Family Cancer Literacy to Promote Mammography Screening among Navajo Women

家庭癌症知识普及促进纳瓦霍妇女的乳房X光检查

• 批准号: 8326139
• 负责人: Christi A Patten
• 金额: $ 10.58万
• 依托单位: MAYO CLINIC ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-07 至 2014-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8326139
• 关键词: Advisory Committees; American Indian and Alaska Native; Appointment; Appointments and Schedules; Behavior Therapy; Behavioral Research; Breast; Breast Cancer Detection; Cancer Center; Cancer Center Planning Grant; Cancer Control; Cancer Etiology; Cancer Family; Caring; Cause of Death; Cells; Clinical Trials; Collaborations; Communication; Communities; Control Groups; Diagnosis; Early Diagnosis; Education; Educational Materials; Enrollment; Ethnic group; Evaluation; Family; Family member; Feedback; Female; Focus Groups; Fright; Funding; Futility; Future; Glossary; Grant; Healed; Health; Health education; Home environment; Home visitation; House Call; Individual; Institution; Intervention; Interview; Knowledge; Language; Life; Malignant Neoplasms; Mammography; Measures; Medical; Minority; Morbidity - disease rate; NIH Program Announcements; Navajo; Oral; Patients; Phase; Prevention program; Production; Provider; Public Health; Randomized; Randomized Clinical Trials; Records; Schedule; Screening procedure; Services; Source; Staging; Stigmata; Survival Rate; Testing; Time; Translating; Translations; Treatment Efficacy; Woman; Writing; base; cancer health disparity; cancer prevention; care systems; cervical cancer prevention; college; community based participatory research; design; experience; follow-up; healing; intervention effect; literacy; malignant breast neoplasm; mortality; public health relevance; research study; social stigma; tribal college

DESCRIPTION (provided by applicant): This proposal describes a community-based participatory research study to develop and pilot test a new behavioral intervention to promote mammography screening among Navajo women. From a public health perspective, the intervention has the potential to reach many Navajo women, as 80% of women scheduled for mammography appointments do not follow through. These women (over 1,500 each year) are referred to the Nation Breast and Cervical Cancer Prevention Program (NNBCCPP). A key barrier toward implementing cancer prevention and control efforts in the Navajo community is a lack of cancer literacy or cultural and conceptual knowledge regarding cancer. Other barriers to screening are fear of cancer, stigma of cancer (even talking about cancer) often experienced by the patient, family and community, and lack of knowledge about the etiology of cancer and importance of early detection. Therefore, communication about cancer is impeded within Navajo families and the community. This proposal builds on our successful partnership and collaboration with Dini College (the Navajo tribal college). The proposed study is designed to assess the feasibility and potential efficacy of a cancer-literacy focused, family-based intervention on completion of mammography screening for Navajo women. The intervention will include culturally and linguistically appropriate educational materials about cancer (e.g., the Navajo Cancer Glossary). The project will be implemented in two phases. During Phase 1, we will develop the family cancer literacy intervention with feedback from our community advisory committee. In addition, the Cancer Literacy Measure will be adapted for Navajo women through focus groups and individual interviews. Phase 2 will consist of a formative evaluation of the intervention. The NNBCCPP patient and a female family member will be randomly assigned in pairs to the control condition (existing NNBCCPP health education services, N=40 pairs) or to receive these health education services plus the family cancer literacy intervention (N=40 pairs). We will assess the intervention's feasibility and acceptability as indicated by the recruitment and retention rates and qualitative ratings of treatment acceptability. In addition, we will examine the effect of the intervention compared with the control group on the proportion of women who complete mammography screening at 3-month follow-up documented by NNBCCPP records. We will also examine changes in Cancer Literacy Measure scores from baseline to 3-month follow-up among both patients and family members. We expect that as a result of this project, we will have developed a replicable, feasible, and acceptable intervention, the efficacy of which can be tested in future large-scale randomized clinical trials. In addition, the adapted Cancer Literacy Measure could be used in future cancer prevention and control projects within the Navajo Nation. The overall objective is to reduce breast cancer morbidity and mortality among Navajo women. PUBLIC HEALTH RELEVANCE: Among American Indian and Alaska Native (AI/AN) women, breast cancer is more likely to be diagnosed at an advanced stage and the 5 year breast cancer survival rates are lower than any other ethnic group. Among Navajo women scheduled for a mammography screening appointment, the no show rate is markedly high (80%). This study proposes to develop a family-based cancer literacy intervention that includes culturally and linguistically appropriate education about breast cancer to promote mammography screening among Navajo women.

