Effectiveness of a cancer education program for women attending rural public health departments in North Carolina

Robert Michielutte, Louise E. Cunningham, Penny C. Sharp, Mark B. Dignan, Virginia D. Burnette

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


The Western North Carolina Cancer Awareness Program (CAP) was a four-year program, funded by the National Cancer Institute, to increase education and support services for the prevention and early detection of breast, cervical, and skin cancer among women receiving care in six rural county public health departments. Three health departments were selected as intervention units, and the remaining three health departments served as comparison units. Women age 20 and older were randomly selected in each health department. Women in the intervention group received a comprehensive health education program that included easy-to-read printed materials and telephone counseling dealing with breast, cervical, and skin cancer. Theoretical guidelines for development of the intervention program included the PRECEDE Model and the Health Belief Model. Overall, the results indicated that personalized education, which includes the combination of readable printed materials and telephone contact, can be effective in increasing some early detection behaviors for breast and skin cancer among women who attend public health departments. The value of telephone counseling as a comparatively inexpensive approach to individualizing health education has significant implications for the development of similar cancer education programs for underserved populations.

Original languageEnglish
Title of host publicationPrevention Issues for Women's Health in the New Millennium
Number of pages20
ISBN (Electronic)9781315880648
StatePublished - Aug 27 2013

Bibliographical note

Publisher Copyright:
© 2001 by The Haworth Press, Inc.


  • Breast cancer
  • Cancer education
  • Cervical cancer
  • Public health
  • Rural
  • Skin cancer

ASJC Scopus subject areas

  • General Medicine


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