Background. While Hispanic women have lower rates of breast cancer than do
women of other ethnic groups, they are the least likely to undergo screenin
g examinations, This study evaluated a culturally sensitive and linguistica
lly appropriate, tailored, computer-based, educational program for early de
tection of breast cancer aimed at high-risk Hispanic women Methods. Spanish
-speaking Hispanic women from an inner-city community health clinic were re
cruited and randomly assigned either to a computer intervention with an int
eractive soap-opera format (n = 118) or to a comparison group (n = 60). Pre
- and posttests were used to identify any change in breast-cancer-related k
nowledge and beliefs. Results. Both younger (18-40 years old) and older (41
-65 years old) women in the intervention group demonstrated significant inc
reases in their breast cancer screening knowledge and beliefs as compared w
ith the younger and older women in the comparison group (n < 0.05). Conclus
ions. Computer-based tailored and interactive soap operas that are linguist
ically and culturally appropriate are effective in increasing breast cancer
screening knowledge and beliefs among underserved Spanish-speaking Hispani
c women.