Assessing Cancer KAB of American Samoan Women to Improve Screening

评估美属萨摩亚妇女的癌症 KAB 以改进筛查

• 批准号: 7464010
• 负责人: VICTOR Terenuku TOFAEONO
• 金额: $ 5万
• 依托单位: LYNDON B. JOHNSON TROPICAL MEDICAL CTR
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-07-19 至 2009-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7464010
• 关键词: Address; Adolescence; American; American Samoa; Awareness; Behavior; Blood; Breast; Breast Cancer Detection; Businesses; Censuses; Cervical; Child; Colorectal Cancer; Communities; County; Data; Development; Development Plans; Early Diagnosis; Health Knowledge, Attitudes, Practice; Health Services Accessibility; Household; Household Heads; Intervention; Knowledge; Malignant Neoplasms; Marriage; Mind; Minor; Modeling; Nutritional; Pattern; Personal Satisfaction; Persons; Pilot Projects; Population; Preventive Intervention; Protocols documentation; Recording of previous events; Reporting; Research; Research Design; Research Methodology; Research Personnel; Research Project Grants; Resources; Risk Factors; Rural; Samoan; Screening for cancer; Screening procedure; Spouses; Testing; Training; Widow; Woman; base; cancer risk; cancer type; career; community based participatory research; data collection methodology; design; experience; improved; intervention program; member; men; programs; size; volunteer

DESCRIPTION (provided by applicant): Cancer screening continues to be underutilized by Samoan women in American communities. Intervention programs of early detection under-serve women in American Samoa and barriers and motivating factors need to be identified through this study in order to improve participation of Samoan women in early detection screening. This project, guided by principles of community-based participatory research (CBPR), is a collaborative effort between a community volunteer, ASCCN, and Fofo County. We propose to collect baseline data on 600 women, who are heads of households in one community, Fofo County, on their knowledge, attitudes and behaviors about cancer, benefits of early detection, and access to care. The specific aims of this project are: (1) To assess the knowledge, attitudes, and practices about breast, cervical and colorectal cancer and cancer screenings among the women "household leaders" of the 600 households that make up Leone Village (one of the largest villages in American Samoa); (2) to assess motivators and barriers to recommended cancer screenings for breast, cervical and colorectal cancers; (3) to assess receptivity to programs that could be implemented to increase cancer knowledge and screening behaviors; and (4) to disseminate information on the data collection methodology as well as the findings to encourage other American Samoan researchers and communities to replicate this protocol. Based on the findings from this pilot, we will design a research project to test a community-endorsed intervention to increase cancer screening among women in Leone Village. Findings from this pilot research and the mechanism with which it is to be pursued will hopefully serve as a model to be duplicated in other districts within American Samoa, improving early detection screening for the Territory. It is also anticipated that further research on nutritional patterns and high cancer risk factors become plausible for Fofo County to pursue having established a history of its own. Additional intervention and preventive programs may also be designed with their specific needs in mind through the community awareness impact of this pilot project. These subsequent studies would be informed by results from the pilot study, and would be designed and developed as part of the Project Leader's career development plan, which includes additional training and experience in research methods, study design, and project planning with an emphasis on community-based participatory research.

描述（由申请人提供）：美国社区的萨摩亚妇女仍然没有充分利用癌症筛查。需要通过这项研究确定美属萨摩亚早期检测服务不足的妇女的干预计划以及障碍和激励因素，以提高萨摩亚妇女参与早期检测筛查的程度。该项目以社区参与性研究 (CBPR) 原则为指导，是社区志愿者、ASCCN 和福福县之间的合作成果。我们建议收集 600 名福福县社区户主妇女的基线数据，了解她们对癌症的知识、态度和行为、早期检测的好处以及获得护理的机会。该项目的具体目标是： (1) 评估 Leone 村（Leone 村之一）的 600 户女性“户主”对乳腺癌、宫颈癌和结直肠癌以及癌症筛查的知识、态度和做法。美属萨摩亚最大的村庄）； (2) 评估推荐的乳腺癌、宫颈癌和结直肠癌筛查的动机和障碍； (3) 评估对可用于增加癌症知识和筛查行为的计划的接受度； (4) 传播有关数据收集方法的信息以及研究结果，以鼓励其他美属萨摩亚研究人员和社区复制该方案。根据该试点的结果，我们将设计一个研究项目来测试社区认可的干预措施，以增加利昂村妇女的癌症筛查。这项试点研究的结果和所采用的机制有望成为美属萨摩亚其他地区复制的模式，从而改善该领土的早期发现筛查。预计对营养模式和高癌症风险因素的进一步研究对于福福县来说可能会建立自己的历史。通过该试点项目对社区意识的影响，还可以根据他们的具体需求来设计其他干预和预防计划。这些后续研究将以试点研究的结果为基础，并将作为项目负责人职业发展计划的一部分进行设计和开发，其中包括研究方法、研究设计和项目规划方面的额外培训和经验，重点是社区基于参与性的研究。