Tracking the Dissemination of a Culturally Targeted Brochure to Promote Awareness of Hereditary Breast and Ovarian Cancer among Black Women
Highlights
- •Awareness of hereditary breast and ovarian cancer (HBOC) among Black women was low.
- •Examined passive dissemination of a culturally appropriate brochure about HBOC.
- •Utilized diffusion of innovations to track dissemination over five years.
- •Provided example of effective passive dissemination efforts among Black women.
Objective
Black women have a higher rate of BRCA1 and BRCA2 (BRCA)
mutations, compared with other populations, that increases their risk
for hereditary breast and ovarian cancer (HBOC). However, Black women
are less likely to know about HBOC and genetic testing. Based on a
request from a community advisory panel of breast cancer survivors,
community leaders and healthcare providers in the Black community, our
team developed a culturally targeted educational brochure to promote
awareness of HBOC among Black women.
Methods
To
reach the target population we utilized a passive dissemination
strategy. Using Diffusion of Innovations (DOI) as a framework, we traced
dissemination of the brochure over a five year period using
self-addressed postcards contained inside the brochure that included
several open-ended questions about the utility of the brochure and a
field for written comments. Closed-ended responses were analyzed using
descriptive statistics and thematic analysis was conducted on the
open-ended responses.
Results
DOI captured the proliferation of the brochure among Black women across the US.
Practice Implications
The
use of passive dissemination strategies among pre-existing social
networks proved to be a useful and sustainable method for increasing
knowledge of HBOC among Black women.
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