The purpose of this study is to test a multiphasic culturally relevant
educational intervention designed to reduce cancer fatalism, increase
knowledge of colorectal cancer, and increase participation in fecal
occult blood testing among rural African American elders. The four-
phase intervention will be delivered over a 9-month period and includes
a video titled Telling the story ... To live is God's will (Month 1),
an educational calender (Month 2), a poster (Month 6), and a brochure
(Month 9). A repeated-measures, experimental design will be used.
Senior citizen centers in a Southern state will be randomly selected and
assigned to either the Cultural and Self Empowerment Group (receives
full intervention), the Modified Cultural Group (receives video only),
or the Traditional Group (views the American Cancer Society video on
colorectal cancer). Data will be collected at baseline (Powe Fatalism
Inventory, Knowledge of Colorectal Cancer Questionnaire, Health Services
Survey, Demographic Data Questionnaire) and at Months 6 and 12.
Participants will be offered free fecal occult blood testing at baseline
and Month 12.
Repeated-measures MANOVA (Group X Time) will be used to test for the
effectiveness of intervention, to evaluate patterns of change in cancer
fatalism and knowledge of colorectal cancer, and to evaluate the
duration of the change. Logistic regression will be used to determine
the predictors of participation in fecal occult blood testing.
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