Evidence map›Paper›PMID 29131316›Full record

Trial reportCancer2018

Efficacy of a community-based participatory and multilevel intervention to enhance hepatitis B virus screening and vaccination in underserved Korean Americans.

Grace X Ma, Minsun M Lee, Yin Tan, Alexandra L Hanlon, Ziding Feng, Theresa I Shireman, Joanne Rhee, Zhengyu Wei, Frank Wong, Han Seung Koh and 2 more

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 6 pooled it
1.2field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 6 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  4. Interventions for improving health literacy in migrants.The Cochrane database of systematic reviews · 2023
    Pooled it
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  10. Complex Interventions for Cancer and Cholangiocarcinoma: A Systematic Review and Applications for Public Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025
    Review
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  18. Advancing Liver Cancer Prevention for American Indian Populations in Arizona: An Integrative Review.International journal of environmental research and public health · 2022
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 1 country.

Grace X MaCenter for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania.ORCID 0000-0002-3619-0550
Minsun M LeeCenter for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania.
Yin TanCenter for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania.
Alexandra L HanlonDepartment of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
Ziding FengDepartment of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Theresa I ShiremanDepartment of Health Services, Policy and Practice, School of Public Health, Brown University, Providence, Rhode Island.
Joanne RheeCenter for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania.
Zhengyu WeiCenter for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania.
Frank WongDepartment of Tropical Medicine, John A. Burns School of Medicine, University of Hawai'i at Manoa, Manoa, Hawaii.
Han Seung KohFirst Korean United Methodist Church of Cherry Hill, Cherry Hill, New Jersey.
Charles KimCenter for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania.
Whitney YorkDepartment of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
Temple University · USUniversity of Pennsylvania · USBrown University · USFirst United Methodist Church · USThe University of Texas MD Anderson Cancer Center · USUniversity of Hawaiʻi at Mānoa · US

Funding

Training ProgramU54CA153513 · NCI · TEMPLE UNIV OF THE COMMONWEALTH · PI MA, GRACE X. · 2010 to 2015
$5.2M
Dissemination of an Evidence-based HepB Intervention to Korean ChurchesR24MD002756 · NIMHD · TEMPLE UNIV OF THE COMMONWEALTH · PI MA, GRACE X. · 2008 to 2015
$4.2M
NCI NIH HHS U54 CA153513NIMHD NIH HHS R24 MD002756
6 · The paper itself

Abstract

backgroundThe primary objective of the current study was to evaluate the efficacy of a community-based participatory intervention program in improving hepatitis B virus (HBV) screening and vaccination among Korean Americans who were not previously screened.

methodsA cluster randomized trial involving 32 Korean church-based community organizations (1834 participants) was conducted. Sixteen churches were randomly assigned to an HBV screening and vaccination multicomponent intervention condition (972 participants) and 16 were assigned to a general cancer education control condition (862 participants). The main components of the intervention program included interactive group education; patient navigation; and the engagement of health care providers, church leadership, and church members in the medical field. The application of community-based participatory research principles was monitored and evaluated. HBV screening and vaccination rates (self-reported and medical record verification) were assessed at 6-month and 12-month follow-ups, respectively.

resultsThe results of the current study demonstrated significant efficacy in the HBV screening rate (92.5% in the intervention group vs 5.5% in the control group), 3-series HBV vaccination completion rate (84% in the intervention group vs 17.6% in the control group), and overall screening and vaccination compliance rate (87% in the intervention group vs 3.8% in the control group). Participants in the intervention group were significantly more likely to receive HBV screening (92.5%) compared with those in the control group (5.5%). In multivariate mixed-effect logistic regression analysis, the odds ratio for an intervention effect on HBV screening was 512.3 after adjusting for cluster effect and other demographic variables. With regard to vaccination rates, of the 332 participants who were screened with no immunity in the intervention group, 308 (92.8%) received at least 1 HBV vaccination, 300 (90.4%) received at least 2 shots, and 279 participants (84%) received all 3 shots.

conclusionsA combination of community-based participatory research and a multilevel approach may produce the most optimal results and be essential in producing a considerable effect for enhancing HBV screening and vaccination, particularly for Korean American populations with limited language proficiency and insurance coverage. Cancer 2018;124:973-82. © 2017 American Cancer Society.

Indexed as

AdultAsianCluster AnalysisCommunity ParticipationFemaleHepatitis BHepatitis B VaccinesHepatitis B virusHumansMass ScreeningMiddle AgedReproducibility of ResultsRepublic of KoreaVaccinationHepatitis B Vaccinescommunity-based participatory research (CBPR)hepatitis B virus (HBV) screening and vaccinationinterventionKorean AmericansKorean churches

Identifiers

PMID29131316
PMCPMC5821582
OpenAlexW2769947511

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.