Reducing Cancer Health Disparities in Navajo Nation

减少纳瓦霍族癌症健康差异

基本信息

批准号：
9146821
负责人：
SONYA S SHIN
金额：
$ 9.64万
依托单位：
BRIGHAM AND WOMEN'S HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-09-20 至 2018-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9146821
关键词：
Address Affect Alaska Native American Cancer Society American Indians Area Arizona Awareness Cause of Death Cessation of life Characteristics Chronic Disease Clinical Collaborations Colon Carcinoma Communities Community Health Community Outreach Community Workers Counseling Country Death Rate Devices Diagnosis E-learning Early Diagnosis Education Educational Curriculum Educational Materials Excess Mortality Family Feedback Foundations Funding Goals Hand Health Health Promotion Health education Home environment Hospitals Individual Information Technology Knowledge Life Malignant Neoplasms Malignant neoplasm of cervix uteri Mediating Modeling Morbidity - disease rate Navajo Needs Assessment New Mexico Not Hispanic or Latino Outcome Patients Pattern Persons Population Prevention Provider Public Health Race Resources Rural Screening for cancer Staging Survival Rate System Techniques Technology Trainers Training Training Training and Education Underserved Population United States United States Indian Health Service Utah Woman base behavior change cancer education cancer health disparity cancer prevention cancer survival design empowerment evidence base health disparity health literacy high risk improved literacy malignant breast neoplasm member mobile computing mortality novel strategies patient oriented premature prevent programs screening tool tribal community virtual

项目摘要

DESCRIPTION (provided by applicant): American Indians and Alaska Natives (AI/ANs) are disproportionately affected by many health disparities, including the lowest cancer survival rates of any racial group in the United States. Cancers that could have been prevented or detected through screening are often diagnosed in late stages, contributing to excess mortality. Therefore, in order to address cancer disparities in Indian Country, more focus must be placed raising awareness about cancer prevention and early detection. The COPE (Community Outreach and Patient Empowerment) Project provides training and evidence-based, culturally-informed educational materials to community health workers as a means to raise health literacy and reduce health disparities in Native communities. The COPE Project has partnered with the American Cancer Society (ACS) to provide cancer- specific training for community health workers in Navajo Nation and now seeks to adapt and disseminate the ACS's cancer curriculum using interactive information technology with the goal of improving prevention and early detection activities. Engaging, easy-to-use technology will be designed for hand-held devices to offer users tailored health education. We will evaluate characteristics and patterns of community users, when delivered passively (self-use by community member) or mediated by a community health worker. We will also evaluate the impact of the system on technology literacy and cancer awareness among community health workers and community members. In addition, we will develop a web-based training portal to disseminate the training and curriculum to other Native communities. We will evaluate competency among community health workers trained through in-person and virtual sessions to assess whether virtual training can provide an effective and efficient medium to disseminate curricula broadly across community health workers serving multiple communities. We will conduct this study in close collaboration with the Navajo Nation Division of Health, New Mexico Department of Health, and the Navajo Area Indian Health Service. This 3-year project will employ a community-based participatory feedback approach to develop, implement, and evaluate an online patient-centered cancer curriculum. This approach could have a meaningful public health impact and offer a new approach for the use of technological education tools in rural, underserved populations by leveraging existing curriculum and resources to deliver culturally sensitive and relevant education in a collaborative manner.

描述（由申请人提供）：美洲印第安人和阿拉斯加原住民 (AI/AN) 受到许多健康差异的影响尤为严重，其中包括美国所有种族群体中癌症存活率最低的人。本来可以通过筛查预防或检测到的癌症往往在晚期才被诊断出来。因此，为了解决癌症差异。印度国家必须更加注重提高人们对癌症预防和早期检测的认识，COPE（社区外展和患者赋权）项目为社区卫生工作者提供培训和基于证据、文化背景的教育材料，作为提高健康素养的一种手段。 COPE 项目与美国癌症协会 (ACS) 合作，为纳瓦霍族部落的社区卫生工作者提供针对癌症的培训，目前正寻求通过互动方式调整和传播 ACS 的癌症课程。旨在改善预防和早期检测活动的信息技术将为手持设备设计，为用户提供量身定制的健康教育，我们将评估社区用户的特征和模式（被动提供）。我们还将评估该系统对社区卫生工作者和社区成员的技术素养和癌症意识的影响。向其他原住民社区传播培训和课程。将评估通过面对面和虚拟课程接受培训的社区卫生工作者的能力，以评估有效的虚拟培训是否可以提供有效的媒介来在服务多个社区的社区卫生工作者中广泛传播课程。我们将与纳瓦霍人密切合作进行这项研究。国家卫生部门、新墨西哥州卫生部和纳瓦霍地区印第安人卫生服务中心将采用基于社区的参与式反馈方法来开发、实施和评估以患者为中心的在线癌症课程。对公共卫生产生有意义的影响，并通过利用现有课程和资源以协作方式提供文化敏感和相关的教育，为农村、服务不足的人群使用技术教育工具提供新方法。