Pilot1: Developing Tailored Intervention Address Differing Needs Cancer Survivors

Pilot1：制定定制干预措施以满足癌症幸存者的不同需求

• 批准号: 8379289
• 负责人: Maureen Sanderson
• 金额: $ 4.23万
• 依托单位: MEHARRY MEDICAL COLLEGE
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/8379289
• 关键词: Accounting; Address; Advisory Committees; Behavior; Cancer Center; Cancer Survivor; Cancer Survivorship; Caring; Collaborations; Communities; Comprehensive Cancer Center; Data; Development; Diagnosis; Diagnostic Neoplasm Staging; Environmental Exposure; Equilibrium; Evaluation; Family; Feasibility Studies; Funding; Future; Genetic; Goals; Health; Healthcare Systems; Incidence; Intervention; Intervention Studies; Knowledge; Lead; Life; Life Style; Long-Term Effects; Malignant Neoplasms; Maps; Medical; Minority; Minority Groups; Minority-Serving Institution; Neoplasm Metastasis; Outcome; Patients; Pilot Projects; Population; Preparation; Prevalence; Randomized; Recurrence; Research; Research Personnel; Research Project Grants; Risk; Risk Factors; Sampling; Severities; Structure; Surveys; Survivors; Target Populations; Tennessee; Testing; The Vanderbilt-Ingram Cancer Center at the Vanderbilt University; United States; Universities; abstracting; base; cancer diagnosis; cohort; community based participatory research; design; ethnic minority population; experience; health disparity; medical schools; medically underserved population; mortality; psychosocial; racial and ethnic; socioeconomics; survivorship; theories; therapy development

Abstract: There are 11.1 million people with a previous diagnosis of cancer living in the United States. Approximately 65% of people diagnosed with cancer are expected to live at least 5 years after diagnosis. Cancer survivors are at increased risk for recurrence of their primary cancer, development of secondary neoplasms, and non-oncologic adverse long-term effects of cancer which are more pronounced among racial/ethnic minorities. Currently, there is a dearth of research on potential interventions for reducing disparities in cancer survivorship outcomes. The goal of the proposed formative research project is to develop and pre-test a tailored intervention for reducing disparities in cancer survivorship, following the Intervention Mapping framework for intervention development and using a community-based participatory research (CBPR) approach. The Intervention Mapping framework is utilized to develop health interventions with a thorough understanding of the issue based on both theory and empirical evidence. In CBPR, both the community and researchers are seen as having unique knowledge and expertise that may lead to more successful and sustainable interventions in the community. We will gather qualitative information on the needs and assets of two groups of survivors, one treated at a comprehensive cancer center and the other at a minority serving institution. The data obtained from this pilot study will then be combined with the findings from a parallel cohort survey pilot also being conducted under this P20 (See Pilot #2) to develop and pre-test an appropriate intervention tailored to the specific needs of the two survivor populations, taking into account relevant socioeconomic and cultural factors. The pilot will propose to address the following primary specific aims: 1. Gather and analyze qualitative data from the target population (cancer survivors treated at a comprehensive cancer center and a minority serving institution) to identify their socioeconomic, psychosocial, functional and practical needs and assets. 2. Based on findings from the qualitative data combined with findings from a parallel cohort survey pilot (Pilot #2), develop a tailored intervention to reduce cancer survivorship health disparities. 3. Pre-test the intervention on a small sample of cancer survivors to assess feasibility and refine the intervention in preparation for a subsequent pilot intervention study (Pilot #3) that would be conducted in Year 4. This study will build upon the structure and relationships of the Meharry Medical College/Vanderbilt Ingram Cancer Center Partnership in collaboration with Tennessee State University with guidance from the P20's Internal Advisory and Community Advisory Committees to achieve these aims. The proposed formative research project will provide valuable information to patients and their families regarding the needs of longterm cancer survivors.

摘要：在美国，有1,110万人先前诊断出癌症。 诊断后约65％的被诊断患有癌症的人至少有5年的生活。 癌症幸存者的原发性癌症的复发风险增加，继发性的发展 在 种族/族裔少数民族。目前，缺乏对减少潜在干预措施的研究 癌症生存结果的差异。拟议的形成研究项目的目标是开发 并预测试干预后，量身定制的干预措施，以减少癌症生存的差异 映射干预开发和使用基于社区的参与研究（CBPR）的框架框架 方法。干预映射框架用于开发健康干预措施，并彻底 理解基于理论和经验证据的问题。在CBPR中，社区和 研究人员被认为具有独特的知识和专业知识，可能会导致更成功和 社区的可持续干预措施。我们将收集有关有关的需求和资产的定性信息 两组幸存者，一组在综合癌症中心接受治疗，另一组在少数族裔中接受治疗 机构。然后，从这项初步研究获得的数据将与并行队列的发现结合 还根据此P20进行调查飞行员（请参阅2号飞行员），以开发和预测试适当的 根据相关 社会经济和文化因素。飞行员将建议解决以下主要特定目的： 1。收集和分析来自目标人群的定性数据（癌症幸存者 综合癌症中心和少数派服务机构）以确定其社会经济， 社会心理，功能和实际需求和资产。 2。基于定性数据的发现以及平行队列调查飞行员的发现 （飞行员2），制定量身定制的干预措施，以减少癌症生存健康差异。 3。预测试一小部分癌症幸存者的干预措施，以评估可行性并完善 干预措施，以准备随后的试点干预研究（Pilot＃3） 在第4年。 这项研究将基于Meharry医学院/Vanderbilt Ingram的结构和关系 P20的指导与田纳西州立大学合作，与田纳西州立大学合作 内部咨询和社区咨询委员会实现这些目标。提出的形成性 研究项目将向患者及其家人提供有关长期需求的宝贵信息 癌症幸存者。