Biomedical subjects

B D Powe

Publications and source records attributed to B D Powe.

5 recordsLinked to original sources

PubMed1999

An intervention to decrease cancer fatalism among rural elders.

PURPOSE/OBJECTIVES: To evaluate the effectiveness of a video intervention in decreasing cancer fatalism, increasing knowledge of colorectal cancer, and increasing participation in fecal-occult blood testing (FOBT). DESIGN: Repeated measures, pretest/post-test. SETTING: Senior citizen centers in a rural southern state. SAMPLE: Individuals were selected and assigned to the study group based on the center they attended. Centers were selected and assigned randomly to an intervention (n = 42) or control (n = 28) group. The age of the participants ranged from 52-92 years (X = 75). METHODS: Pretest measures included the Powe Fatalism inventory, the Colorectal Cancer Knowledge Questionnaire, and the Demographic Data Questionnaire. The intervention group viewed the Medical University of South Carolina's video Telling the Story ... To Live is God's Will, and the control group viewed the American Cancer Society (ACS) video Colorectal Cancer: The Cancer No One Talks About. Hemoccult II kits were distributed to both groups at no cost. Post-test data were collected using the Powe Fatalism Inventory and the Colorectal Cancer Knowledge Questionnaire. MAIN RESEARCH VARIABLES: Cancer fatalism, knowledge of colorectal cancer, and participation in FOBT. FINDINGS: People who viewed the intervention video had a greater decrease in cancer fatalism scores and a greater increase in knowledge of colorectal cancer scores than the control group. Both groups had greater than 60% participation in FOBT. CONCLUSIONS: Telling the Story ... To Live is God's Will is an effective, self-contained, cost-effective intervention to decrease cancer fatalism and increase knowledge of colorectal cancer. The video was as effective as the ACS video on colorectal cancer in increasing participation in FOBT among rural elders. But, because Telling the Story ... To Live is God's Will also decreases cancer fatalism and increases knowledge, the potential exists for the increased screening behaviors to be maintained over time. IMPLICATIONS FOR NURSING PRACTICE: Showing the video in waiting areas of community health centers to facilitate the discussion of colorectal cancer and cancer screening with the healthcare professional is a possibility. Nursing students may benefit from using the video as a model for the integration of beliefs and attitudes in developing culturally appropriate, community-based interventions. More research is needed to determine if the positive outcomes of the intervention (i.e., decreased cancer fatalism, increased knowledge, increased participation in colorectal cancer screening) can be maintained over time.

Black or African American↗

PubMed1995

Fatalism among elderly African Americans. Effects on colorectal cancer screening.

The goal of increasing participation in fecal occult blood testing (FOBT) for elderly African Americans is a national priority. Fatalism is believed to be a barrier to screening among this population. Fatalism is the belief that death is inevitable when cancer is present. The Powe Fatalism Model guided this descriptive, correlational study that reports on the relationship between race and fatalism, as well as the relationship between fatalism and participation in FOBT. Participants (N = 192) were recruited from randomly selected congregate meal sites. The majority of participants were African American, female, had minimal education, and minimal incomes. Elderly African Americans were significantly more fatalistic than elderly white participants and less likely to participate in FOBT. Not only was fatalism a significant predictor of FOBT, but it remained the only significant predictor of FOBT, but it remained the only significant predictor even when factors such as age, poverty, and education were controlled. Nursing science must accept the challenges of promptly identifying fatalistic individuals and the development of interventions to counteract its influence.

Black or African American↗

PubMed1995

Cancer fatalism among elderly Caucasians and African Americans.

PURPOSE: To determine the relationship between selected demographic factors (e.g., education, income, ethnicity, gender, age) and cancer fatalism. DESIGN: Descriptive study. SETTING: Randomly selected senior citizen centers in a southern state. SAMPLE: The majority of the participants (N = 192) were female African Americans. Mean age of participants was 76 years, mean years of education was < or = 8 years, and mean income was below $6,500 per year. METHODS: Demographic data was collected and Powe Fatalism Inventory was completed in face-to-face interviews. MAIN RESEARCH VARIABLES: Education, income, ethnicity, gender, age, and cancer fatalism. FINDINGS: Significant negative correlations between cancer fatalism and education and income were found. Significant correlations also existed between cancer fatalism and ethnicity and gender. Age was not a significant predictor of cancer fatalism. CONCLUSIONS: As participants' level of education and income decreased, cancer fatalism scores increased. African Americans and females had higher mean cancer fatalism scores. Education, income, ethnicity, and gender could be used to predict cancer fatalism scores. IMPLICATIONS FOR NURSING PRACTICE: Future research should evaluate the relationship between cancer fatalism and early detection practices.

Black or African American↗

PubMedDate not supplied

Cancer fatalism among African-Americans: a review of the literature.

Historically, the health status of African-Americans has been significantly lower when compared with the general population. Too often, attempts to explain and understand this occurrence have focused on factors such as poverty, decreased access, under-education, and decreased knowledge of cancer. Despite the providing of screening at reduced costs or educational interventions, the screening rates for African-Americans remains lower than that of the general population. Cancer fatalism is believed to be an additional barrier to participation in screening for this population. Previous research findings can raise the consciousness of nursing professionals about the influence of cancer fatalism. There are no easy solutions, and much additional research is needed.

Adult↗

PubMedDate not supplied

Perceptions of cancer fatalism among African Americans: the influence of education, income, and cancer knowledge.

African Americans have greater colorectal cancer mortality rates, yet are less likely to participate in fecal occult blood testing (FOBT). Perceptions of cancer fatalism play a pivotal role in this lack of participation. Cancer fatalism is the belief that death is inevitable when cancer is present. However, predictors of cancer fatalism have not been consistently articulated. The Powe Fatalism Model guided this descriptive, correlational study which reports on the relationship between education, income, knowledge of colorectal cancer, and cancer fatalism. Participants (N = 192) were recruited from randomly selected congregate meal sites. The majority of the sample was African American and female. African Americans had lower education, income, and knowledge of colorectal cancer. These factors were all significantly related to perceptions of cancer fatalism. Specifically, cancer fatalism increased as these factors decreased. Nursing professionals must focus on the prompt identification of fatalistic individuals based on these predictors. In addition, research must identify coping strategies for cancer fatalism.

Black or African American↗