| چکیده انگلیسی مقاله |
Background: Breast cancer is the leading cause of death among Hispanic/Latina women. Screening mammograms reduces morbidity and mortality, although Spanish-preferred patients face linguistic barriers, with 61% of patients in an Internal Medicine (IM) clinic being up to date on screenings. The study aimed to increase breast screening rates among Spanish-preferred IM patients by 12% within six weeks using culturally tailored Spanish-language educational materials. Methods: Spanish-preferred patients were identified by language preference, age, and breast cancer screening status. Thirty-six women IM patients (intervention) and twenty-six Family Medicine (FM) patients (control) were selected. The IM patients received a link to a Spanish screening education video via an electronic portal message or mailed letter. If no screening was completed, patients were then called by a native Spanish speaker. FM patients received no intervention. Screening rates were compared to evaluate the efficacy of the video in increasing screening. Results: Nine IM patients were excluded due to relocation or receiving care elsewhere. Post-intervention, screening adherence improved in both groups; the IM group improved by 25.9% (7 patients, P = 0.007) and 15.4% in the FM group (4 patients, P = 0.04). The change was significantly higher in the intervention group, P < 0.001. Conclusion: Providing screening education in Spanish significantly improved adherence. Incorporating culturally tailored education in clinical practice mitigates language-related health disparities and improves screening rates. Further research is needed on a larger scale with education in other languages to determine the effects on screening rates when patients have education in their preferred language. |
| کلیدواژههای انگلیسی مقاله |
Breast cancer screening, prevention, health literacy, Mammogram, Spanish, women’s health |
| نویسندگان مقاله |
| Brittany Strelow
Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, MN, USA
| Anne Carmean
Mayo Clinic Physician Assistant Program, Rochester, MN, USA
| Sofia Fuentes-Camacho
Mayo Clinic Physician Assistant Program, Rochester, MN, USA
| Abby Gilliland
Mayo Clinic Physician Assistant Program, Rochester, MN, USA
| Allison Moysis
Mayo Clinic Physician Assistant Program, Rochester, MN, USA
| Rhiannon Weston
Mayo Clinic Physician Assistant Program, Rochester, MN, USA
| Justine Herndon
Mayo Clinic Physician Assistant Program, Rochester, MN, USA; Division of Endocrinology, Department of Medicine, Mayo Clinic, Rochester, MN, USA
| Alan Brokenicky
Mayo Clinic Physician Assistant Program, Rochester, MN, USA
| Rachel Olson
Center for Learning Innovation, University of Minnesota, Rochester, MN, USA
| Danielle O'Laughlin
Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, MN, USA; Mayo Clinic Physician Assistant Program, Rochester, MN, USA
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