Mark Dignan
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Facilitators and Barriers to Implementation of a Tablet-based Digital Health Program for Colorectal Cancer Screening in Primary Care: A Qualitative Study (Preprint) Open
BACKGROUND Colorectal cancer (CRC) incidence and mortality rates continue to be elevated even though effective screening methods are widely available. To increase CRC screening in primary care practices, our team developed a tablet-based …
HPV Self-Sampling Promotion Among African American (AA) and Sub-Saharan African (SAI) Immigrant Women: Adaptation and Usability Testing Open
Background: Cervical cancer (CC) rates have declined nationally but rates remain high in Black women with most cases occurring among unscreened and under-screened women. This paper describes the adaptation, acceptability, and useability of…
Cancer-related health behaviors during the COVID 19 pandemic in geographically diverse samples across the US Open
Background The COVID-19 pandemic involved business closures (e.g., gyms), social distancing policies, and prolonged stressful situations that may have impacted engagement in health behaviors. Our study assessed changes in cancer-related he…
Barriers to Adherence to Standard of Care in Appalachia: A Qualitative Assessment in Gastrointestinal Cancers Open
Barriers to completing adjuvant therapy may differ between rural and urban healthcare systems which may yield opportunities for targeted interventions to improve rates of completion of colon cancer adjuvant chemotherapy.
View article: Results of a Human Papillomavirus Self-Collection Educational Intervention for Health Care Providers in Appalachia
Results of a Human Papillomavirus Self-Collection Educational Intervention for Health Care Providers in Appalachia Open
An online educational intervention for health care providers and staff about HPV self-collection as a cervical cancer screening strategy was efficacious in improving knowledge and attitudes and was well-received by participants. Given its …
A cluster randomized controlled trial for a multi-level, clinic-based smoking cessation program with women in Appalachian communities: study protocol for the “Break Free” program Open
Background The cervical cancer burden is high among women living in Appalachia. Cigarette smoking, a cervical cancer risk factor, is also highly prevalent in this population. This project aims to increase smoking cessation among women livi…
Facilitators and Barriers to Implementing a Digital Informed Decision Making Tool in Primary Care: A Qualitative Study Open
Background Informed decision aids provide information in the context of the patient's values and improve informed decision making (IDM). To overcome barriers that interfere with IDM, our team developed an innovative iPad-based application …
Beliefs and Knowledge Related to Human Papillomavirus (HPV) Vaccine among African Americans and African Immigrants Young Adults Open
Background: Despite the disparate Human papillomavirus (HPV) infection rates among sexually active black young adults, HPV vaccine uptake remains low among this population. This study aimed to explore HPV beliefs, attitudes, and knowledge …
Qualitative assessment of attitudes toward cervical cancer (CC) screening and HPV self-sampling among African American (AA) and Sub Saharan African Immigrant (SAI) women Open
This study identified a variety of reasons for the disproportionately low utilization of CC prevention services among AA/SAI women. Multidimensional approaches including educational and community engagement programs for this population cou…
Increasing Cervical Cancer Prevention Through HPV Testing: Challenges in Developing Persuasive Messages Open
Decades of promotion of the Pap test have fallen short in persuading vulnerable women to get screened for cervical cancer. Human papillomavirus (HPV) testing provides an additional screening tool, and the task for cancer control is to prom…
Psychological factors among Appalachian women with abnormal Pap results Open
Purpose Women who receive an abnormal Pap result may experience negative psychological factors. The purpose of this study is to assess the baseline occurrence of negative psychological factors and evaluate the relationships between psychol…
The National Cancer Institute’s Community Networks Program Initiative to Reduce Cancer Health Disparities: Outcomes and Lessons Learned Open
We describe reach, partnerships, products, benefits, and lessons learned of the 25 Community Network Programs (CNPs) that applied community-based participatory research (CBPR) to reduce cancer health disparities.
View article: Development of a Multilevel Intervention to Increase Colorectal Cancer Screening in Appalachia
Development of a Multilevel Intervention to Increase Colorectal Cancer Screening in Appalachia Open
Background: Colorectal cancer (CRC) screening rates are lower in Appalachian regions of the United States than in non-Appalachian regions. Given the availability of various screening modalities, there is critical need for culturally releva…
Online Health Promotion to Reduce Cancer Risk: Lessons From Learning With Alaska’s Tribal Primary Care Providers Open
Background: Alaska's tribal primary care providers in rural Alaska - community health aides and practitioners (CHA/Ps) - requested online education about cancer for themselves and their communities. Aim: A research team at the Alaska Nativ…
The experience of treatment barriers and their influence on quality of life in American Indian/Alaska Native breast cancer survivors Open
BACKGROUND American Indian and Alaska Native (AI/AN) breast cancer survivors experience disparities in breast cancer incidence and age‐adjusted mortality compared with non‐Hispanic white (NHW) breast cancer survivors. In addition, mortalit…
View article: Recommendations for Cancer Epidemiologic Research in Understudied Populations and Implications for Future Needs
Recommendations for Cancer Epidemiologic Research in Understudied Populations and Implications for Future Needs Open
Medically underserved populations in the United States continue to experience higher cancer burdens of incidence, mortality, and other cancer-related outcomes. It is imperative to understand how health inequities experienced by diverse pop…