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Health Education & Behavior
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Development and Evaluation of a Culturally Tailored Educational Video: Changing Breast Cancer–Related Behaviors in Chinese Women

Judy H. Wang, PhD

Cancer Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC, jw235{at}georgetown.edu

Wenchi Liang, DDS, PhD

Cancer Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC

Marc D. Schwartz, PhD

Cancer Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC

Marion M. Lee, PhD

Department of Epidemiology and Biostatistics, University of California, San Francisco

Barbara Kreling, MSPH

Cancer Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC

Jeanne S. Mandelblatt, MD, MPH

Cancer Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC

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.

Key Words: culturally tailored video • Chinese women • breast cancer screening • health beliefs

This version was published on December 1, 2008

Health Education & Behavior, Vol. 35, No. 6, 806-820 (2008)
DOI: 10.1177/1090198106296768
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This article has been cited by other articles:


Home page
 Health Educ BehavHome page
S. L. Stewart, W. Rakowski, and R. J. Pasick
Behavioral Constructs and Mammography in Five Ethnic Groups
Health Educ Behav, October 1, 2009; 36(5_suppl): 36S - 54S.
[Abstract] [PDF]