Evidence map›Paper›PMID 29955889›Full record

Trial reportTranslational behavioral medicine2019

Web-based versus in-person methods for training lay community health advisors to implement health promotion workshops: participant outcomes from a cluster-randomized trial.

Cheryl L Holt, Erin K Tagai, Sherie Lou Zara Santos, Mary Ann Scheirer, Janice Bowie, Muhiuddin Haider, Jimmie Slade

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Translational behavioral medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Culturally Tailored Intervention to Promote Mammography Screening Practice Among Chinese American Women: a Systematic Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
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

7 authors.

Cheryl L HoltDepartment of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD, USA.
Erin K TagaiDepartment of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD, USA.
Sherie Lou Zara SantosDepartment of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD, USA.
Mary Ann ScheirerScheirer Consulting, Princeton, NJ, USA.
Janice BowieDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Muhiuddin HaiderSchool of Public Health, Institute for Applied Environmental Health, University of Maryland, College Park, MD, USA.
Jimmie SladeCommunity Ministry of Prince George's County, Upper Marlboro, MD, USA.

Funding

Implementation of evidence-based cancer early detection in Black churchesR01CA147313 · NCI · UNIV OF MARYLAND, COLLEGE PARK · PI KNOTT, CHERYL L · 2011 to 2016
$2.4M
NCI NIH HHS R01 CA147313
6 · The paper itself

Abstract

Project HEAL (Health through Early Awareness and Learning) is an implementation trial that compared two methods of training lay peer community health advisors (CHAs)-in-person ("Traditional") versus web-based ("Technology")-to conduct a series of three evidence-based cancer educational workshops in African American churches. This analysis reports on participant outcomes from Project HEAL. Fifteen churches were randomized to the two CHA training methods and the intervention impact was examined over 24 months. This study was conducted in Prince George's County, MD, and enrolled 375 church members age 40-75. Participants reported on knowledge and screening behaviors for breast, prostate, and colorectal cancer. Overall, cancer knowledge in all areas increased during the study period (p < .001). There were significant increases in digital rectal exam (p < .05), fecal occult blood test (p < .001), and colonoscopy (p < .01) at 24 months; however, this did not differ by study group. Mammography maintenance (56% overall) was evidenced by women reporting multiple mammograms within the study period. Participants attending all three workshops were more likely to report a fecal occult blood test or colonoscopy at 24 months (p < .05) than those who attended only one. These findings suggest that lay individuals can receive web-based training to successfully implement an evidence-based health promotion intervention that results in participant-level outcomes comparable with (a) people trained using the traditional classroom method and (b) previous efficacy trials. Findings have implications for resources and use of technology to increase widespread dissemination of evidence-based health promotion interventions through training lay persons in community settings.

Indexed as

AdultAgedAwarenessBlack or African AmericanBreast NeoplasmsCluster AnalysisColonoscopyColorectal NeoplasmsCommunity Health WorkersEarly Detection of CancerEducationFemaleHealth Knowledge, Attitudes, PracticeHealth PromotionHumansInternet-Based InterventionAfrican AmericansCancer early detectionCommunity health advisorsImplementationWeb-based learning

Identifiers

PMID29955889
PMCPMC7184874

What OpenQuestion holds

Textmetadata
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.