title: Motivating underserved Vietnamese Americans to obtain colorectal cancer screening: evaluation of a culturally tailored DVD intervention.
abstract: BACKGROUND
  Colorectal cancer (CRC) is a leading cause of cancer death among Vietnamese Americans, yet screening remains underutilized. We investigated the effectiveness of a culturally tailored DVD intervention in promoting CRC screening among unscreened Vietnamese Americans age 50 and over.
  
  
  METHODS
  Using a community-based participatory research approach, we conducted a trial comparing twenty-eight subjects who received a mailed DVD in Vietnamese, with twenty-eight subjects who received a mailed brochure in Vietnamese. Subjects completed telephone surveys at baseline, One-month, and one-year. The primary outcome was receipt of screening. Secondary measures were participants' knowledge, attitudes, and beliefs about CRC screening. Two focus groups explored the intervention's acceptability and effectiveness.
  
  
  RESULTS
  At one year, CRC screening rates of 57.1% and 42.9% were observed in experimental and control group respectively (p=0.42), Subjects in both groups showed increased knowledge about CRC after one month. Focus group findings revealed that the DVD was an effective method of communicating information and would help promote screening.
  
  
  CONCLUSIONS
  The findings suggest that culturally tailored, linguistically appropriate content is more important than the type of media used. This relatively low intensity, low cost intervention utilizing a DVD can be another useful method for outreach to the often hard-to-reach unscreened population.
authors.affiliation: School of Social Work, University of Minnesota, Twin Cities, USA E-mail : hylee@umn.edu.
authors.forename: Hee Yun
authors.initials: HY
authors.lastname: Lee
authors.forename: Marie
authors.initials: M
authors.lastname: Tran
authors.forename: Seok Won
authors.initials: SW
authors.lastname: Jin
authors.forename: Robin
authors.initials: R
authors.lastname: Bliss
authors.forename: Mark
authors.initials: M
authors.lastname: Yeazel
mesh_terms: D000368:Aged; D001213:Asian; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000517:prevention & control*; D055812:Community-Based Participatory Research; D055088:Early Detection of Cancer; D005260:Female; D017144:Focus Groups; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000523:psychology*; D008875:Middle Aged; D010174:Pamphlets; D010349:Patient Compliance; D011795:Surveys and Questionnaires; D014481:United States; D014742:Videodisc Recording; D014744:Vietnam / Q000208:ethnology; D035862:Vulnerable Populations