Formative Assessment to Improve Cancer Screenings in American Indian Men: Native Patient Navigator and mHealth Texting

Ken Batai, Priscilla R. Sanderson, Lori Joshweseoma, Linda Burhansstipanov, Dana Russell, Lloyd Joshweseoma, Chiu Hsieh Hsu

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Cancer screening rates among American Indian men remain low, without programs specifically designed for men. This paper describes the Community-Based Participatory Research processes and assessment of cancer screening behavior and the appropriateness of the mHealth approach for Hopi men’s promotion of cancer screenings. This Community-Based Participatory Research included a partnership with H.O.P.I. (Hopi Office of Prevention and Intervention) Cancer Support Services and the Hopi Community Advisory Committee. Cellular phone usage was assessed among male participants in a wellness program utilizing text messaging. Community surveys were conducted with Hopi men (50 years of age or older). The survey revealed colorectal cancer screening rate increased from 51% in 2012 to 71% in 2018, while prostate cancer screening rate had not changed (35% in 2012 and 37% in 2018). Past cancer screening was associated with having additional cancer screening. A cellular phone was commonly used by Hopi men, but not for healthcare or wellness. Cellular phone ownership increased odds of prostate cancer screening in the unadjusted model (OR 9.00, 95% CI: 1.11–73.07), but not in the adjusted model. Cellular phones may be applied for health promotion among Hopi men, but use of cellular phones to improve cancer screening participation needs further investigation.

Original languageEnglish (US)
Article number6546
JournalInternational journal of environmental research and public health
Issue number11
StatePublished - Jun 1 2022


  • American Indian men
  • Community-Based Participatory Research
  • Native Patient Navigator
  • mHealth

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


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