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Health Education Research Advance Access originally published online on May 29, 2008
Health Education Research 2009 24(2):343-356; doi:10.1093/her/cyn026
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Published by Oxford University Press 2008.

Moving from theory to practice: implementing the Kin KeeperSM Cancer Prevention Model

K. P. Williams1,*, P. B. Mullan2 and D. Todem3

1 Obstetrics, Gynecology and Reproductive Biology, Michigan State University, East Lansing, MI 48824, USA
2 Medical Education, University of Michigan Medical School, Ann Arbor, MI 48109, USA
3 Epidemiology, Michigan State University, East Lansing, MI 48824, USA

* Correspondence to: K. P. Williams. E-mail: karen.williams{at}ht.msu.edu

This paper presents the rationale and findings of a feasibility and process study of the Kin KeeperSM Cancer Prevention Intervention. An observational cohort study design was implemented with African-American women in synergistic female family relationships. Community health workers (CHWs) from two Michigan public health programs recruited women to serve as ‘kin keepers’ who in turn recruited their female family members. In total, 161 kin keepers and female family members were sampled. Trained CHWs led kin keepers and family members in learning about breast cancer. Data methods included baseline and post-training administration of a breast cancer literacy assessment, post-training focus groups and review of personal action plans. To validate the feasibility of the process, a linear mixed-effects regression with 97% power was identified and differences in pre–post scores were detected at 5% significance level. Adjusting for family random effects, breast cancer literacy scores increased for all participants recruited (P-value = 0.0004) suggesting that the process was feasible. Analysis of focus groups and action plans indicated that participants valued the instruction and planned to act upon it. This experience with kin keepers and their families offers encouragement that the theoretical model and its community-based delivery can continue to enhance scholarship dedicated to ameliorating health care disparities.


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A. Mabiso, K. P. Williams, D. Todem, and T. N. Templin
Longitudinal analysis of domain-level breast cancer literacy among African-American women
Health Educ. Res., October 27, 2009; (2009) cyp056v1.
[Abstract] [Full Text] [PDF]


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