Evaluation of a Hepatitis B Outreach Intervention for Cambodians

对柬埔寨人乙型肝炎外展干预措施的评估

基本信息

批准号：
7691395
负责人：
VICTORIA M TAYLOR
金额：
$ 56.26万
依托单位：
FRED HUTCHINSON CANCER RESEARCH CENTER
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-09-22 至 2012-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7691395
关键词：
Adult American Area Cambodia Cancer Control Communities Control Groups Counseling Data Diagnosis Effectiveness Ethnic Origin Evaluation Focus Groups Future Goals Health Health Priorities Health behavior Hepatitis B Hepatitis B Vaccination Hepatitis B Virus Home visitation House Call Immigrant Individual Infection Intervention Knowledge Latino Liver diseases Logistics Malignant neoplasm of liver Medical Records Morbidity - disease rate NIH Program Announcements Outcome Pamphlets Participant Patient Self-Report Phase Population Practice Guidelines Preparation Prevention Race Randomized Randomized Controlled Trials Refugees Research Research Methodology Research Personnel Research Project Grants Research Support Respondent Serologic tests Simian B disease Specific qualifier value Surveys Testing Time United States Upper arm Vaccinated Washington aged base behavioral/social science community based participatory research disorder prevention experience follow-up group intervention health disparity improved metropolitan mortality outreach prevent programs public health relevance racial and ethnic research study secondary outcome social science research southeast Asian

Adult American Area Cambodia Cancer Control Communities Control Groups Counseling Data Diagnosis Effectiveness Ethnic Origin Evaluation Focus Groups Future Goals Health Health Priorities Health behavior Hepatitis B Hepatitis B Vaccination Hepatitis B Virus Home visitation House Call Immigrant Individual Infection Intervention Knowledge Latino Liver diseases Logistics Malignant neoplasm of liver Medical Records Morbidity - disease rate NIH Program Announcements Outcome Pamphlets Participant Patient Self-Report Phase Population Practice Guidelines Preparation Prevention Race Randomized Randomized Controlled Trials Refugees Research Research Methodology Research Personnel Research Project Grants Research Support Respondent Serologic tests Simian B disease Specific qualifier value Surveys Testing Time United States Upper arm Vaccinated Washington aged base behavioral/social science community based participatory research disorder prevention experience follow-up group intervention health disparity improved metropolitan mortality outreach prevent programs public health relevance racial and ethnic research study secondary outcome social science research southeast Asian

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项目摘要

DESCRIPTION (provided by applicant): Primary liver cancer occurs more frequently among Southeast Asians in the United States (US) than among individuals of any other race/ethnicity. This health disparity can be attributed to high rates of hepatitis B virus infection combined with low levels of hepatitis B vaccination coverage. Over 10 percent of Cambodian immigrants are chronically infected with the hepatitis B virus, compared to less than 0.5 percent of the general US population. Practice guidelines specify that all immigrants from areas of the world with endemic hepatitis B should receive serologic testing. However, available data indicate that less than one-half of Cambodian Americans have received testing for hepatitis B. Our study objective is to conduct a randomized controlled trial to evaluate the effectiveness of a culturally and linguistically appropriate lay health worker outreach intervention in improving levels of hepatitis B testing completion among Cambodians. This community-based participatory research project will be conducted in the Seattle-Tacoma metropolitan area of Western Washington and the researchers will collaborate with an existing Cambodian Community Coalition. Our research will use the theoretical perspective of the Health Behavior Framework. Focus group findings will be used to develop a hepatitis B survey instrument and our hepatitis B outreach intervention. The outreach will be delivered by lay health workers and will include the following components: A home visit, use of an educational pamphlet and a motivational DVD, and tailored counseling and logistic assistance. We will conduct a community-based survey of 500 Cambodians aged 20-64 years. Survey respondents who have never been tested for hepatitis B (250 individuals) will be randomized to intervention or control status. The primary randomized controlled trial outcome will be hepatitis B serologic testing. Secondary outcomes will include future hepatitis B testing intentions and hepatitis B-related knowledge. Outcome evaluation will be based on a follow-up survey, as well as medical record verification of self-reported hepatitis B testing. PUBLIC HEALTH RELEVANCE: This project will collaborate with the Cambodian community to develop and evaluate a culturally and linguistically appropriate hepatitis B outreach intervention for Cambodian adults. The outreach will be delivered by lay health workers and will include the following components: A home visit, use of an educational pamphlet and a motivational DVD, and tailored counseling and logistic assistance.

描述（由申请人提供）：在美国东南亚人（美国）中，原发性肝癌的发生频率比其他任何种族/民族的个人中的频率更高。这种健康差异可以归因于丙型肝炎病毒感染的高率以及乙型肝炎B疫苗接种覆盖率较低。超过10％的柬埔寨移民长期感染了丙型肝炎病毒，而美国普通人群的不到0.5％。实践指南指出，世界特有肝炎B地区的所有移民均应接受血清学检查。但是，可用的数据表明，不到一半的柬埔寨美国人接受了丙型肝炎的测试。我们的研究目标是进行一项随机对照试验，以评估在文化和语言上适当的外行健康工作者外展干预措施在改善柬埔寨人测试完成水平方面的有效性。这个基于社区的参与性研究项目将在西华盛顿的西雅图 - 塔科马都会区进行，研究人员将与现有的柬埔寨社区联盟合作。我们的研究将使用健康行为框架的理论观点。焦点小组的发现将用于开发丙型肝炎调查工具和我们的乙型肝炎外展干预。外展活动将由外行卫生工作者提供，其中包括以下组成部分：家庭访问，使用教育小册子和动机DVD以及量身定制的咨询和后勤协助。我们将对500名20-64岁柬埔寨人进行基于社区的调查。从未接受过丙型肝炎（250人）测试的调查受访者将被随机分配给干预或控制状态。主要的随机对照试验结果将是乙型肝炎血清学测试。次要结果将包括未来的乙型肝炎测试意图和与丙型肝炎有关的知识。结果评估将基于后续调查，以及自我报告的乙型肝炎测试的病历验证。公共卫生相关性：该项目将与柬埔寨社区合作开发和评估柬埔寨成年人在文化和语言上适当的乙型肝炎外展干预。外展活动将由外行卫生工作者提供，其中包括以下组成部分：家庭访问，使用教育小册子和动机DVD以及量身定制的咨询和后勤协助。