Research Project

研究项目

• 批准号: 8541743
• 负责人: JOAN R BLOOM
• 金额: $ 30.31万
• 依托单位: UNIVERSITY OF CALIFORNIA BERKELEY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-01 至 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8541743
• 关键词: Appointment; Awareness; Behavior; Breast; Budgets; California Breast Cancer Research Program; Communities; Control Groups; Counseling; County; Data; Early Diagnosis; Educational Intervention; Educational process of instructing; Elements; Ensure; Evidence based intervention; Funding; Generations; Goals; Health; Health Promotion; Health education; Immigrant; Intervention; Knowledge; Linguistics; Mammography; Measures; Muslim population group; Participant; Pilot Projects; Prevention; Randomized; Randomized Controlled Trials; Recording of previous events; Relative (related person); Religion and Spirituality; Reporting; Research; Research Project Grants; Surveys; Testing; Woman; Women' s Health; Work; cancer health disparity; community based participatory research; design; evidence base; follow-up; group intervention; innovation; intervention program; literacy; male; malignant breast neoplasm; post intervention; programs; screening

We propose to conduct a group randomized controlled trial to implement and evaluate the effect of an innovative evidence-based breast health education intervention program compared to a control group (delayed intervention) to promote breast health screening among first generation Afghan immigrant women. Sensitivity to cultural, religious, and linguistic factors is a key component of the proposed intervention. With funding from California's Breast Cancer Research Program, we have conducted the pilot work (see preliminary results) and findings from the pilot work to guide the content of the intervention. Consistent with the tenets of community based participatory research, the pilot project was administratively designed to ensure that the community was an equal partner with the academic research partners in terms of power and influence¿they received their own budget and are the owners of the data that was collected (these two issues have a history of being problematic in community based participatory research). Our research will test the hypothesis that women randomly assigned to a tailored breast health education program will show increased breast cancer knowledge and awareness and increased rates of having early detection (CBE and mammography). The details of this linguistically, religious and culturally tailored (targeted¿^there is contention in the field as to whether this is target or tailored, the latter being more specific) program designed for low literacy and taught by lay health advisors (LHAs) with follow-up counseling and facilitation by community navigators and the support of their male relatives. The cultural/ religious/educational adaptations make our intervention specific to the needs of Muslim women and provide a unique program that distinguishes the Afghan Women's Health Project from other breast health promotion projects. Participants will be randomly assigned into the intervention or control (delayed intervention) group. The control group will receive the educational program after the post-intervention survey. Pre-and post-intervention surveys will be used to measure changes in knowledge of prevention and in early detection behaviors. As part of the post-intervention survey, women will report whether they had (or have an appointment to have) a CBE and/or a mammogram and we will inquire about the facilitators and barriers for getting a breast health screening examinations.

我们建议进行一项小组随机对照试验，以实施和评估 与对照组相比，创新的基于证据的乳房健康教育干预计划 （延迟干预）以促进第一代阿富汗移民妇女的乳房健康筛查。 对文化，宗教和语言因素的敏感性是拟议干预措施的关键组成部分。 通过加利福尼亚乳腺癌研究计划的资助，我们进行了飞行员工作（请参阅 初步结果）和试点工作的发现，以指导干预的内容。与 基于社区的参与研究的宗旨，试点项目是行政上设计的 在权力和 影响力他们收到了自己的预算，并且是收集的数据的所有者（这两个 问题在基于社区的参与研究中存在问题的历史）。 我们的研究将检验以下假设，即女性随机分配给量身定制的乳房健康 教育计划将显示乳腺癌的知识和意识增加，并提高 具有早期检测（CBE和乳房X线摄影）。在语言，宗教和文化上的细节 量身定制（针对目标^田间存在争论，即是目标还是量身定制，后者是更多 特定的）计划专为低识字率设计，并由外行健康顾问（LHAS）授课，并进行后续咨询 社区导航员及其男性亲戚的支持。 文化/宗教/教育适应使我们的干预特定于穆斯林的需求 妇女并提供一个独特的计划，将阿富汗妇女健康项目与其他地区区分开 乳房健康促进项目。参与者将被随机分配到干预或控制中 （延迟干预）组。对照组将在干预后接受教育计划 民意调查。干预后调查将用于衡量知识的变化 预防和早期检测行为。作为干预后调查的一部分，妇女将报告 他们是否有（或有预约）CBE和/或乳房X线照片，我们将询问 获得乳房健康筛查检查的协助者和障碍。