title: The Asian Grocery Store-Based Cancer Education Program: Creating New Education Modules.
abstract: Operating since 1994, the UCSD Moores Cancer Center's Asian Grocery Store-Based Cancer Education Program (the Program) is a proven and sustainable strategy for disseminating cancer and poison control information to Asian and Pacific Islander (API) communities. This paper describes the process taken to identify health topics that can be readily addressed within the Program's infrastructure and reports results of the pilot testing of the educational module that was developed by following that process. The development of each new module is guided by the Health Belief Model and the Tipping Point Model. The process starts with the selection of a health topic demonstrating pressing need and treatment options in the API community. Then, using the Pareto principle, reasonably modifiable risk factors are chosen to be addressed in the module. "Sticky messaging" for the modifiable risk factors is developed to package the health information as memorable and transmissible calls-to-action. Finally, grocery store outreaches were used to pilot test the new module to assess its effectiveness at facilitating health care information to API community members. By adhering to the steps described in this paper, the authors were able to: (1) select liver cancer as a pressing API health issue that could be positively impacted by the Program; (2) identify reasonably modifiable risk factors for the chosen health issue; (3) generate compelling call-to-action messages to decrease risk of exposure; and (4) demonstrate the cultural and linguistic alignment of the liver cancer control module. The development and testing of new health education modules follow a methodical process guided by scientific principles. Understanding and employing the elements of an existing evidence-based and sustainable health education program can increase the likelihood of success in addressing the health needs of the API community.
authors.affiliation: University of California, San Diego, School of Medicine, 9500 Dr, Gilman, La Jolla, CA, 92093, USA.|UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA.
authors.forename: Linh
authors.initials: L
authors.lastname: Truong
authors.affiliation: Department of Cell and Molecular Biology, The Scripps Research Institute, 10550 North Torrey Pines Rd, MB-07, La Jolla, CA, 92037-1000, USA.|Kellogg School of Science and Technology, The Scripps Research Institute, 10550 North Torrey Pines Rd, MB-07, La Jolla, CA, 92037-1000, USA.|UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA.
authors.forename: John
authors.initials: J
authors.lastname: Tat
authors.affiliation: Northeast Ohio Medical University, 4209 Ohio 44, Rootstown, OH, 44272, USA.|UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA.
authors.forename: Molly
authors.initials: M
authors.lastname: Booy
authors.affiliation: Fielding School of Public Health, University of California, Los Angeles, 640 Charles E. Young Dr. S, Los Angeles, CA, 90024, USA.|UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA.
authors.forename: Annie
authors.initials: A
authors.lastname: Le
authors.affiliation: UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA.|San Diego Mesa College, 7250 Mesa College Drive, San Diego, CA, 92111, USA.
authors.forename: Jeanne Marie
authors.initials: JM
authors.lastname: Marasigan
authors.affiliation: UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA.
authors.forename: Christine
authors.initials: C
authors.lastname: Yuan
authors.affiliation: UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA.
authors.forename: Athena
authors.initials: A
authors.lastname: Zeng
authors.affiliation: UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA.
authors.forename: Anand
authors.initials: A
authors.lastname: Panchal
authors.affiliation: University of California, San Diego, School of Medicine, 9500 Dr, Gilman, La Jolla, CA, 92093, USA. gsadler@ucsd.edu.|UC San Diego Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive MC 0850, La Jolla, CA, 92093-0850, USA. gsadler@ucsd.edu.|Department of Surgery, University of California, San Diego, School of Medicine, 9500 Gilman Dr, La Jolla, CA, 92093-0850, USA. gsadler@ucsd.edu.
authors.forename: Georgia Robins
authors.initials: GR
authors.lastname: Sadler
mesh_terms: D001213:Asian; D005522:Food Services / Q000458:organization & administration*; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009369:Neoplasms / Q000517:prevention & control*; D010353:Patient Education as Topic; D010865:Pilot Projects
keywords: Asian and Pacific Islanders; Cancer education; Cancer prevention; Health disparities; Health promotion; Liver cancer; Service learning