CANCER PREVENTION IN RURAL YOUTH--TEACHING HEALTH GOALS

农村青年的癌症预防——健康目标教学

• 批准号: 6333872
• 负责人: STEVEN John DANISH
• 金额: $ 2.81万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1996
• 资助国家: 美国
• 起止时间: 1996-08-18 至 2002-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6333872
• 关键词: adolescence (12-20); attitude; behavioral /social science research tag; cancer prevention; choice; clinical research; cognition; dietary constituent; dietary fiber; dietary lipid; health behavior; health education; health surveys; human subject; longitudinal human study; low socioeconomic status; middle childhood (6-11); nutrient intake activity; nutrition related tag; peer group; questionnaires; rural area; social support network; tobacco abuse prevention

DESCRIPTION: The investigators propose a five year school based project that meets the criteria for a cutting edge prevention with high risk, rural youth. In contrast to the comparison group, these youth will consume more foods that reflect low fat and high fiber choices as well as choose not to initiate tobacco use. The innovative and interactive cancer prevention program that the investigators propose to use is based in theory and research and builds upon an existing life skills program -- Going for the Goal (GOAL). GOAL is an interactive, school-based life skills program taught by high school students to middle school student; it is designed to increase the ability of sixth graders to make choices that promote their long term health. The skills taught include how to identify positive life goals; how to identify and engage in health promoting behaviors that can facilitate goal attainment; how to identify and avoid health compromising behaviors that can impede goal attainment; how to construct step- by-step plans to reach goals; how to create and utilize social support; and how to transfer these skills from one life context to another. By focusing specifically on diet and tobacco use in the enhanced GOAL Program, the sixth graders will learn how to make life choices and goals for health. Twenty-two schools in rural Virginia and New York will be randomly assigned to either intervention or control groups. The key behaviors (as well as relevant attitudes and knowledge) of diet and tobacco use will be assessed both prior to and following the intervention (immediately post, and one- and two-year follow- ups). The intervention program will consist of (1) twelve peer- led classroom sessions based on the GOAL Program and implemented during the sixth grade; (2) six teacher-led classroom sessions based on a social influence smoking prevention program in the seventh grade; and (3) six teacher-led classroom sessions based on GOAL in the seventh grade, as well. Several different evaluations strategies will be used to investigate the impact of the intervention on eating and tobacco behaviors, as well as the behavioral, attitudinal, cognitive and environmental factors influenced by the intervention. The impact of the intervention will be assessed by observed food choices in the cafeteria, several carefully crafted self reported measures of dietary intake and self- and parent-reported tobacco use. This project will contribute to the ability to prevent cancer in rural populations by creating a non-intrusive cancer prevention program based on life skills that not only impacts cancer-related behaviors, but extends to other health behaviors as well. This program can be delivered in the future with minimal support from sources outside the school.

描述：研究人员提出了一个为期五年的学校项目 符合高风险、农村地区前沿预防标准 青年。 与对照组相比，这些年轻人会消费更多 反映低脂肪和高纤维选择的食物以及选择不选择的食物 开始使用烟草。 创新和互动的癌症预防计划 研究人员建议使用基于理论和研究并建立在 现有的生活技能计划——追求目标（GOAL）。 目标是 由高中生教授的交互式、以学校为基础的生活技能课程 中学生；它旨在提高第六个的能力 评分者做出有利于他们长期健康的选择。 技能 教授的内容包括如何确定积极的人生目标；如何识别和 从事有助于实现目标的健康促进行为； 如何识别和避免可能妨碍目标的损害健康的行为 素养;如何制定分步计划以实现目标；如何 创造和利用社会支持；以及如何从一个人那里转移这些技能 生活背景到另一个人。 通过特别关注饮食和烟草使用 在增强版 GOAL 计划中，六年级学生将学习如何创造生活 健康的选择和目标。 弗吉尼亚州和纽约州农村地区的 22 所学校将被随机分配 干预组或对照组。 关键行为（以及 将评估饮食和烟草使用的相关态度和知识 干预之前和之后（干预后立即，以及一次和一次） 两年随访）。 干预计划将包括 (1) 12 基于目标计划并实施的由同伴主导的课堂课程 六年级期间； (2) 六场教师主导的课堂教学 七年级吸烟预防计划的社会影响；和（3） 七年级有六次由教师主导的基于目标的课堂课程，如 出色地。 将使用几种不同的评估策略来调查 干预措施对饮食和烟草行为的影响，以及 行为、态度、认知和环境因素的影响 的干预。 干预措施的影响将通过以下方式进行评估： 观察食堂的食物选择，有几款是自己精心制作的 报告的饮食摄入量以及自我和家长报告的烟草测量 使用。 该项目将有助于提高农村地区预防癌症的能力 通过创建基于以下内容的非侵入性癌症预防计划 生活技能不仅影响与癌症相关的行为，而且延伸到 其他健康行为也是如此。 该程序可以在未来交付 获得校外资源的最少支持。

项目成果

Cancer prevention in rural youth: teaching goals for health: the pilot.

农村青年癌症预防：健康教学目标：试点。

• DOI: 10.1080/08858190109528741
• 发表时间: 2001
• 期刊: Journal of cancer education : the official journal of the American Association for Cancer Education
• 作者: Fries,E;Meyer,A;Danish,S;Stanton,C;Figueiredo,M;Green,S;Brunelle,J;Townsend,C;Buzzard,M
• 通讯作者: Buzzard,M