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Grant Details

Grant Number: 5R01CA113663-05 Interpret this number
Primary Investigator: Taylor, Victoria
Organization: Fred Hutchinson Can Res Ctr
Project Title: Hepatitis B Esl Education for Chinese
Fiscal Year: 2009
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Abstract

Little is known about the disease prevention behavior of Chinese in North America, and relatively few studies have addressed cancer control in this group. However, Chinese Americans/Canadians have a much higher incidence of liver cancer than non-Latino Whites. This excess risk is attributable to high rates of hepatitis B virus (HBV) infection combined with low levels of hepatitis B vaccination coverage. One critical area for the strategic development of health literacy among Asian and other immigrant groups is the design and evaluation of culturally appropriate English as a second language (ESL) curricula. The goal of our research is to increase the proportion of Chinese adults who have been tested for evidence of HBV infection. Our objective is to conduct a group-randomized controlled trial to evaluate the acceptability, feasibility, and effectiveness of a liver cancer control educational intervention for Chinese attending ESL classes. Our study will be conducted in Seattle, Washington and Vancouver, British Columbia. The Health Behavior Framework, findings from a previous hepatitis B qualitative study, and focus groups of ESL teachers as well as students will be used to develop the hepatitis B educational program. An intervention trial will be conducted with ESL classes as the unit of randomization. Sixty ESL classes will be randomized to experimental or control status. Six hundred Chinese men and women aged 18-64 years will participate in the trial. The experimental group will receive a hepatitis B intervention and the control group will receive a heart disease intervention. Educational components will include an ESL curriculum as well as a pamphlet. Participants will complete a self-administered baseline survey, just prior to receiving health education. Outcome evaluation will be based on data from an in-person follow-up survey and medical record verification. Our primary outcome will be HBV serologic testing. Knowledge about key hepatitis B facts will be examined as a secondary outcome.

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Publications

Hepatitis B ESL education for Asian immigrants.
Authors: Taylor VM, Gregory Hislop T, Bajdik C, Teh C, Lam W, Acorda E, Li L, Yasui Y
Source: J Community Health, 2011 Feb;36(1), p. 35-41.
PMID: 20559696
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Evaluation of a hepatitis B educational ESL curriculum for Chinese immigrants.
Authors: Taylor VM, Teh C, Lam W, Acorda E, Li L, Coronado G, Yasui Y, Bajdik C, Hislop G
Source: Can J Public Health, 2009 Nov-Dec;100(6), p. 463-6.
PMID: 20209742
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Sources of health information among Chinese immigrants to the Pacific Northwest.
Authors: Woodall ED, Taylor VM, Teh C, Li L, Acorda E, Tu SP, Yasui Y, Hislop TG
Source: J Cancer Educ, 2009;24(4), p. 334-40.
PMID: 19838895
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A cross-border comparison of hepatitis B testing among chinese residing in Canada and the United States.
Authors: Tu R SP, Li L, Tsai JH, Yip MP, Terasaki G, Teh C, Yasui Y, Hislop TG, Taylor V
Source: Asian Pac J Cancer Prev, 2009 Jul-Sep;10(3), p. 483-90.
PMID: 19640196
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Evaluation of a hepatitis B lay health worker intervention for Chinese Americans and Canadians.
Authors: Taylor VM, Hislop TG, Tu SP, Teh C, Acorda E, Yip MP, Woodall E, Yasui Y
Source: J Community Health, 2009 Jun;34(3), p. 165-72.
PMID: 19127416
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Hepatitis B testing and vaccination in immigrants attending English as a second language classes in British Columbia, Canada.
Authors: Hislop TG, Bajdik CD, Teh C, Lam W, Tu SP, Yasui Y, Bastani R, Taylor VM
Source: Asian Pac J Cancer Prev, 2009;10(6), p. 997-1002.
PMID: 20192572
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Opinions from ESL instructors and students about curricula on hepatitis B for use in immigrant communities.
Authors: Coronado GD, Taylor VM, Hislop TG, Teh C, Acorda E, Do HH, Chen H, Thompson B
Source: J Cancer Educ, 2008;23(3), p. 161-6.
PMID: 18709587
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Knowledge and behaviour regarding heart disease prevention in Chinese Canadian immigrants.
Authors: Hislop TG, Teh C, Low A, Yasui Y, Tu SP, Li L, Taylor VM
Source: Can J Public Health, 2008 May-Jun;99(3), p. 232-5.
PMID: 18615948
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Development of an ESL curriculum to educate Chinese immigrants about hepatitis B.
Authors: Taylor VM, Coronado G, Acorda E, Teh C, Tu SP, Yasui Y, Bastani R, Hislop TG
Source: J Community Health, 2008 Aug;33(4), p. 217-24.
PMID: 18373185
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Development of an ESL curriculum to educate Chinese immigrants about physical activity.
Authors: Taylor VM, Cripe SM, Acorda E, Teh C, Coronado G, Do H, Woodall E, Hislop TG
Source: J Immigr Minor Health, 2008 Aug;10(4), p. 379-87.
PMID: 17943444
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Predisposing, reinforcing and enabling factors associated with hepatitis B testing in Chinese Canadians in British Columbia.
Authors: Hislop TG, Teh C, Low A, Tu SP, Yasui Y, Coronado GD, Li LL, Taylor VM
Source: Asian Pac J Cancer Prev, 2007 Jan-Mar;8(1), p. 39-44.
PMID: 17477769
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Hepatitis B knowledge, testing and vaccination levels in Chinese immigrants to British Columbia, Canada.
Authors: Hislop TG, Teh C, Low A, Li L, Tu SP, Yasui Y, Taylor VM
Source: Can J Public Health, 2007 Mar-Apr;98(2), p. 125-9.
PMID: 17441536
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Hepatitis B knowledge and practices among Chinese immigrants to the United States.
Authors: Taylor VM, Tu SP, Woodall E, Acorda E, Chen H, Choe J, Li L, Yasui Y, Hislop TG
Source: Asian Pac J Cancer Prev, 2006 Apr-Jun;7(2), p. 313-7.
PMID: 16839229
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