Education and Navigation Intervention for Preventing Liver Cancer in Underserved Asians With HBV
Wenyue Lu, ML; 1,2 Lin Zhu, PhD;1 Chibuzo.Enemchukwu, MD;3 Minhhuyen T. Nguyen, MD;4 Sarit Golub, PhD;3 Grace X. Ma, PhD;1,5
1 Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA
2 Department of Sociology, College of Liberal Arts, Temple University, Philadelphia, PA
3 Department of Psychology, Hunter College, City University of New York, New York, NY
4 Department of Medicine, Fox Chase Cancer Center, Temple University Healthcare System, Philadelphia, PA
5 Department of Clinical Sciences, Lewis Katz School of Medicine, Temple University, Philadelphia, PA
Background
Asian Americans is a liver cancer disparity population that have the highest incidence and death rates than other racial/ethnic groups in the US. Insufficient Hepatitis B (HBV) management and treatment among Asian Americans are the risk factors of developing liver cancer. The study aims to develop effective intervention strategies to improve HBV management and treatment adherence among Asian Americans with HBV.
Methods
The study team developed and refined intervention strategies using Community-Based Participatory Research (CBPR) Approach. We invited 9 Patient Centered Advisory Board (PCAB) members, including 3 HBV liver cancer patients, 3 health care providers (community-based physician, nurse and hepatologist), and 3 community leaders, to the entire developmental and test phases.
Results
The final intervention consists the following key components: (1) Virtual Patient Education (VPE); (2) Virtual Patient Navigation (VPN). All participants will receive HBV-related text messages, which have been approved to be efficient in improving HBV management. Only those in the intervention group will receive VPE and VPN. Different VPN needs have been identified by the participants: 27.2% of them identified pill-taking need, 42.9% of them identified appointment/transportation need, 3.3% of them reported that they need insurance support, 4.9% of them needed language support, and 37.5% of them identified information-seeking needs. Moreover, all most all of the intervention participants (98.4%-100%) believed that VPE is useful.
Conclusions
CBPR approach is critical in developing culturally tailored intervention strategies. We will examine the effectiveness of the intervention at 12-m and 18-m follow up.
Acknowledgement: This study reported in the abstract is funded by TUFCCC/HC Regional Comprehensive Cancer Health Disparity Partnership, Award Number U54 CA221704(5) (Contact PIs: Grace X. Ma, PhD and Olorunseun O. Ogunwobi, MD, PhD) from the National Cancer Institute. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute or the National Institutes of Health.
Email questions and comments about this abstract to wenyue.lu@temple.edu.
