Evidence map›Paper›PMID 41437575›Full record

ArticleCancer control : journal of the Moffitt Cancer Center

Closing the Cancer Screening Gap: Evaluation of a Mixed Methods, Community-Based, Cognitive-Behavioral Education Intervention in the Zuni Pueblo.

Kate Cartwright, Judith Sheche, Samantha Leekity, Kassie Lalio, Deborah Kanda, Mikaela Kosich, Nicholas Edwardson, V Shane Pankratz, Shiraz I Mishra

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In one paragraph

Article in Cancer control : journal of the Moffitt Cancer Center. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

9 authors.

Kate CartwrightSchool of Public Administration, University of New Mexico, Albuquerque, NM, USA.ORCID 0000-0002-3374-663X
Judith ShecheComprehensive Cancer Center, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
Samantha LeekityAffiliated at the time of research with the Comprehensive Cancer Center, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
Kassie LalioAffiliated at the time of research with the Comprehensive Cancer Center, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
Deborah KandaComprehensive Cancer Center, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.ORCID 0000-0002-0182-5050
Mikaela KosichComprehensive Cancer Center, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.
Nicholas EdwardsonSchool of Public Administration, University of New Mexico, Albuquerque, NM, USA.
V Shane PankratzComprehensive Cancer Center, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.ORCID 0000-0002-3742-040X
Shiraz I MishraAffiliated at the time of research with the Comprehensive Cancer Center, University of New Mexico Health Sciences Center, Albuquerque, NM, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

IntroductionAmerican Indian and Alaska Native populations face persistent disparities in cancer incidence, mortality, and screening. In the Zuni Pueblo, health inequities persist for cancer screening rates, including cervical, breast, and colorectal cancer screening rates. This study evaluates the impact of a culturally tailored, community-based, cognitive-behavioral education intervention aimed at improving cancer-related knowledge, attitudes, and screening behaviors among Zuni adults.MethodsA mixed-methods, community-engaged study was conducted with 117 Zuni adults (aged 21-75) who were non-adherent to United States Preventive Services Task Force cancer screening guidelines. Participants completed pre- and post-intervention surveys and engaged in age- and sex-specific cancer education sessions focused on cervical, breast, and/or colorectal cancer. Quantitative data were analyzed to assess changes in screening behavior and attitudes. Qualitative data from three post-intervention focus groups and two in-depth interviews (n = 12) were analyzed thematically to explore participant experiences and perceptions of the intervention.ResultsPost-intervention, screening attempts increased for all groups: 75% of younger women for cervical cancer, 60% of older women for mammograms, and 43% of men and 56% of women for stool blood tests. Participants reported higher odds of discussing their personal cancer risk with family, OR (95% CI) = 1.23 (1.12, 1.35), including significant associations for younger women and men. Qualitative participants emphasized the value of culturally specific content, visual materials, and social support in motivating screening. Barriers included limited appointment availability, transportation challenges, and concerns about confidentiality.ConclusionsThis culturally tailored education intervention enhanced cancer screening knowledge, attitudes, and behavior among Zuni Pueblo adults. Community engagement and culturally congruent messaging were essential to program success. Future efforts to reduce cancer disparities in indigenous communities should integrate Tribal perspectives, address structural barriers, and build sustainable, local capacity for cancer prevention and screening.

Indexed as

Early Detection of CancerHealth EducationNeoplasmsAdultAgedFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedYoung AdultAmerican Indiancancer educationcancer screeningcommunity-based interventionhealth disparities

Identifiers

PMID41437575
PMCPMC12744010

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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.