Preventive medicine
-
Preventive medicine · Jul 2005
Multicenter Study Comparative StudyCancer preventive screening: a cross-border comparison of United States and Canadian Chinese women.
To compare screening mammography and Pap testing among Chinese women in Seattle, Washington to Vancouver, and British Columbia. ⋯ Despite universal health care coverage and baseline characteristics typically associated with greater utilization of preventive screening services, Chinese women in Vancouver did not have higher rates of screening mammography and Pap testing compared to Chinese women in Seattle.
-
Preventive medicine · Jun 2005
Randomized Controlled Trial Multicenter Study Comparative Study Clinical TrialTesting a culturally appropriate, theory-based intervention to improve colorectal cancer screening among Native Hawaiians.
We tested an intervention based on social learning theory (SLT) to improve colorectal cancer (CRC) screening among Native Hawaiians, a group with low CRC screening rates. ⋯ For Native Hawaiian individuals belonging to a network of civic clubs, an intervention based on SLT delivered by a Native Hawaiian physician and CRC survivor was less effective at further increasing compliance than was a culturally targeted educational session delivered by a non-Hawaiian nurse. That CRC screening compliance was high prior to our intervention suggests that we targeted a very health conscious segment of the Native Hawaiian population. Future work should focus on underserved segments of this indigenous group.
-
Preventive medicine · Mar 2005
Randomized Controlled Trial Multicenter Study Clinical TrialThe TEAM project: the effectiveness of smoking cessation intervention with hospital patients.
This study evaluated the effectiveness of three smoking cessation interventions for this population: (1) modified usual care (UC); (2) brief advice (A); and (3) brief advice plus more extended counseling during and after hospitalization (A + C). ⋯ These interventions for hospital in-patients did not increase abstinence rates. Features of the study that might have contributed to this finding were the inclusiveness of the participation criteria, the fact that pharmacological aids were not provided, and a stage-matching approach that resulted in less intensive counseling for participants unwilling to set a quit date.
-
Preventive medicine · Aug 2004
Multicenter StudyFactors associated with colorectal cancer screening among Chinese-Americans.
To investigate factors associated with receipt of colorectal cancer (CRC) screening among urban senior Chinese-Americans. ⋯ Intervention programs may target these areas to facilitate CRC screening in Chinese-Americans so that national goals can be met for all Americans.
-
Preventive medicine · Dec 2003
Randomized Controlled Trial Multicenter Study Clinical TrialDesign, implementation, and quality control in the Pathways American-Indian multicenter trial.
Pathways was the first multicenter American-Indian school-based study to test the effectiveness of an obesity prevention program promoting healthy eating and physical activity. ⋯ The Pathways study results provide evidence demonstrating the role schools can play in public health promotion. Its study design and QC systems and procedures provide useful models for other similar school based multi- or single-site studies.