{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T09:47:39Z","timestamp":1783763259116,"version":"3.55.0"},"reference-count":36,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2017,11,13]],"date-time":"2017-11-13T00:00:00Z","timestamp":1510531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R24MD002756"],"award-info":[{"award-number":["R24MD002756"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["R24MD002756"],"award-info":[{"award-number":["R24MD002756"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>The primary objective of the current study was to evaluate the efficacy of a community\u2010based participatory intervention program in improving hepatitis B virus (HBV) screening and vaccination among Korean Americans who were not previously screened.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>A cluster randomized trial involving 32 Korean church\u2010based community organizations (1834 participants) was conducted. Sixteen churches were randomly assigned to an HBV screening and vaccination multicomponent intervention condition (972 participants) and 16 were assigned to a general cancer education control condition (862 participants). The main components of the intervention program included interactive group education; patient navigation; and the engagement of health care providers, church leadership, and church members in the medical field. The application of community\u2010based participatory research principles was monitored and evaluated. HBV screening and vaccination rates (self\u2010reported and medical record verification) were assessed at 6\u2010month and 12\u2010month follow\u2010ups, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>The results of the current study demonstrated significant efficacy in the HBV screening rate (92.5% in the intervention group vs 5.5% in the control group), 3\u2010series HBV vaccination completion rate (84% in the intervention group vs 17.6% in the control group), and overall screening and vaccination compliance rate (87% in the intervention group vs 3.8% in the control group). Participants in the intervention group were significantly more likely to receive HBV screening (92.5%) compared with those in the control group (5.5%). In multivariate mixed\u2010effect logistic regression analysis, the odds ratio for an intervention effect on HBV screening was 512.3 after adjusting for cluster effect and other demographic variables. With regard to vaccination rates, of the 332 participants who were screened with no immunity in the intervention group, 308 (92.8%) received at least 1 HBV vaccination, 300 (90.4%) received at least 2 shots, and 279 participants (84%) received all 3 shots.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>A combination of community\u2010based participatory research and a multilevel approach may produce the most optimal results and be essential in producing a considerable effect for enhancing HBV screening and vaccination, particularly for Korean American populations with limited language proficiency and insurance coverage. <jats:bold><jats:italic>Cancer<\/jats:italic> 2018;124:973\u201082<\/jats:bold>. \u00a9 <jats:italic>2017 American Cancer Society<\/jats:italic>.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.31134","type":"journal-article","created":{"date-parts":[[2017,11,13]],"date-time":"2017-11-13T11:56:47Z","timestamp":1510574207000},"page":"973-982","source":"Crossref","is-referenced-by-count":36,"title":["Efficacy of a community\u2010based participatory and multilevel intervention to enhance hepatitis B virus screening and vaccination in underserved Korean Americans"],"prefix":"10.1002","volume":"124","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3619-0550","authenticated-orcid":false,"given":"Grace X.","family":"Ma","sequence":"first","affiliation":[{"name":"Center for Asian Health, Lewis Katz School of Medicine Temple University Philadelphia Pennsylvania"},{"name":"Department of Clinical Sciences, Lewis Katz School of Medicine Temple University Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minsun M.","family":"Lee","sequence":"additional","affiliation":[{"name":"Center for Asian Health, Lewis Katz School of Medicine Temple University Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yin","family":"Tan","sequence":"additional","affiliation":[{"name":"Center for Asian Health, Lewis Katz School of Medicine Temple University Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra L.","family":"Hanlon","sequence":"additional","affiliation":[{"name":"Department of Family and Community Health, School of Nursing University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziding","family":"Feng","sequence":"additional","affiliation":[{"name":"Department of Biostatistics The University of Texas MD Anderson Cancer Center Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa I.","family":"Shireman","sequence":"additional","affiliation":[{"name":"Department of Health Services, Policy and Practice, School of Public Health Brown University Providence Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne","family":"Rhee","sequence":"additional","affiliation":[{"name":"Center for Asian Health, Lewis Katz School of Medicine Temple University Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhengyu","family":"Wei","sequence":"additional","affiliation":[{"name":"Center for Asian Health, Lewis Katz School of Medicine Temple University Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Tropical Medicine, John A. 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