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Grant Details

Grant Number: 5R01CA081872-04 Interpret this number
Primary Investigator: Kreuter, Matthew
Organization: Saint Louis University
Project Title: Cultural Tailoring for Cancer Prevention in Black Women
Fiscal Year: 2002


Using new communication technologies, it is not only possible but practical to collect individual-level data from large populations and use that information to tailor health messages to a specific person. This kind of computer-based, individually tailored communication has shown promise in helping people change a range of cancer-related behaviors. But in all tailored interventions tested to date, messages have been individualized on the basis of constructs like readiness to change and perceived barriers drawn from a handful of health behavior theories. While these variables are clearly important, they represent but one set of factors that may influence a person's motivation and ability to make behavioral changes. Moreover, they don't always apply equally well to people from diverse ethnic backgrounds, and they seldom take into account contextual or cultural factors that may directly influence the way a person processes health information. In this study, we seek to increase mammography adherence and fruit and vegetable consumption among 1,500 low-income African American women from 10 urban public health centers by tailoring cancer prevention materials not only on behavioral constructs, but also on four important attributes of African American culture: religiosity, collectivism, ethnic identity, and perception of time. Specifically, we will test in a randomized trial the effectiveness of a bi-monthly women's health magazine that is tailored based upon either: (1) behavioral constructs; (2) culturally-relevant constructs; or, (3) both types of constructs. Follow-up conducted at 1-, 6-, and 15-months post baseline will assess changes in mammography adherence, consumption of fruits and vegetables, and women's responses to the tailored magazines. There is substantial unmet need for effective cancer control programs in this underserved population, and preliminary evidence suggests tailoring may be especially effective among African Americans and those with low income. To reach its full potential for cancer prevention and control, tailored communication must evolve to consider a wider range of behavioral precursors, and to generate more compelling, culturally relevant materials.


The role of religiosity in dietary beliefs and behaviors among urban African American women.
Authors: Holt C.L. , Haire-Joshu D.L. , Lukwago S.N. , Lewellyn L.A. , Kreuter M.W. .
Source: Cancer control : journal of the Moffitt Cancer Center, 2005 Nov; 12 Suppl 2, p. 84-90.
PMID: 16327755
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Sociocultural correlates of breast cancer knowledge and screening in urban African American women.
Authors: Lukwago S.N. , Kreuter M.W. , Holt C.L. , Steger-May K. , Bucholtz D.C. , Skinner C.S. .
Source: American journal of public health, 2003 Aug; 93(8), p. 1271-4.
PMID: 12893610
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Spirituality, breast cancer beliefs and mammography utilization among urban African American women.
Authors: Holt C.L. , Lukwago S.N. , Kreuter M.W. .
Source: Journal of health psychology, 2003 May; 8(3), p. 383-96.
PMID: 14670216
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Spiritual health locus of control and breast cancer beliefs among urban African American women.
Authors: Holt C.L. , Clark E.M. , Kreuter M.W. , Rubio D.M. .
Source: Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 2003 May; 22(3), p. 294-9.
PMID: 12790257
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Development and validation of brief scales to measure collectivism, religiosity, racial pride, and time orientation in urban African American women.
Authors: Lukwago S.N. , Kreuter M.W. , Bucholtz D.C. , Holt C.L. , Clark E.M. .
Source: Family & community health, 2001 Oct; 24(3), p. 63-71.
PMID: 11563945
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