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This study developed and evaluated the efficacy of touchscreen kiosks to deliver tailored, bilingual (Spanish/English), breast cancer education to low-income, low literacy Latinas. The kiosks literally put information at a woman's fingertips through technology that required neither computer nor keyboard literacy. The study developed a user-friendly, selfpaced cancer education platform that leveraged video, audio text, and graphics. Women accessed ten information modules interactively based on their language preferences, age and prior screening history. The education modules employed interactive, multimedia elements to present an educational experience that was engaging, informative and motivating as well as responsive to the information needs, interests and concerns of its intended audiences.



Breast Cancer Education Kiosks for Low Income Latinas

Latinas have a relatively low breast cancer incidence rate, but also have lower rates of early-stage detection and lower survival rates than non-Latina whites. This incidence and mortality pattern suggests the need for improved screening adherence. Yet the challenge to improved screening rates is finding effective means to overcome cultural, linguistic and literacy obstacles. The specific aims of the study were to develop and evaluate the efficacy of interactive, touchscreen kiosks to overcome those barriers and promote adoption of breast cancer screening behaviors among low-income, low literacy Latinas.


HealthPoint Communications used interactive, multimedia, touchscreen kiosks to overcome those barriers. The intervention was designed to address knowledge gaps and misconceptions, improve attitudes toward screening and promote adoption of breast cancer screening practices. The kiosks presented ten interactive, self-paced modules that addressed the following topics identified through our prior formative research with Latinas: what is breast cancer? what are my chances of getting breast cancer? do I need a mammogram? breast cancer risk factors; breast cancer screening methods.; barriers to breast cancer screening; what does it mean if I get an abnormal mammogram? what are your chances of survival if you develop breast cancer? what questions should I ask my doctor? what if I don't have insurance, or a regular doctor?


The intervention significantly increased knowledge, improving attitudes and promoted screening adherence. Four months after exposure to the intervention, 51% of non-adherent Latinas obtained or schedule a mammogram, a remarkable effect size that is unmatched by other screening promotion interventions.


This study was funded through the Small Business Innovative Research Grants Program by the National Caner Institute, Multimedia Technology, Health Communication Informatics Research Branch, and Behavioral Research Program.




Valdez, A, Designing Tailored Breast Cancer Education Messages for Latinas. Women & Cancer. January 2000.


Valdez, A, Banerjee K, Ackerson L, Fernandez M, Somkin C, Otero-Sabogal, R. Correlates of Breast Cancer Screening among Low-Income, Low-Education Latinas Journal of Preventive Medicine. 33, 495-502 (2001).


Valdez, A, Banerjee K, Fernandez M, Ackerson L. Impact of a Multimedia Breast Cancer Education Intervention on Use of Mammography by Low-income Latinas. Journal of Cancer Education. Vol. 16, No. 4: 221-224 (2001).


Valdez, A, Banerjee K, Ackerson L, Fernandez M. A Multimedia Breast Cancer Education Intervention for low-income Latinas. Journal of Community Health. Vol. 27, No. 1, February 2002.



Research Team

Project Management

Armando Valdez, PhD, Principal Investigator

Kakoli Banerjee, PhD, Research Associate


Subject-matter Experts

Carol Somkin, PhD, Division Of Research, Kaiser Permanente-Northern California

Roshan Bastani, Jonsson Comprehensive Cancer Center, UCLA

Maria Fernandez, PhD, School of Public Health, University of Texas-Houston

Regina Sabogal-Otero, PhD, University of California-San Francsico



Lynn M. Ackerson, PhD, Division of Research, Kaiser Permanente-Northern California



Production Team
Interactive Technology/Multimedia Design Expert
Joseph Camacho, M.A., Department of Film Studies, Sacramento State College
Multimedia Development  
Rosemary Comella, Multimedia Programming Jhoane Garcia, Graphic Design
Video Production  
Susan Racho, Video Producer/Director/Writer Joseph Julian Gonzalez, Composer/Arranger
Nancy de los Santos, Associate Producer Tom Evans, Camera Operator
Rosalinda Morales, Casting Director Maria Valdez, Makeup/Hairdresser
Miriam Peniche, Casting Assistant Javier Torres, Set Designer/Props
Joan Zapata, Editor Therese Hernandez, Production Assistant/Continuity
Actors (in alphabetical order)
Alejandra Flores Maggie Palomo
Aliana Alexander Maria Elena Gaitan
Anita Ortega Marjorie Tanin
Bel Hernandez Olivia Chumacero
Esthela Figueroa Pilar Camporedondo
Juan Carlos Cantu Raquel Salinas
Julia Vera Renee Victor
Loyda Ramos Rose Portillo
Lupe Ontiveros Virginia Montero