Implementation Evaluation of a Cervical Cancer Screening Initiative in Cusco, Per

库斯科宫颈癌筛查计划的实施评估，每

基本信息

批准号：
8547046
负责人：
John S. Luque
金额：
$ 6.74万
依托单位：
GEORGIA SOUTHERN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-09-18 至 2015-12-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8547046
关键词：
Address Advertisements Affect Attitude Award Behavioral Belief Caring Cervical Cancer Screening Cities Clinic Communication Communities Community Practice Complex Country Data Developed Countries Developing Countries Development Development Plans Education Effectiveness Ethnography Evaluation Evaluation Studies Event Focus Groups Funding Opportunities Future Goals Grant Health Health Sciences Health system Healthcare Human Papilloma Virus Vaccine Human Papillomavirus Incidence Indigenous Information Centers Institution Intervention Interview Knowledge Latin America Liquid substance Malignant Neoplasms Malignant neoplasm of cervix uteri Marketing Methods Mission Morbidity - disease rate Nature Needles Nonprofit Organizations Outcome Pamphlets Pap smear Pathway Analysis Perception Peru Phase Pilot Projects Population Prevention Preventive Public Health Quality Control Quechua Radio Research Research Personnel Rural Screening procedure Services Signal Transduction Social Marketing Social Network Spottings Staging Stress Structure Surveys Testing United States National Institutes of Health Universities Woman Work World Health Organization aged base burden of illness cancer diagnosis cancer health disparity cervical cancer prevention cost design effective intervention evidence base experience follow-up global health health disparity improved innovation international center intervention program mortality novel peer programs response risk perception screening social success uptake

项目摘要

DESCRIPTION (provided by applicant): Cervical cancer continues to be the second most common cancer among women worldwide. In Peru, rough estimates place screening coverage between 7-43% of the eligible population. Effective community-based interventions are needed to address screening coverage in the Andean region of Peru, but the development of such interventions are limited by gaps in our understanding of: (1) cultural beliefs toward cervical cancer and HPV; and (2) effective intervention programs targeting specific priority populations, such as indigenous Quechua women. This project is significant because it will positively impact gynecological health among Quechua women through the implementation of a well-executed, participatory, implementation evaluation and social marketing intervention pilot study to maximize screening opportunities. The overall goal of this application is to conduct Rapid Assessment, Response, and Evaluation (RARE) - a rapid ethnographic assessment approach - to evaluate a large cervical cancer screening initiative and use the formative findings to design and pilot a brief social marketing intervention. The social marketing intervention will be aimed to increase screening uptake during the third year of the 3-year screening initiative. The rationale that underlies the proposed research is that interventions using a social marketing strategy will be effective for increasing cervical cancer screening in Quechua populations when such screening opportunities are both convenient and low cost. The two specific aims are to: (1) evaluate the social, behavioral and cultural factors that impact cervical cancer screening uptake among Quechua women from the Cusco, Peru region using RARE; and (2) develop and pilot a social marketing intervention to increase cervical cancer screening uptake and appropriate follow-up care targeted to Quechua women in the Cusco, Peru region. The proposed project is innovative because it will use RARE to conduct an implementation evaluation of the screening initiative and inform the design and piloting of a brief social marketing intervention. The contribution of the proposed research is expected to be the development of a promotional strategy which will consist of photonovella booklets and radio advertisements, and be supplemented by 'word of mouth' communications using social network analysis.

描述（由申请人提供）：宫颈癌仍然是全世界女性第二大常见癌症。在秘鲁，粗略估计合格人口的筛查覆盖率在 7-43% 之间。秘鲁安第斯地区需要有效的社区干预措施来解决筛查覆盖率问题，但此类干预措施的发展受到我们对以下方面认识差距的限制：(1) 对宫颈癌和 HPV 的文化信仰； (2) 针对特定优先人群（例如土著盖丘亚妇女）的有效干预计划。该项目意义重大，因为它将通过实施一项执行良好的、参与性的、实施评估和社会营销干预试点研究，以最大限度地提高筛查机会，对克丘亚族妇女的妇科健康产生积极影响。该应用程序的总体目标是进行快速评估、响应和评估 (RARE)——一种快速人种学评估方法——以评估大型宫颈癌筛查计划，并使用形成性发现来设计和试点简短的社会营销干预措施。社会营销干预的目的是在三年筛查计划的第三年提高筛查率。拟议研究的基本原理是，当筛查机会既方便又低成本时，使用社会营销策略的干预措施将有效地增加克丘亚族人群的宫颈癌筛查。这两个具体目标是：(1) 使用 RARE 评估影响秘鲁库斯科地区克丘亚族妇女宫颈癌筛查率的社会、行为和文化因素； (2) 制定并试点一项社会营销干预措施，以提高针对秘鲁库斯科地区盖丘亚族妇女的宫颈癌筛查率和适当的后续护理。拟议的项目具有创新性，因为它将使用 RARE 对筛选举措进行实施评估，并为简短的社会营销干预措施的设计和试点提供信息。拟议研究的贡献预计将是制定一项促销策略，该策略将包括摄影小说小册子和广播广告，并辅之以使用社交网络分析的“口碑”传播。