Academic-Community Partnership to Develop a Patient-Centered Breast Cancer Risk Reduction Program for Latina Primary Care Patients.
This collaborative study sought to address Latina breast cancer (BC) disparities by increasing health literacy (HL) in a community health center situated on the US-Mexico border region of San Diego County. An academic-community partnership conducted formative research to develop a culturally tailored promotora-based intervention with 109 individuals. The Spanish language program, entitled Nuestra Cocina: Mesa Buena, Vida Sana (Our Kitchen: Good Table, Healthy Life), included six sessions targeting HL, women's health, BC risk reduction, and patient-provider communication; sessions include cooking demonstrations of recipes with cancer-risk-reducing ingredients. A pilot study with 47 community health center Latina patients was conducted to examine the program's acceptability, feasibility, and ability to impact knowledge and skills. Pre- and post-analyses demonstrated that participants improved their self-reported cancer screening, BC knowledge, daily fruit and vegetable intake, and ability to read a nutrition label (p < 0.05). Results of the pilot study demonstrate the importance of utilizing patient-centered culturally appropriate noninvasive means to educate and empower Latina patients.
Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, 9245 Sky Park Ct. St. 110, San Diego, CA, 92123, USA. scastaneda@mail.sdsu.edu.
Sheila F
SF
Castañeda
Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, 9245 Sky Park Ct. St. 110, San Diego, CA, 92123, USA.
Rebeca E
RE
Giacinto
Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, 9245 Sky Park Ct. St. 110, San Diego, CA, 92123, USA.
Elizabeth A
EA
Medeiros
Research and Health Promotion Department, San Ysidro Health Center, Inc., San Diego, USA.
Ilana
I
Brongiel
Research and Health Promotion Department, San Ysidro Health Center, Inc., San Diego, USA.
Olga
O
Cardona
Research and Health Promotion Department, San Ysidro Health Center, Inc., San Diego, USA.
Patricia
P
Perez
Institute for Behavioral and Community Health, Graduate School of Public Health, San Diego State University, 9245 Sky Park Ct. St. 110, San Diego, CA, 92123, USA.
Gregory A
GA
Talavera
D000328:Adult; D001943:Breast Neoplasms / Q000208:ethnology* / Q000517:prevention & control; D002140:California; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D008875:Middle Aged; D010865:Pilot Projects; D011320:Primary Health Care; D040242:Risk Reduction Behavior
Breast cancer risk reduction; Community health center; Community-based participatory research; Formative research; Latinas; Patient-centered care; Women’s health