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Health Promotion Practice
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*Breast Cancer
*Cervical Cancer
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Using Intervention Mapping to Develop a Breast and Cervical Cancer Screening Program for Hispanic Farmworkers: Cultivando La Salud

Maria E. Fernández, PhD

University of Texas Health Science Center at Houston, School of Public Health, Center for Health Promotion and Prevention Research in Houston, Texas.

Alicia Gonzales, MSSW

leadership development and training for the National Center for Farmworker Health in Buda, Texas.

Guillermo Tortolero-Luna, MD, PhD

University of Texas (UT) School of Public Health and the Department of Gynecologic Oncology at the UT M.D. Anderson Cancer Center in Houston, Texas.

Sylvia Partida, MA

National Center for Farmworker Health in Buda, Texas.

L. Kay Bartholomew, EdD, MPH

University of Texas Health Science Center at Houston; Center for Health Promotion and Prevention Research in Houston, Texas.

This article describes the development of the Cultivando La Salud program, an intervention to increase breast and cervical cancer screening for Hispanic farmworker women. Processes and findings of intervention mapping (IM), a planning process for development of theory and evidence-informed program are discussed. The six IM steps are presented: needs assessment, preparation of planning matrices, election of theoretic methods and practical strategies, program design, implementation planning, and evaluation. The article also describes how qualitative and quantitative findings informed intervention development. IM helped ensure that theory and evidence guided (a) the identifiction of behavioral and environmental factors related to a target health problem and (b) the selection of the most appropriate methods and strategies to address the identified determinants. IM also guided the development of program materials and implementation by lay health workers. Also reported are findings of the pilot study and effectiveness trial.

Key Words: breast and cervical cancer screening behavior • intervention mapping • program development • Hispanic women

Health Promotion Practice, Vol. 6, No. 4, 394-404 (2005)
DOI: 10.1177/1524839905278810
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 Am. J. Public HealthHome page
M. E. Fernandez, A. Gonzales, G. Tortolero-Luna, J. Williams, M. Saavedra-Embesi, W. Chan, and S. W. Vernon
Effectiveness of Cultivando La Salud: A Breast and Cervical Cancer Screening Promotion Program for Low-Income Hispanic Women
Am J Public Health, May 1, 2009; 99(5): 936 - 943.
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