Pilot Project

试点项目

• 批准号: 8379209
• 负责人: JOAN R BLOOM
• 金额: $ 8.16万
• 依托单位: UNIVERSITY OF CALIFORNIA BERKELEY
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-01 至 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8379209
• 关键词: Appointment; Awareness; Behavior; Breast; Budgets; California Breast Cancer Research Program; Communities; Control Groups; Counseling; County; Data; Detection; Early Diagnosis; Educational Intervention; Educational process of instructing; Ensure; Funding; Generations; Health; Health Promotion; Health education; Immigrant; Intervention; Knowledge; Mammography; Measures; Muslim population group; Participant; Pilot Projects; Randomized; Randomized Controlled Trials; Recording of previous events; Relative (related person); Religion and Spirituality; Reporting; Research; Screening procedure; 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

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 linguisfic factors is a key component ofthe proposed inten/ention. 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 linguisfically, 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 facilitafion 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 postintervention survey. Pre-and post-intervention surveys will be used to measure changes in knowledge of prevenfion and in eariy 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 getfing a breast health screening examinations.

我们建议进行一组随机对照试验来实施和评估 与对照组相比创新的循证乳房健康教育干预计划 （延迟干预）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意图/意图的关键组成部分。 在加州乳腺癌研究计划的资助下，我们进行了试点工作（参见 初步结果）与指导干预内容的试点工作结果相一致。 根据基于社区的参与性研究的原则，该试点项目在行政上旨在 确保社区在权力和地位上与学术研究伙伴是平等的伙伴 影响^他们收到自己的预算并且是所收集数据的所有者（这两个 问题在基于社区的参与性研究中历来都是有问题的）。 我们的研究将检验以下假设：女性被随机分配到量身定制的乳房健康组 教育计划将显示乳腺癌知识和认识的提高以及乳腺癌患病率的提高 早期发现（CBE 和乳房X光检查）在语言、宗教和文化方面的细节。 量身定制（有针对性的——业内对于这是目标还是量身定制存在争议，后者更适合 专为低识字率设计的计划，由非专业健康顾问 (LHA) 教授并提供后续咨询 社区导航员的协助及其男性亲属的支持。 文化/宗教/教育的适应使我们的干预措施专门针对穆斯林的需求 妇女，并提供独特的计划，使阿富汗妇女健康项目与其他项目区分开来 乳房健康促进项目的参与者将被随机分配到干预组或对照组。 （延迟干预）组在干预后接受教育计划。 干预前和干预后调查将用于衡量知识的变化。 作为干预后调查的一部分，妇女将报告预防和早期发现行为。 他们是否做过（或预约过）CBE 和/或乳房 X 光检查，我们将询问 进行乳房健康筛查的促进因素和障碍。