Pilot Project 2 (CRC)

试点项目 2 (CRC)

基本信息

批准号：
10491755
负责人：
Maria D. Thomson
金额：
$ 2.92万
依托单位：
VIRGINIA COMMONWEALTH UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-21 至 2025-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10491755
关键词：
Accounting Address African American Attenuated Attitude Awareness Behavior Belief Cancer Etiology Caring Cellular Phone Cessation of life Code Colonoscopy Colorectal Cancer Communities Consent Data Development Disease Early Diagnosis Enrollment Ethnic group Friends Fright General Population Goals Guidelines Health behavior Incidence Individual Insurance Intervention Malignant Neoplasms Medical Methods Modeling National Cancer Advisory Board Patient Self-Report Pilot Projects Planning Theory Poverty Prevention Preventive Preventive care Preventive screening Privatization Public Health Recommendation Reporting Research Training Risk Scanning Self-Direction Social Network Social support Surveys Survival Rate Tablets Technology Testing Text Training Programs Trust base behavioral study black men cancer health disparity colorectal cancer screening community setting design evidence base expectation experience feasibility testing follow-up health belief health care settings improved intervention delivery mHealth male men mortality novel outreach perceived discrimination post intervention premalignant programs racial and ethnic racism response screening screening participation screening program tailored messaging therapy design tool uptake

项目摘要

PILOT PROJECT 2: PROJECT SUMMARY The NCI Screen to Save (S2S) has successfully increased awareness about colorectal cancer (CRC) and the importance of screening for prevention and early detection. Using S2S tools and methods through 2018-2020, our team educated over 211 individuals but identified the need to more effectively reach African American (AA)/Black men who represented only 10% of those we enrolled. AA/Black men experience 24% higher CRC incidence, 47% higher mortality, and have the shortest CRC survival rates of all racial/ethnic groups. Moreover, CRC screening participation rates among AA/Black men are 10%-30% lower than other groups. Because CRC is one of few cancers for which precancerous and early stage disease can be identified and treated successfully through preventive screening, tailored interventions that can successfully increase AA/Black men’s CRC screening participation are critical. The goal of this proposal is to collect in-depth information on AA/Black men’s CRC screening beliefs, attitudes and values to inform the development of culturally tailored mHealth intervention designed to improve CRC screening participation. Transforming the traditional S2S materials content and delivery, this study will develop and test enhanced mHealth delivered materials that address constructs that impede screening uptake specific to AA/Black men. Secondly, we will test the feasibility of intervention delivery using a novel mHealth platform, not previously used by CRC screening interventions. This study leverages an existing educational strategy, institutional commitment, and expertise infused technology and tailored messages to address an important public health issue. If successful, S2S mHealth has potential for wide-spread dissemination with the 39 NON-S2S network and beyond. Aim 1. Determine factors associated with self-reported CRC screening behaviors among (n=175) AA/Black men in Petersburg, VA. H1.1. Lack of social support, higher medical mistrust, and perceived discrimination will be negatively associated with self-reported screening behaviors (ever & up-to-date). H2.2. Higher engagement in preventive care behaviors and greater perceived risk will be associated with higher completion of CRC screening. Subaim1a. Examine potential interactions between perceived discrimination, medical mistrust and engagement in preventive care behaviors. H1.3. Increased perceptions of discrimination and greater medical mistrust will attenuate the relationship between preventive care and self-reported screening (ever & up-to-date). Aim 2. Develop tailored S2S content for AA/Black men to be delivered using a combination of short video and text-based information optimized for delivery via QR codes for smartphones. Aim 3. Evaluate the feasibility of delivering the enhanced S2S intervention for AA/Black men (n=30) delivered via local barbershops. H3.1. 50% of those who scan the QR code will consent to participate and 70% of those consented will complete follow-up surveys (weeks 12). H2.2. Most men (≥75%) will be satisfied with the content and mode of delivery of the S2S mHealth intervention. H3.3. Most men (≥60%) who complete the enhanced S2S will report screening completion at 12-weeks post intervention.

试点项目 2：项目摘要 NCI Screen to Save (S2S) 成功提高了人们对结直肠癌 (CRC) 和癌症的认识 2018-2020 年期间使用 S2S 工具和方法进行筛查的重要性，我们的团队对超过 211 人进行了教育，但发现需要更有效地接触非洲裔美国人 (AA)/仅占我们登记人数 10% 的黑人男性的 CRC 较高。发病率、死亡率高 47%，并且在所有种族/族裔群体中 CRC 存活率最短。 AA/黑人男性的 CRC 筛查参与率比其他群体低 10%-30%，因为 CRC。是少数可以成功识别和治疗癌前和早期疾病的癌症之一通过筛查和定制干预措施来预防，可以成功增加 AA/黑人男性的 CRC 筛选参与至关重要该提案的目标是收集有关 AA/黑人的深入信息。 CRC 筛查信念、态度和价值观，为根据文化定制的移动医疗干预措施的发展提供信息旨在提高 CRC 筛选参与度，改变传统的 S2S 材料内容和内容。交付，本研究将开发和测试增强型移动医疗交付材料，以解决以下问题：其次，我们将测试干预措施的可行性。使用一种新颖的移动医疗平台，该平台以前未用于 CRC 筛查干预措施。现有的教育战略、机构承诺以及注入技术和定制信息的专业知识如果成功的话，S2S 移动医疗将具有广泛推广的潜力。 39 非 S2S 网络及其他网络的传播目标 1. 确定与自我报告相关的因素。弗吉尼亚州彼得斯堡 (n=175) AA/黑人男性的 CRC 筛查行为 H1.1 缺乏社会支持。医疗不信任和感知到的歧视将与自我报告的筛查产生负相关 H2.2. 预防性护理行为的参与度更高，感知风险更大。与 Subaim1a 的更高完成率相关。 H1.3 感知到的歧视、医疗不信任和参与预防性护理行为。对歧视的看法和更大的医疗不信任将削弱预防性治疗与预防性治疗之间的关系。护理和自我报告筛查（始终和最新）。目标 2. 为 AA/黑人男性开发定制的 S2S 内容使用短视频和基于文本的信息的组合进行交付，优化通过二维码交付目标 3：评估为 AA/黑人提供增强型 S2S 干预的可行性。 (n=30) 通过当地理发店 H3.1 扫描二维码的人中有 50% 同意参与。 70% 的同意者将完成后续调查（第 12 周），大多数男性 (≥75%) 会感到满意。 S2S mHealth 干预的内容和实施方式 H3.3 大多数男性（≥60%）完成。增强型 S2S 将在干预后 12 周报告筛查完成情况。