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Health Education & Behavior
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Article

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

Matthew W. Kreuter, PhD, MPH1*, Wynona J. Black, MPH2, LaBraunna Friend, MPH3, Angela C. Booker, MPH4, Paula Klump, BS1, Sonal Bobra, MPH1, Cheryl L. Holt, PhD5

1 Saint Louis University, Missouri.
2 Washington University, St. Louis, Missouri.
3 Missouri Institute of Mental Health, St. Louis.
4 National Center of Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
5 University of Alabama at Birmingham.

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


  Abstract

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. The Reflections 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

First published on August 21, 2006, doi:10.1177/1090198106290795

Health Education & Behavior 2006;33:625.

A more recent version of this article appeared on October 1, 2006

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