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Using Dissemination Research to Identify Optimal Community Settings for Tailored Breast Cancer Information Kiosks

Kreuter, Matthew W. PhD, MPH; Alcaraz, Kassandra I. MPH; Pfeiffer, Debra MA; Christopher, Kara MS

Journal of Public Health Management and Practice: March-April 2008 - Volume 14 - Issue 2 - p 160–169
doi: 10.1097/01.PHH.0000311895.57831.02
Article

Objective Selecting appropriate community channels or settings for delivering evidence-based health promotion programs can be critical to successful dissemination. This article describes how five criteria—accessibility, opportunity, appropriateness, Reach, and specificity—were applied in identifying and comparing seven community settings as host sites for a tailored breast cancer education computer kiosk for African American women.

Methods Data were gathered from 10 306 kiosk uses in 92 beauty salons, churches, neighborhood health centers, Laundromats, social service agencies, health fairs, and public libraries between June 2003 and March 2007.

Findings Of the seven settings, only Laundromats were found to provide both high Reach (ie, frequent kiosk use) and high specificity (ie, a large proportion of users with no health insurance, unaware of where to get a mammogram, Reporting no Recent mammogram and barriers to getting one, and having little knowledge about breast cancer and mammography).

Conclusions Systematic, data-based evaluations of potential dissemination channels can help identify optimal settings for cancer control interventions.

This article describes criteria that were applied in identifying and comparing seven community settings as host sites for a tailored breast cancer education computer kiosk for African American women.

Matthew W. Kreuter, PhD, MPH, is Professor of Community Health, School of Public Health, Saint Louis University, St. Louis, Missouri, and Director, Health Communication Research Laboratory, a National Cancer Institute Centers of Excellence in Cancer Communication Research.

Kassandra I. Alcaraz, MPH, is a doctoral student in Public Health Sciences, Saint Louis University, St. Louis, Missouri.

Debra Pfeiffer, MA, is Coordinator of Project BEACON (Building Evidence-based Action in Community Outreach Networks) in the Centers for Disease Control and Prevention and National Cancer Institute's Cancer Prevention and Control Research Network.

Kara Christopher, MS, is Manager, Reflections of You breast cancer education kiosk project.

Corresponding Author: Matthew W. Kreuter, PhD, MPH, Health Communication Research Laboratory, School of Public Health, Saint Louis University, 3545 Lafayette Ave, St. Louis, MO 63104 (kreuter@slu.edu).

This project was supported by grants from the St. Louis Affiliate of the Susan G. Komen Breast Cancer Foundation, the National Cancer Institute's Centers of Excellence in Cancer Communication Research program (CA-P50-95815), and the Centers for Disease Control and Prevention's Cancer Prevention and Control Research Network (US48 DP000060). The authors thank Susie Rath for assistance with data management.

© 2008 Lippincott Williams & Wilkins, Inc.