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This version was published on October 1, 2006
Health Education & Behavior, Vol. 33, No. 5, 625-642 (2006)
DOI: 10.1177/1090198106290795

Use of Computer Kiosks for Breast Cancer Education in Five Community Settings

Matthew W. Kreuter, PhD, MPH

Health Communication Research Laboratory, Department of Community Health, School of Public Health, Saint Louis University, 3545 Lafayette Ave., St. Louis, MO 63104; telephone: (314) 977-8132; kreuter{at}slu.edu

Wynona J. Black, MPH

Washington University, St. Louis, Missouri

LaBraunna Friend, MPH

Missouri Institute of Mental Health, St. Louis

Angela C. Booker, MPH

National Center of Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia

Paula Klump, BS

Sonal Bobra, MPH

Saint Louis University, Missouri

Cheryl L. Holt, PhD

University of Alabama at Birmingham

Finding ways to bring effective computer-based behavioral interventions to those with limited access to technology is a continuing challenge for health educators. Computer kiosks placed in community settings may help reach such populations. TheReflections of You kiosk generates individually tailored magazines on breast cancer and mammography and was adapted from an evidence-based intervention that increased mammography use in African American women. This usage study tracked patterns of use and characteristics of kiosk users in beauty salons, churches, neighborhood health centers, Laundromats, and social service agencies in St. Louis. Kiosks were used 4,527 times in 470 kiosk days at 40 different host sites. Highly significant differences among community settings were found in rates and patterns of kiosk use as well as user characteristics, breast cancer knowledge, and use of mammography. Findings inform strategic decision making about technology dissemination and community outreach to women needing information about breast cancer and mammography.

Key Words: breast cancer • mammography • African American • women • computer kiosks • community health • health education


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