Grant Details
Grant Number: |
5R01CA134245-05 Interpret this number |
Primary Investigator: |
Taylor, Victoria |
Organization: |
Fred Hutchinson Cancer Research Center |
Project Title: |
Evaluation of a Hepatitis B Outreach Intervention for Cambodians |
Fiscal Year: |
2012 |
Abstract
PROJECT SUMMARY/ABSTRACT
Primary liver cancer occurs more frequently among Southeast Asians in the United States (US) than among
individuals of any other race/ethnicity. This health disparity can be attributed to high rates of hepatitis B virus
infection combined with low levels of hepatitis B vaccination coverage. Over 10% of Cambodian immigrants
are chronically infected with the hepatitis B virus, compared to less than 0.5% of the general US population.
Practice guidelines specify that all immigrants from areas of the world with endemic hepatitis B should receive
serologic testing. However, available data indicate that less than one-half of Cambodian Americans have
received testing for hepatitis B.
Our study objective is to conduct a randomized controlled trial to evaluate the effectiveness of a culturally and
linguistically appropriate lay health worker outreach intervention in improving levels of hepatitis B testing
completion among Cambodians.
This community-based participatory research project will be conducted in the SeattleTacoma metropolitan
area of Western Washington and the researchers will collaborate with an existing Cambodian Community
Coalition. Our research will use the theoretical perspective of the Health Behavior Framework. Focus group
findings will be used to develop a hepatitis B survey instrument and our hepatitis B outreach intervention. The
outreach will be delivered by lay health workers and will include the following components: A home visit, use of
an educational pamphlet and a motivational DVD, and tailored counseling and logistic assistance.
We will conduct a community-based survey of 500 Cambodians aged 20-64 years. Survey respondents who
have never been tested for hepatitis B (250 individuals) will be randomized to intervention or control status.
The primary randomized controlled trial outcome will be hepatitis B serologic testing. Secondary outcomes will
include future hepatitis B testing intentions and hepatitis B-related knowledge. Outcome evaluation will be
based on a follow-up survey, as well as medical record verification of self-reported hepatitis B testing. PROJECT NARRATIVE
This project will collaborate with the Cambodian community to develop and evaluate a culturally and
linguistically appropriate hepatitis B outreach intervention for Cambodian adults. The outreach will be delivered
by lay health workers and will include the following components: A home visit, use of an educational pamphlet
and a motivational DVD, and tailored counseling and logistic assistance.
Publications
Developing theoretically based and culturally appropriate interventions to promote hepatitis B testing in 4 Asian American populations, 2006-2011.
Authors: Maxwell A.E.
, Bastani R.
, Glenn B.A.
, Taylor V.M.
, Nguyen T.T.
, Stewart S.L.
, Burke N.J.
, Chen M.S.
.
Source: Preventing Chronic Disease, 2014-05-01 00:00:00.0; 11, p. E72.
EPub date: 2014-05-01 00:00:00.0.
PMID: 24784908
Related Citations
Evaluation of a hepatitis B lay health worker intervention for Cambodian Americans.
Authors: Taylor V.M.
, Bastani R.
, Burke N.
, Talbot J.
, Sos C.
, Liu Q.
, Do H.
, Jackson J.C.
, Yasui Y.
.
Source: Journal Of Community Health, 2013 Jun; 38(3), p. 546-53.
PMID: 23299978
Related Citations
Community health worker hepatitis B education for Cambodian American men and women.
Authors: Taylor V.M.
, Burke N.J.
, Sos C.
, Do H.H.
, Liu Q.
, Yasui Y.
.
Source: Asian Pacific Journal Of Cancer Prevention : Apjcp, 2013; 14(8), p. 4705-9.
PMID: 24083730
Related Citations
HPV vaccination uptake among Cambodian mothers.
Authors: Taylor V.M.
, Burke N.
, Do H.
, Liu Q.
, Yasui Y.
, Bastani R.
.
Source: Journal Of Cancer Education : The Official Journal Of The American Association For Cancer Education, 2012 Mar; 27(1), p. 145-8.
PMID: 21861237
Related Citations
Preparedness for cardiac emergencies among Cambodians with limited English proficiency.
Authors: Meischke H.
, Taylor V.
, Calhoun R.
, Liu Q.
, Sos C.
, Tu S.P.
, Yip M.P.
, Eisenberg D.
.
Source: Journal Of Community Health, 2012 Feb; 37(1), p. 176-80.
PMID: 21748487
Related Citations
Factors associated with hepatitis B testing among Cambodian American men and women.
Authors: Taylor V.M.
, Bastani R.
, Burke N.
, Talbot J.
, Sos C.
, Liu Q.
, Carey Jackson J.
, Yasui Y.
.
Source: Journal Of Immigrant And Minority Health / Center For Minority Public Health, 2012 Feb; 14(1), p. 30-8.
PMID: 22002705
Related Citations
Theoretically informed correlates of hepatitis B knowledge among four Asian groups: the health behavior framework.
Authors: Maxwell A.E.
, Stewart S.L.
, Glenn B.A.
, Wong W.K.
, Yasui Y.
, Chang L.C.
, Taylor V.M.
, Nguyen T.T.
, Chen M.S.
, Bastani R.
.
Source: Asian Pacific Journal Of Cancer Prevention : Apjcp, 2012; 13(4), p. 1687-92.
PMID: 22799389
Related Citations
Hepatitis B knowledge and practices among Cambodian Americans.
Authors: Taylor V.M.
, Talbot J.
, Do H.H.
, Liu Q.
, Yasui Y.
, Jackson J.C.
, Bastani R.
.
Source: Asian Pacific Journal Of Cancer Prevention : Apjcp, 2011; 12(4), p. 957-61.
PMID: 21790233
Related Citations