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）：美国印第安人和阿拉斯加原住民（AI/ANS）受到许多健康差异的影响不成比例，包括美国任何种族群体的癌症生存率最低。可以通过筛查可以预防或检测到的癌症经常在后期诊断出来，导致死亡率过剩。因此，为了解决癌症的差异印度国家，必须将更多的重点放在提高人们对预防癌症和早期发现的认识。 COPE（社区外展和赋权）项目为社区卫生工作者提供培训和基于循证的，具有文化知识的教育材料，以提高健康素养并减少本地社区的健康差异。 COPE项目已与美国癌症协会（ACS）合作，为纳瓦霍国家的社区卫生工作者提供癌症特定的培训，现在试图使用交互式信息技术来适应和传播ACS的癌症课程，以改善预防和早期检测活动。引人入胜的，易于使用的技术将为手持设备设计，以为用户提供量身定制的健康教育。当被动交付（由社区成员的自我使用）或由社区卫生工作者调解时，我们将评估社区用户的特征和模式。我们还将评估该系统对社区卫生工作者和社区成员中技术素养和癌症意识的影响。此外，我们还将开发一个基于网络的培训门户，以将培训和课程传播给其他本地社区。我们将评估通过面对面和虚拟会议培训的社区卫生工作者之间的能力，以评估虚拟培训是否可以提供有效有效的媒介，以在为多个社区服务的社区卫生工作者中广泛传播课程。我们将与纳瓦霍卫生部，新墨西哥州卫生部和纳瓦霍地区印度卫生服务部密切合作进行这项研究。这个为期3年的项目将采用基于社区的参与反馈方法来开发，实施和评估以在线患者为中心的癌症课程。这种方法可能会产生有意义的公共卫生影响，并通过利用现有课程和资源来以协作方式提供现有课程和资源来提供文化敏感和相关的教育，从而为在粗糙，服务不足的人群中使用技术教育工具提供新的方法。