Bridge to Better Health: Developing Adolescent Health

通往更健康的桥梁：发展青少年健康

• 批准号: 6780573
• 负责人: STEVEN John DANISH
• 金额: $ 30.22万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-04-01 至 2006-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6780573
• 关键词: adolescence (12-20); behavioral /social science research tag; breast neoplasms; breast self examination; cancer prevention; cancer risk; case history; clinical research; education evaluation /planning; family genetics; health behavior; health education; human subject; lung neoplasms; motivation; nutrition aspect of cancer; nutrition related tag; patient oriented research; secondary schools; self examination; self help; skin neoplasms; sunscreens; testis neoplasms; tobacco abuse education; tobacco abuse prevention

DESCRIPTION (provided by applicant): Cancer is the second leading cause of death in the United States. Early detection can increase the survival rate and reduce the ultimate medical costs. Understanding one's family health history, and thus the potential increased risk for disease, may increase the likelihood that healthy behaviors will be adopted. The proposed project, BRIDGE: Bridging the Gap to Better Health, is an innovative seven-session program taught in high school. The proposed project is theory-based and has two main components: (1) a genealogy or health history component intended to increase the awareness of cancer risks and motivation to reduce risks by encouraging students to become their own health historians; and (2) a skill development component intended to increase the knowledge and practice of behaviors designed to prevent or reduce the deleterious effects of cancer. By first building motivation and then teaching the skills of conducting breast and testicular self-examinations and how to reduce fat, increase fruit and vegetable intake, and use sunscreen, we provide the platform from which true behavior change can occur. Furthermore, this program will empower students to practice other behaviors, which may prevent the future incidence of other diseases. Eight schools in suburban Richmond, Virginia will be randomly assigned to intervention or control status. The program targets ninth grade students (about 225 per school) enrolled in health and/or physical education classes. The intended outcomes of this program are increased awareness or knowledge, intentions to change, and mastery of skills to prevent cancer. Specifically, we hope to increase cancer risk and health historian skill knowledge, intentions and self-efficacy for self-exams (breast, testicular, and skin checks), dietary fat reduction, fruit and vegetable consumption, and sunscreen use. Students will be evaluated in these areas using a paper survey at pre-intervention, one month post-intervention and 3 months post-intervention. We will also continue pilot-testing an innovative evaluation technique of skill acquisition (the ability to demonstrate skills of self-screening practices) as an outcome measure. If successful, we envision this to be the first program of its kind, to introduce health history and to empower students at an early enough age for them to combat the risk.

描述（由申请人提供）：癌症是美国第二大死亡原因。早期检测可以提高生存率并降低最终的医疗费用。了解一个人的家庭健康史，从而增加疾病的风险增加，可能会增加采用健康行为的可能性。拟议的项目，桥梁：弥合差距以改善健康，是一项在高中教授的创新七届课程。拟议的项目是基于理论的，并且具有两个主要组成部分：（1）谱系或健康史部分旨在通过鼓励学生成为自己的健康历史学家来提高对癌症风险的认识和降低风险的动力； （2）旨在提高旨在防止或减少有害行为的行为的知识和实践的技能发展组成部分 癌症的影响。首先建立动力，然后教授进行乳房和睾丸自我检查的技能，以及如何减少脂肪，增加果实和蔬菜的摄入量并使用防晒霜，我们提供了可以改变真正行为的平台。此外，该计划将使学生有能力练习其他行为，这可能会阻止其他疾病的未来发病率。弗吉尼亚州里士满郊区的八所学校将随机分配给干预或控制状况。该计划针对的是九年级的学生（每所学校约225名）参加了健康和/或体育课程。该计划的预期结果是提高了认识或知识，改变的意图以及掌握预防癌症的技能。具体而言，我们希望提高癌症风险和健康史学家的技能知识，意图和自我效能感（乳房，睾丸和皮肤检查），减少饮食脂肪，水果和蔬菜消耗以及使用防晒霜。将在干预前，干预后一个月和干预后3个月的纸质调查在这些领域进行评估。我们还将继续对技能获取（展示自我筛查实践技能的能力）作为一种结果度量的创新评估技术进行试点测试。如果成功的话，我们设想这将是同类计划的第一个计划，介绍健康史并赋予学生足够早的学生能够应对风险的能力。