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Preventing Chronic Disease | Developing Theoretically Based and Culturally Appropriate Interventions to Promote Hepatitis B Testing in 4 Asian American Populations, 2006–2011 - CDC

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Preventing Chronic Disease | Developing Theoretically Based and Culturally Appropriate Interventions to Promote Hepatitis B Testing in 4 Asian American Populations, 2006–2011 - CDC



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Developing Theoretically Based and Culturally Appropriate Interventions to Promote Hepatitis B Testing in 4 Asian American Populations, 2006–2011

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Annette E. Maxwell, DrPH; Roshan Bastani, PhD; Beth A. Glenn, PhD; Victoria M. Taylor, MD, MPH; Tung T. Nguyen, MD; Susan L. Stewart, PhD; Nancy J. Burke, PhD; Moon S. Chen Jr, PhD

Suggested citation for this article: Maxwell AE, Bastani R, Glenn BA, Taylor VM, Nguyen TT, Stewart SL, et al. Developing Theoretically Based and Culturally Appropriate Interventions to Promote Hepatitis B Testing in 4 Asian American Populations, 2006–2011. Prev Chronic Dis 2014;11:130245. DOI: http://dx.doi.org/10.5888/pcd11.130245External Web Site Icon.
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Abstract

Introduction
Hepatitis B infection is 5 to 12 times more common among Asian Americans than in the general US population and is the leading cause of liver disease and liver cancer among Asians. The purpose of this article is to describe the step-by-step approach that we followed in community-based participatory research projects in 4 Asian American groups, conducted from 2006 through 2011 in California and Washington state to develop theoretically based and culturally appropriate interventions to promote hepatitis B testing. We provide examples to illustrate how intervention messages addressing identical theoretical constructs of the Health Behavior Framework were modified to be culturally appropriate for each community.
Methods
Intervention approaches included mass media in the Vietnamese community, small-group educational sessions at churches in the Korean community, and home visits by lay health workers in the Hmong and Cambodian communities.
Results
Use of the Health Behavior Framework allowed a systematic approach to intervention development across populations, resulting in 4 different culturally appropriate interventions that addressed the same set of theoretical constructs.
Conclusions
The development of theory-based health promotion interventions for different populations will advance our understanding of which constructs are critical to modify specific health behaviors.

Author Information

Corresponding Author: Annette E. Maxwell, DrPH, University of California, Los Angeles, 650 Charles Young Drive South, Los Angeles, CA 90095-6900. Telephone: 310 794 9282. E-mail: amaxwell@ucla.edu.
Author Affiliations: Roshan Bastani, Beth A. Glenn, University of California, Los Angeles, California; Victoria M. Taylor, Fred Hutchinson Cancer Research Center, Seattle, Washington; Tung T. Nguyen, Nancy J. Burke, University of California, San Francisco, California; Susan L. Stewart, Moon S. Chen Jr., University of California, Davis, Sacramento, California.
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