PROMOTING MAMMOGRAPHY SCREENING IN NORTH DAKOTA

促进北达科他州的乳房X光检查

• 批准号: 2099344
• 负责人: KEVIN D MCCAUL
• 金额: $ 19.36万
• 依托单位: NORTH DAKOTA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1993
• 资助国家: 美国
• 起止时间: 1993-09-24 至 1997-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2099344
• 关键词: Native Americans; behavior modification; cancer prevention; community health services; disease /disorder proneness /risk; early diagnosis; female; health /scientific organization; health behavior; health surveys; human subject; longitudinal human study; mammography; mass information media; mass screening; neoplasm /cancer education; radio; role model; rural area; volunteer

The purpose of this research is to increase the number of women in North Dakota who a) obtain a first-time mammography and b) continue to obtain screening at appropriate intervals. Communities in one-half of the state will receive a community intervention, whereas communities in the other part of the state will serve as on-treatment controls. The community intervention will begin with a year-long media campaign followed by two years of community activities led by volunteers from state American Cancer Society units. In the final year, we will begin to examine maintenance of the intervention effects. The focus of the community intervention will be on increasing perceptions of personal vulnerability while simultaneously emphasizing the effectiveness of screening techniques. The primary outcome data will be cross-sectional survey reports of whether women have obtained a mammography screening in the previous year. We will also measure reported frequency of breast self-exam and clinical exams, and we will collect a variety of process measures (e.g., perceived vulnerability). In addition, interviews will be conducted with a randomly selected subset of women to provide longitudinal data related to perceptions of the media campaign, the action intervention, and reasons why women have (or have not) participated in screenings. The results of this study should address the role of vulnerability perceptions in promoting health protection action and shed light on whether a community cancer-prevention program targeted to rural areas can be effective. The research may have the added health benefit of reducing cancer mortality among women who are screened and who would not have undergone screening without this campaign.

这项研究的目的是增加北方地区女性的数量 达科他州 a) 获得首次乳房 X 光检查 b) 继续获得 以适当的时间间隔进行筛查。 该州一半地区的社区 将接受社区干预，而另一方的社区 该状态的一部分将作为治疗控制。 社区 干预措施将从为期一年的媒体宣传活动开始，随后进行两次 由美国州志愿者领导的多年社区活动 癌症协会单位。 在最后一年，我们将开始审查 维持干预效果。 社区干预的重点是提高认知 个人的脆弱性，同时强调 筛选技术的有效性。 主要结果数据将是 关于妇女是否获得了职业资格的横断面调查报告 前一年进行乳房X光检查。 我们也会测量 报告乳房自检和临床检查的频率，我们将 收集各种流程措施（例如，感知到的漏洞）。 此外，还将随机抽取一些人进行采访 女性子集提供与看法相关的纵向数据 媒体宣传、行动干预以及妇女这样做的原因 （或未曾）参加过放映。 这项研究的结果应该解决脆弱性的作用 促进健康保护行动的看法并阐明 针对农村地区的社区癌症预防计划是否可以 要有效果。 这项研究可能会带来额外的健康益处，即减少 接受筛查和未接受筛查的女性的癌症死亡率 在没有此活动的情况下接受筛选。