The purpose of this study is to increase knowledge of Colorectal Cancer (CRC), decrease rates of cancer fatalism, and increase rates of CRC screening among African Americans in North Carolina through The F.A.I.T.H. Project, a culturally targeted intervention. The 3rd leading cause of death among African Americans is CRC therefore this study’s goal was to catalyze change. The research problem is clearly identified and each research step is apparent with headings for guidance. No step is missed and each element of the study is robust and well documented.
The authors review several notable studies with direct relevancy to their own work. Two separate studies in particular, Lubetkin and Powe, were reviewed and the research was no older than 6 years. The data used was recent, empirical, and relevant as well as topical for culturally relevant patient education of CRC. There is no literature review providing balance to the study’s objectives. A review regarding problems or ineffectiveness of a culturally targeted experiment of this nature is absent. The authors acknowledge that few studies have been conducted in this area of research; therefore the imbalance is due to limited historical testing from which to draw.
The theoretical framework used is the Powe Fatalism Model. An understandable diagram is provided with detail about the model’s characteristics to influence education, CRC rates, and fatalism. The framework is appropriate and specific to the studies objectives and was developed in 1995 for the purpose of cancer fatalism research. Objectives are clearly identified in a 4-point list drawing back to the literature and hypothesizing several different outcomes between the immediate intervention group and the delayed intervention control group.
The target population is identified as African Americans with inclusive criteria as aged 50+, willing, and a participant in a black church community without severe psychiatric disorder. The samples were randomly assigned through probability testing via black churches and community-based organizations. A sample size of 539 total people is adequate. All ethical criteria were strictly adhered with approval from the institutional review board and participants being informed, consenting, and knowledgeable of the right to withdraw. A moral line was encountered when churches demanded only immediate intervention programs. The researchers ethically complied and though skewing the data, made a responsible decision to protect anyone from harm by providing immediate intervention programs when requested.
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