Development of a spiritually based educational program to increase colorectal cancer screening among African American men and women

Cheryl L. Holt, Chastity Roberts, Isabel Scarinci, Shereta R. Wiley, Mohamad Eloubeidi, Martha Crowther, John Bolland, Mark S. Litaker, Vivian Southward, Steven S. Coughlin

Research output: Contribution to journalArticle

20 Scopus citations


This study describes the development of a spiritually based intervention to increase colorectal cancer screening through African American churches by framing the health message with spiritual themes and scripture. The intervention development phase consisted of ideas from an advisory panel and core content identified in focus groups. In the pilot-testing phase, prototypes of the intervention materials were tested for graphic appeal in additional focus groups, and content was tested for acceptability and comprehension in cognitive interviews. Participants preferred materials showing a variety of African Americans in real settings, bright color schemes, and an uplifting message emphasizing prevention and early detection. Spiritual themes such as stewardship over the body, being well to serve God, and using faith to overcome fear, were well received. The materials were then finalized for implementation and will be used by community health advisors to encourage screening.

Original languageEnglish (US)
Pages (from-to)400-412
Number of pages13
JournalHealth Communication
Issue number5
Publication statusPublished - Jul 2009
Externally publishedYes


ASJC Scopus subject areas

  • Health(social science)
  • Communication

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