Transcreation matters: A learner centric participatory approach for adapting cancer prevention messages for Latinos.
Cathy D Meade, Nathanael B Stanley, Mariana Arevalo and 8 others
PMID 37463555WHAT IT FOUND
Culturally adapted Spanish colorectal screening materials did not clearly improve FIT uptake over standard Spanish materials (90% vs 83%), though awareness and susceptibility improved in that group.
Key findings
01In the pilot randomized trial, FIT uptake was 90% with culturally adapted Spanish materials and 83% with standard Spanish materials, and the difference was not statistically significant.
02The culturally adapted-materials group had greater post-intervention improvement in colorectal cancer awareness and perceived susceptibility, while cancer worry increased more in the standard-materials group.
03The paper also reports a separate larger randomized trial in which Spanish culturally adapted materials had 77.2% FIT uptake versus 63.2% for English materials.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The pilot randomized trial had only 76 participants, and small sample sizes precluded multivariable analyses. The primary FIT uptake difference was not statistically significant, so the pilot cannot be read as proof that culturally adapted materials increase screening. Both arms received a FIT kit, and the paper notes that easy and convenient screening with a free FIT kit may have contributed to high uptake, so the effect of the materials alone cannot be separated. The study population was Spanish-dominant Latinos receiving care in community clinics, so it does not show how the process works for other groups or settings. The paper describes a process and also cites a separate larger trial; the formative qualitative details are not fully reproduced in the supplied text.
Declared interests
The supplied text does not include a conflict-of-interest statement; the publication types list non-U.S. government research support.
The easy way to misread this
Do not conclude that culturally adapted Spanish materials clearly increase colorectal screening uptake. In this pilot, FIT uptake was 90% with culturally adapted materials and 83% with standard materials, and the difference was not statistically significant; the positive 77.2% versus 63.2% result comes from a separate larger trial reported in the paper.