors.affiliation: Department of Obstetrics, Gynecology & Reproductive Biology, Institute for Health Care Studies, Michigan State University, College of Human Medicine, East Lansing, MI 48824 and Arab Community Center for Economic and Social Services (ACCESS), Dearborn, MI 48126, USA.
authors.forename: Sabrina
authors.initials: S
authors.lastname: Ford
authors.forename: Cristian
authors.initials: C
authors.lastname: Meghea
authors.forename: Tamika
authors.initials: T
authors.lastname: Estes
authors.forename: Hiam
authors.initials: H
authors.lastname: Hamade
authors.forename: Murlisa
authors.initials: M
authors.lastname: Lockett
authors.forename: Karen Patricia
authors.initials: KP
authors.lastname: Williams
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D000368:Aged; D000369:Aged, 80 and over; D018912:Arabs; D001943:Breast Neoplasms / Q000208:ethnology*; D003150:Community Health Workers / Q000458:organization & administration*; D005260:Female; D006266:Health Education / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006630:Hispanic or Latino; D006801:Humans; D008875:Middle Aged; D011787:Quality of Health Care; D044469:Racial Groups; D002583:Uterine Cervical Neoplasms / Q000208:ethnology*; D055815:Young Adult