Promoting Colorectal Cancer Screening in Rural Emergency Departments

推动农村急诊科结直肠癌筛查

基本信息

批准号：
8701482
负责人：
Jennifer Hatcher
金额：
$ 19.59万
依托单位：
UNIVERSITY OF KENTUCKY
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-09-23 至 2016-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8701482
关键词：
Accident and Emergency department Address Advisory Committees Affect African American Age Appalachian Region Area Cancer Burden Cancer Etiology Caring Centers for Disease Control and Prevention (U.S.)Cessation of life Clinical Trials Colorectal Cancer Communities Control Groups County Data Education Family member Goals Guidelines Health Health Services Accessibility Healthcare Systems Hospitals Incidence Individual Intervention Intervention Trial Kentucky Malignant Neoplasms Mammography Measures Outcome Measure Pamphlets Participant Patients Population Prevention program Preventive Primary Health Care Provider Randomized Controlled Trials Readiness Recommendation Recruitment Activity Research Risk Rural Screening for cancer Services Staging Survival Rate Targeted Research Testing Training Visit Vulnerable Populations Woman Writing base behavioral/social science brief intervention cancer prevention colorectal cancer screening disorder prevention experience health disparity high risk innovation intervention effect member mortality motivational enhancement therapy post intervention prevent programs public health relevance screening social science research therapy design

项目摘要

DESCRIPTION (provided by applicant): Rural Appalachian Kentuckians suffer a disproportionate incidence and mortality from colorectal cancer (CRC), the second leading cause of cancer death. The Centers for Disease Control estimate that as many as 60 percent of CRC related deaths could be prevented if everyone age 50 and older were screened regularly. Rural Appalachian residents are currently being screened at suboptimal rates. The proposed intervention builds on our successful cancer prevention projects: Faith Moves Mountains: A CBPR Appalachian Wellness and Cancer Prevention Program and Promoting Mammography among African American Women Visiting the Emergency Departments. Both projects involve lay health advisor (LHA) delivered motivational interviewing interventions that have been culturally tailored. We propose to pilot test a culturally tailored intervention using brief motivational interviewing by LHAs to promote CRC screenings in an emergency department (ED) serving rural Appalachian Kentucky in order to (1) evaluate the feasibility of the intervention in this rurl Appalachian setting; and (2) assess the effects of the intervention on perceived barriers to CRC screening and subsequent cancer screening engagement. Consistent with our current Faith Moves Mountains and Promoting Mammography projects, we will train carefully selected community members (LHAs) to deliver a brief motivational interview while participants wait for non-urgent care in the ED or wait with a family member who is receiving care. Each participant, in conjunction with the LHA, will develop a written plan of action that addresses their identified barriers to screening. The brief intervention will take about 15 minutes and will be delivered in a private area of the ED. Control group participants will receive standard-of-care ED services that include brochure information identifying general cancer screening services provided by the hospital. Outcome measures will include assessment of barriers and receipt of CRC screening and will be measured at three and six months post intervention. The results will serve as preliminary data for a multisite rural ED-based clinical trial evaluating the cancer promotion intervention.

描述（由申请人提供）：阿巴拉契亚肯塔基州农村遭受大肠癌（CRC）的发病率和死亡率不成比例，这是癌症死亡的第二大原因。疾病控制中心估计，如果定期对50岁及50岁以上的每个人进行筛查，则可以防止多达60％的与CRC相关的死亡。阿巴拉契亚农村居民目前正在以次优率进行筛查。拟议的干预措施建立在我们成功的癌症预防项目的基础上：信仰运动山：CBPR阿巴拉契亚健康和预防癌症计划，并促进访问急诊部门的非裔美国人妇女的乳房摄影。这两个项目都涉及外行健康顾问（LHA）提供了经过文化量身定制的动机访谈干预措施。我们建议使用LHAS的简短动机访谈来试点量身定制的干预措施，以在为阿巴拉契亚肯塔基州农村的急诊科（ED）中促进CRC筛查，以评估（1）评估这种Rurl Appalachian环境中干预的可行性；（2）评估干预措施对CRC筛查和随后的癌症筛查参与度的障碍的影响。与我们当前的信仰移动和促进乳房X线摄影项目一致，我们将培训精心挑选的社区成员（LHAS）进行简短的励志采访，同时参与者在急诊室等待非紧急护理或与接受护理的家人等待。每个参与者与LHA结合使用，将制定一个书面行动计划，以解决其确定的筛查障碍。简短的干预将大约需要15分钟，并将在 ED的私人区域。对照组参与者将获得护理标准的服务，其中包括识别医院提供的一般癌症筛查服务的手册信息。结果指标将包括评估障碍和收到CRC筛查，并将在干预后三个月和六个月内测量。该结果将作为评估癌症促进干预措施的多站点农村ED临床试验的初步数据。