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The Chinese Women's Health Project

An Evidence-Based Practice

Description

The Chinese Women's Health Project conducted two simultaneous interventions designed to increase cervical cancer screening in Chinese women living in Seattle, WA and Vancouver, British Columbia. Both interventions provided Chinese women between the ages of 20 and 69 with culturally and linguistically sensitive educational materials (video, brochures, fact sheets). The "low intensity" method consisted of mailing these packets to eligible women, while the "high intensity" intervention involved home visits by outreach workers fluent in Cantonese, Mandarin, and English.

Goal / Mission

The program aimed to increase the rate of cervical cancer screening in Chinese women living in North America in response to research findings of significantly lower cervical cancer screening rates in Chinese women.

Impact

This intervention program found that women who received an intervention had cervical cancer screenings at a higher rate than those who did not receive any intervention. This shows that culturally and linguistically appropriate interventions might help improve Pap testing rates among Chinese women.

Results / Accomplishments

In an evaluation study, women were randomly assigned to one of two experimental arms or control status. Statistically significant differences in cervical cancer screening were found in both intervention groups: 39 percent of women in the outreach intervention group and 25 percent of women in the direct mail intervention reported having a pap smear during the intervention period, as compared to 15 percent of women in the control group. The researchers concluded that culturally and linguistically appropriate interventions may improve Pap testing levels among Chinese women in North America.

About this Promising Practice

Organization(s)
Fred Hutchinson Cancer Research Center
Primary Contact
Victoria M. Taylor, MD, MPH
Fred Hutchinson Cancer Research Center
1100 Fairview Ave North (MP-702)
Seattle, WA 98105
(206) 667-5114
vtaylor@fredhutch.org
http://www.fhcrc.org/index.html
Topics
Health / Cancer
Health / Women's Health
Health / Prevention & Safety
Organization(s)
Fred Hutchinson Cancer Research Center
Source
The Journal of the National Cancer Institute
Date of publication
2002
Location
Seattle, Washington
For more details
http://www.ncbi.nlm.nih.gov/pubmed/11983755
Target Audience
Women, Racial/Ethnic Minorities

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  3. Cervical Cancer Control for Vietnamese American Women
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  5. Culturally Tailored Navigator Program for Colorectal Cancer Screening
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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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