描述（由申请人提供）：该提案描述了一项基于社区的参与性研究，以开发和试点测试新的行为干预措施，以促进纳瓦霍妇女的乳房X线摄影筛查。从公共卫生的角度来看，干预措施有可能吸引许多纳瓦霍妇女，因为有80％的妇女计划进行乳房X线摄影任命。这些妇女（每年超过1,500名）被转交给国家乳腺癌和宫颈癌预防计划（NNBCCPP）。在纳瓦霍人社区实施癌症预防和控制工作的关键障碍是缺乏有关癌症的癌症素养或文化和概念知识。筛查的其他障碍是对癌症的恐惧，患者，家庭和社区经常经历的癌症污名（甚至谈论癌症），以及对癌症病因的缺乏知识和早期发现的重要性。因此，关于癌症的沟通会阻碍纳瓦霍家族和社区中。 该提议建立在我们与Dini College（Navajo Tribal College）成功合作和合作的基础上。拟议的研究旨在评估以癌症量的为基础，基于家庭的干预措施完成纳瓦霍妇女乳房X线摄影筛查的可行性和潜在功效。该干预措施将包括有关癌症的文化和语言上适当的教育材料（例如纳瓦霍癌词汇表）。该项目将分为两个阶段。在第1阶段，我们将通过社区咨询委员会的反馈来发展家庭癌素养干预措施。此外，将通过焦点小组和个人访谈对纳瓦霍妇女进行癌症素养措施。第2阶段将包括对干预措施的形成性评估。 NNBCCPP患者和女性家庭成员将成对随机分配到控制状态（现有的NNBCCPP健康教育服务，n = 40对），或接受这些健康教育服务以及家庭癌症素养干预措施（n = 40对）。我们将评估干预措施的可行性和可接受性，如招募和保留率以及治疗可接受性的定性评级所示。此外，我们将研究干预组与对照组对NNBCCPP记录记录的3个月随访的乳房X线摄影筛查的比例相比。我们还将研究患者和家庭成员的癌症素养测量评分的变化。我们预计，由于这个项目，我们将开发出可复制，可行且可接受的干预措施，其功效可以在未来的大型随机临床试验中进行测试。此外，改编后的癌症素养措施可用于纳瓦霍（Navajo）国家的未来癌症预防和控制项目。总体目标是降低纳瓦霍妇女的乳腺癌发病率和死亡率。 公共卫生相关性：在美洲印第安人和阿拉斯加本地（AI/AN）妇女中，乳腺癌更有可能在高级阶段诊断出来，而乳腺癌的5年生存率则低于任何其他种族。在计划进行乳房X线摄影筛查任命的纳瓦霍妇女中，NO显示率显着高（80％）。这项研究建议开发一种基于家庭的癌症素养干预措施，其中包括有关乳腺癌的文化和语言适当的教育，以促进纳瓦霍妇女的乳房X线摄影筛查。

项目成果

Development and Evaluation of a Cancer Literacy Intervention to Promote Mammography Screening Among Navajo Women: A Pilot Study.

• DOI: 10.1177/0890117119900592
• 发表时间: 2020-07
• 期刊: American journal of health promotion : AJHP
• 作者: Sinicrope PS;Bauer MC;Patten CA;Austin-Garrison M;Garcia L;Hughes CA;Bock MJ;Decker PA;Yost KJ;Petersen WO;Buki LP;Garrison ER
• 通讯作者: Garrison ER