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An intervention to decrease cancer fatalism among rural elders.

B D Powe1, S Weinrich

  • 1College of Nursing, Medical University of South Carolina, Charleston, USA.

Oncology Nursing Forum
|April 24, 1999
PubMed
Summary
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A video intervention effectively reduced cancer fatalism and increased colorectal cancer knowledge in rural elders. Both intervention and control groups showed high participation in fecal-occult blood testing (FOBT).

Area of Science:

  • Public Health
  • Health Communication
  • Gerontology

Background:

  • Cancer fatalism can be a barrier to cancer screening.
  • Colorectal cancer screening rates are often lower in rural elderly populations.
  • Culturally sensitive interventions are needed to improve cancer screening behaviors.

Purpose of the Study:

  • To assess a video intervention's impact on cancer fatalism.
  • To measure changes in colorectal cancer knowledge after the video intervention.
  • To evaluate the intervention's effect on fecal-occult blood testing (FOBT) participation.

Main Methods:

  • A pretest/post-test, repeated measures design was employed.
  • Rural senior citizen centers were randomly assigned to intervention or control groups.

Related Experiment Videos

  • Participants (aged 52-92) received either a tailored video or a standard ACS video and FOBT kits.

    • Main Results:

    • The intervention group demonstrated a significant decrease in cancer fatalism.
    • Participants in the intervention group showed a greater increase in colorectal cancer knowledge.
    • Over 60% of participants in both groups completed FOBT.

    Conclusions:

    • The video intervention "Telling the Story ... To Live is God's Will" is effective in reducing cancer fatalism and increasing colorectal cancer knowledge.
    • The intervention video was as effective as the ACS video in promoting FOBT participation.
    • The intervention holds potential for sustained screening behavior improvements in rural elders.