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First published on June 29, 2007
Health Education & Behavior 2007, doi:10.1177/1090198106296768

Article

Development and Evaluation of a Culturally Tailored Educational Video: Changing Breast Cancer-Related Behaviors in Chinese Women

Judy H. Wang, PhD1*, Wenchi Liang, DDS, PhD1, Marc D. Schwartz, PhD1, Marion M. Lee, PhD2, Barbara Kreling, MSPH1, and Jeanne S. Mandelblatt, MD, MPH1

1 Cancer Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC
2 Department of Epidemiology and Biostatistics, University of California, San Francisco

* To whom correspondence should be addressed. E-mail: jw235{at}georgetown.edu.


  Abstract
This study developed and evaluated a culturally tailored video guided by the health belief model to improve Chinese women's low rate of mammography use. Focus-group discussions and an advisory board meeting guided the video development. A 17-min video, including a soap opera and physician-recommendation segment, was made in Chinese languages. A pretest/posttest pilot was conducted to evaluate the efficacy of the video in changing knowledge, beliefs, and screening intentions among Chinese women (age ≥ 40) who were nonadherent to current National Cancer Institute's mammography guidelines (n = 52). The results showed that the video significantly increased these women's screening intentions, knowledge, perceived risk for breast cancer, and perceived benefits of mammography. Chinese immigrant women were less likely to hold an Eastern view of health care and report barriers to screening after viewing the video. This video might have the potential to increase adherence to mammography screening in Chinese women.
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