STUDY TO EXAMINE PATIENT/PROVIDER SYSTEMS (STEPS)

研究检查患者/提供者系统（步骤）

• 批准号: 8504719
• 负责人: ELECTRA D. PASKETT
• 金额: $ 13.95万
• 依托单位: OHIO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-30 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/8504719
• 关键词: Address; Advisory Committees; Age; Anogenital venereal warts; Appalachian Region; Awareness; Cancer Burden; Cancer Etiology; Centers for Population Health; Cervical; Cervical Cancer Screening; Communication; Communities; Cytology; Decision Making; Disease; Dose; Education; Educational Intervention; Effectiveness; Family; Female; Female Adolescents; Goals; HPV-High Risk; Health; Health Personnel; Health Status; Healthcare Systems; High Prevalence; Human Papilloma Virus Vaccine; Human Papillomavirus; Human papillomavirus 16; Human papillomavirus 6; Immunization; Incidence; Individual; Institution; Intervention; Knowledge; Lead; Learning; Lesion; Life; Location; Low risk HPV; Malignant Vaginal Neoplasm; Malignant neoplasm of cervix uteri; Malignant neoplasm of vulva; Medical; Modeling; Neoplasms; Nurses; Ohio; Pap smear; Parents; Patients; Physicians; Population; Population Group; Prevention; Provider; Public Health; Randomized Controlled Trials; Research; Resource Sharing; Resources; Risk Factors; Sexually Transmitted Diseases; Smoking; Social Conditions; System; Testing; Training; United States; United States Food and Drug Administration; Universities; Vaccination; Vaccines; Woman; base; care seeking; career development; community based participatory research; cost; experience; follow-up; girls; health disparity; improved; mortality; population health; prevent; programs; skills training; social; social communication; social health determinants; social norm

Project Summary: Certain segments of the population have persistent increased cervical cancer incidence and mortality rates because women living in the U.S. have not benefited equally from cervical cancer screening, follow-up of abnormal Pap smears, and HPV vaccination. One example of a population group still experiencing elevated cervical cancer rates is women living in the Appalachian region of the U.S.. The Ohio State University (OSU) Center for Population Health and Health Disparities (CPHHD), Community Awareness, Resources, and Education (CARE I) was focused on why women living in Ohio Appalachia have an elevated burden from cervical cancer. From CARE I, we learned that Ohio Appalachia women have a high prevalence of HPV types 6,11,16,18 compared to U.S. rates, respectively (12.0% vs. 3.4%). Thus, HPV is a major problem in this population, and ways to address HPV elevated rates are needed. A transdisciplinary health disparities research team at OSU and community partners from Ohio Appalachia propose to conduct "STEPS" (Study To Examine Parent/Provider Systems). "STEPS to prevent cervical cancer" will address the cervical cancer burden in Ohio Appalachia by focusing on improving HPV vaccination rates among young girls and female adolescents by using a multi-level intervention approach delivered in health departments. The goal of this proposal is to develop and test a culturally appropriate multi-level educational intervention intended for parents (level 1) of young girls living in Ohio Appalachia who seek care at participating health departments, health care providers (level 2) practicing at these health departments, and health departments (level 3) in Ohio Appalachia to increase HPV vaccination rates among young girls and female adolescents. The specific aims are to: 1) Develop the multi-level HPV vaccine educational intervention directed at 3 levels within participating health departments that includes information about cervical cancer, cervical cancer screening, HPV, the HPV vaccine, communication skills training to improve parent-health care provider conversations about the HPV vaccine, and organizational level components; and 2). Evaluate the effectiveness of the multi-level HPV vaccine educational intervention in a group randomized controlled trial in 12 Ohio Appalachia public health departments. Specific aims will be carried out using community-based participatory research (CBPR) principles and in partnership with parents, health care providers, and health departments in Ohio Appalachia. If effective, this multi-level intervention could be disseminated and used to improve the delivery of the HPV vaccine in other Appalachian locations and address the elevated cervical cancer rates in Appalachia. This project is in line with the theme of the renewal of the OSU CPHHD, reducing cervical cancer in Appalachia, using a Social Determinants of Health conceptual model and building upon the results of CARE I.

项目摘要：某些人群的宫颈癌发病率和死亡率持续上升，因为生活在美国的女性没有平等地从宫颈癌筛查、子宫颈抹片检查异常随访和 HPV 疫苗接种中受益。居住在美国阿巴拉契亚地区的女性就是宫颈癌发病率仍然较高的人群之一。俄亥俄州立大学 (OSU) 人口健康与健康差异中心 (CPHHD)、社区意识、资源和教育 (CARE)我）重点关注为什么居住在俄亥俄州阿巴拉契亚地区的女性患宫颈癌的负担较高。从 CARE I 中，我们了解到，与美国相比，俄亥俄州阿巴拉契亚地区女性 HPV 6、11、16、18 型的患病率分别较高（12.0% 与 3.4%）。因此，HPV 是该人群中的一个主要问题，需要找到解决 HPV 发病率升高问题的方法。 俄勒冈州立大学的一个跨学科健康差异研究小组和俄亥俄州阿巴拉契亚的社区合作伙伴提议开展“STEPS”（检查家长/提供者系统的研究）。 “预防宫颈癌的步骤”将通过卫生部门提供的多层次干预方法，重点提高年轻女孩和女性青少年的 HPV 疫苗接种率，从而解决俄亥俄州阿巴拉契亚地区的宫颈癌负担。该提案的目标是开发和测试一种文化上适当的多层次教育干预措施，旨在为居住在俄亥俄州阿巴拉契亚地区的年轻女孩的父母（1 级）提供服务，这些女孩在参与的卫生部门、在这些机构执业的卫生保健提供者（2 级）寻求护理。俄亥俄州阿巴拉契亚地区的卫生部门和卫生部门（3 级）提高年轻女孩和女性青少年的 HPV 疫苗接种率。具体目标是： 1) 在参与的卫生部门内针对 3 个级别制定多层次 HPV 疫苗教育干预措施，包括有关宫颈癌、宫颈癌筛查、HPV、HPV 疫苗、沟通技巧培训的信息，以改善父母健康护理人员关于 HPV 疫苗和组织层面组成部分的对话；和2）。在俄亥俄州阿巴拉契亚 12 个公共卫生部门进行的一项分组随机对照试验中评估多层次 HPV 疫苗教育干预的有效性。具体目标将采用基于社区的参与性研究 (CBPR) 原则，并与俄亥俄州阿巴拉契亚地区的家长、医疗保健提供者和卫生部门合作实现。如果有效，这种多层次的干预措施可以得到传播并用于改善阿巴拉契亚地区其他地区的 HPV 疫苗的接种，并解决阿巴拉契亚地区宫颈癌发病率升高的问题。该项目符合 OSU CPHHD 更新的主题，利用健康社会决定因素概念模型并以 CARE I 的结果为基础，减少阿巴拉契亚地区的宫颈癌。