An Evaluation of Recruitment and Retention Strategies Among Asian American Women in the National Breast and Cervical Cancer Early Detection Program Public Deposited

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  • March 20, 2019
Creator
  • Wong, Christina Misa
    • Affiliation: Gillings School of Global Public Health, Department of Health Behavior
Abstract
  • Asian American women have the lowest mammography and Pap test rates among all other racial and ethnic groups in the U.S. (American Cancer Society, 2006a). The elimination of these health disparities among Asian American women is currently a national priority and strategies to reduce the breast and cervical cancer burden are urgently needed. The purpose of this evaluation study was to assess current strategies and to provide recommendations for improving recruitment, retention and delivery of services to Asian American women in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP), a free screening program for eligible low-income women. A cultural competency conceptual framework formed the basis of this investigation. The study was conducted in three phases: 1) Written surveys completed by 41 NBCCEDP state program directors; 2) Telephone interviews conducted with 28 key NBCCEDP program administrators and service providers; and 3) Site visits in three states with the highest Asian American population, and interviews with 62 Asian American women (40 NBCCEDP participants and 22 non-NBCCEDP participants who were eligible for the program). A utilization focused evaluation approach with both quantitative and qualitative methods were employed to analyze the data. Results revealed that 11 cultural competency strategies are recommended for use by program directors, outreach coordinators, service providers and Asian American women (both NBCCEDP participants and non-participants) when recruiting, retaining, and providing services to Asian American women in the NBCCEDP: (1) conduct demographic profile and assessment of needs, strengths and assets of the client population; (2) develop linguistic competence; (3) use lay health advisors; (4) provide culturally and linguistically appropriate health education materials and strategies; (5) develop partnerships with communities and community organizations; (6) include family and community members; (7) facilitate learning between providers and community; (8) coordinate with practitioners of traditional medicine; (9) develop policies to recruit and retain culturally diverse staff; (10) incorporate administrative and organizational strategies and; (11) provide patient navigation services. Implications for practice directed to the NBCCEDP program administrators, as well as implications for future research on recruitment, retention and service delivery of Asian American women in this national program will be discussed.
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  • Linnan, Laura
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