Storytelling for promoting colorectal cancer prevention and early detection among Latinos.

Abstract

OBJECTIVE: Health promotion efforts directed at Latinos may be more effective when culturally adapted methods are used. Our study was designed to test a novel communication modality for promoting colorectal cancer (CRC) prevention and screening messages among Latinos. METHODS: We compared a culturally aligned, brief storytelling educational intervention (ST) to a numeric risk tool intervention (NR) based on the Harvard Cancer Risk Index. Both interventions included risk factor information and recommendations for primary prevention and screening for CRC. Sixty-four Latinos (mean age 46.8, 86% female) were randomized and completed pre- and post-tests. RESULTS: Participants in ST indicated intent to add significantly more servings of vegetables (p=.030) and more minutes of exercise (p=.018) to daily routines than those in NR. Most respondents (ST and NR) reported intentions to recommend CRC screening to friends and relatives. CONCLUSIONS: These data provide support for storytelling's potential to promote health behavior change with cultural relevance for Latinos. PRACTICE IMPLICATIONS: Storytelling shows promise as an effective method for reaching one of the historically underserved ethnic groups with cancer prevention and screening information.