CLEAN: A community-engaged intervention to increase colorectal cancer screening in Chinese American immigrants

CLEAN：社区参与的干预措施，以增加华裔美国移民的结直肠癌筛查

基本信息

批准号：
10525958
负责人：
Suzanne Sharry Vang
金额：
$ 5.15万
依托单位：
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-09-14 至 2023-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10525958
关键词：
Address Adoption Adult Advisory Committees Age Attention Belief Cancer Etiology Caring Cessation of life Chinese Chinese American Chinese population Clinic Clinical Research Collection Colonoscopy Colorectal Cancer Communities Complement Control Groups Data Detection Education Environment Excision Face Feces Feedback Focus Groups Fostering Foundations Funding Gatekeeping Goals Guidelines Health Health Insurance Health Services Accessibility Health education Health system Healthcare Systems Immigrant Immigrant community Individual Informal Social Control Institution Intervention Interview Knowledge Language Limited English Proficiency Linguistics Malignant Neoplasms Manuscripts Mentors Methods Minority Not Hispanic or Latino Oncology Pamphlets Patient Recruitments Patients Persons Population Poverty Precancerous Polyp Prevention Preventive Preventive care Preventive service Provider Publications Randomized Randomized Controlled Trials Reporting Research Research Activity Research Personnel Research Project Grants Research Training Resources Scholarship Screening for cancer Social Network Social Work Structure System Testing Training Training Activity Training Programs Trust Underserved Population United States Visualization Vulnerable Populations Work barrier to care base behavioral health cancer health disparity cancer prevention career colorectal cancer risk colorectal cancer screening community engaged research community organizations design effective intervention evidence base experience feasibility testing high school improved innovation meetings member minority communities mortality multimodality patient-level barriers peer pilot test prevent programs role model screening guidelines skills social statistics symposium theories trial design vulnerable community

项目摘要

PROJECT SUMMARY/ABSTRACT Colorectal cancer (CRC) is the second leading cause of cancer death among Chinese in the US. CRC screening prevents cancer and reduces mortality through the removal of precancerous polyps. However, CRC screening is severely underutilized by Chinese in the US with only 47% of Chinese Americans over age 50 reporting having ever completed a CRC screening compared to 73% of non-Hispanic whites. Given these disparities, it is critical to increase Chinese immigrants' participation in cancer prevention efforts. Research indicate community engaged interventions, such as narrative education and patient navigation are promising strategies for increasing CRC screening in vulnerable populations. In this study, we propose to develop and pilot test CoLorectal Cancer Narrative Education and Navigation (CLEAN), a community-engaged intervention consisting of narrative education and patient navigation to improve CRC screening in Chinese immigrants. To develop CLEAN, we will culturally and linguistically adapt Witness CARES, a theory-driven, evidence-based narrative group education program. We will also enhance the program with patient navigation to further promote CRC screening in this vulnerable population. Thus, our specific aims are to: (1) Develop CLEAN by culturally and linguistically adapting and enhancing Witness CARES to support CRC screening among Chinese immigrants; and (2) Pilot test the feasibility, acceptability, and preliminary efficacy of CLEAN for supporting CRC screening in Chinese immigrants. The long-term goal of the proposed research is to improve prevention and early detection of CRC in Chinese immigrants and other underserved groups with the ultimate objective of reducing cancer disparities. The proposed research is directly relevant to Dr. Vang's career goals and objectives and will be used to build a program of research to implement effective interventions aimed at reducing cancer disparities in minorities. Her research activities will be complemented with a well-thought out training plan that will help her acquire new knowledge and skills in: (1) community engaged research, and (2) and randomized controlled trials design and analysis. Given the institution's high quality research environment and resources, and with the guidance of the experienced mentoring team, Dr. Vang will have the support and resources necessary to successfully pursue the proposed research and training aims. Over the course of the 5-year funding period, she will participate in ongoing meetings with her mentors, complete formal coursework and interactive training activities offered at her institution and elsewhere; submit a minimum of 5 first author manuscripts for publication; and attend scientific research conferences to foster national networks with researchers in cancer health disparities. This multimodal training plan will provide Dr. Vang with the comprehensive skills needed to achieve her research aims and professional goal of becoming an independent behavioral health researcher.

项目摘要/摘要结直肠癌（CRC）是美国中国癌症死亡的第二大原因。 CRC 筛查可以通过去除癌前息肉来防止癌症并降低死亡率。但是，CRC 在美国，中国人的筛查严重不足，只有47％的中国美国人50岁以上报告曾经完成了CRC筛查，而非西班牙裔白人中有73％。鉴于这些差异，增加中国移民参与癌症预防工作至关重要。研究表明社区参与干预措施，例如叙事教育和患者导航很有希望增加脆弱人群中CRC筛查的策略。在这项研究中，我们建议开发和试验测试结直肠癌叙事教育和导航（清洁），社区参与的干预措施包括叙事教育和患者导航，以改善中国移民的CRC筛查。到发展干净，我们将在文化和语言上适应见证人，这是一种理论驱动的，基于循证的叙事小组教育计划。我们还将通过患者导航增强该计划以进一步在这个脆弱的人群中促进CRC筛查。因此，我们的具体目的是：（1）在文化和语言上适应和增强证人的关心，以支持中国的CRC筛查移民；（2）试验测试清洁支持的可行性，可接受性和初步功效中国移民的CRC筛查。拟议研究的长期目标是改善预防以及中国移民和其他服务不足的群体中CRC的早期发现，其最终目标是减少癌症差异。拟议的研究与Vang博士的职业目标和目标，并将用于构建研究计划，以实施针对的有效干预措施减少少数民族的癌症差异。她的研究活动将得到一个经过深思熟虑的补充培训计划将有助于她获得新的知识和技能：（1）社区参与研究，以及（2）以及随机对照试验设计和分析。鉴于该机构的高质量研究环境和资源，以及经验丰富的指导团队的指导，Vang博士将得到支持和成功追求拟议的研究和培训目的所需的资源。在整个过程中 5年的资金期限，她将与导师进行持续的会议，完整的正式课程以及她的机构和其他地方提供的互动培训活动；至少提交5名第一作者手稿出版；并参加科学研究会议，以促进国家网络癌症健康差异的研究人员。该多模式培训计划将为Vang博士提供实现她的研究目标所需的全面技能和成为独立的专业目标行为健康研究人员。