How do Lay Health Navigators Impact Breast Cancer Screening? (MICEO Supplement);

非专业健康导航员如何影响乳腺癌筛查？

• 批准号: 10891818
• 负责人: Ramon E Parsons
• 金额: $ 20万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-08-01 至 2025-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10891818
• 关键词: Adherence; Affect; African American; African American population; Age; Assessment tool; Belief; Black American; Breast Cancer Detection; Cancer Patient; Catchment Area; Clinical; Communities; Development; Doctor of Philosophy; Education; Family; Goals; Health; Health education; Individual; Infrastructure; Linguistics; Malignant Neoplasms; Mammography; Mission; Neighborhoods; New York City; Not Hispanic or Latino; Persons; Prevention; Principal Investigator; Protocols documentation; Reporting; Research; Research Personnel; Screening for cancer; Site; Translating; Woman; Work; anticancer research; black women; cancer clinical trial; cost effectiveness; early phase trial; evidence base; improved; lung cancer screening; malignant breast neoplasm; medical schools; mortality; novel; novel therapeutics; outreach; population health; prevent; programs; public health relevance; recruit; screening; success; underserved community; university student

Breast cancer mortality is greatly reduced when women have mammograms every two years. Increased mortality is seen if this does not happen. Among African American and Black women, the mortality has been reported as 40% higher than non-Hispanic Whites. In New York City, our screening rates are lower than the Health People 2030 goal of 80.5%. We find that African American women in communities with high proportions for African Americans, have screening rates below this target goal. This project will examine the potential of recruiting Lay Health Navigator (LHN) college students from underserved communities to navigate African American and Black women attending our culturally targeted evidence-based education programs to sites for a mammogram, as needed. We will examine factors related to the recruitment of LHN, including: recruitment and retention of the LHNs, the fidelity of their work and the cost effectiveness of utilizing navigators in this way. Our approach to recruitment of LHNs specific to this project is based on the sustainability of the evidence-based culturally and linguistically targeted health education program, the Witness Project of Harlem, and the development of our current LHN program for increasing adherence to lung cancer screening. The Witness Project of Harlem has been developed to target the beliefs and myths identified as facilitators and barriers to cancer screening for Black and African Americans women. Our outreach initiatives target organizations in neighborhoods NYC with the highest age-adjusted breast cancer mortality rates per 100,000 residents. Using the navigation assessment tool developed to assess all components of navigation, we will examine the work of our LHNs including their sustainability and fidelity, our success rate of mammography increased adherence and the cost effectiveness of a lay health navigation program. .

当女性每两年进行一次乳房X光检查时，乳腺癌死亡率会大大降低。增加 如果不发生这种情况，就会出现死亡率。在非裔美国人和黑人女性中，死亡率为 据报道，这一比例比非西班牙裔白人高 40%。在纽约市，我们的筛查率低于 2030 年人口健康率目标为 80.5%。我们发现，生活在高收入社区的非裔美国妇女 非裔美国人的筛查率低于这一目标。该项目将审查 从服务欠缺的社区招募非专业健康导航员 (LHN) 大学生进行导航的潜力 参加我们针对文化的循证教育计划的非裔美国人和黑人女性 根据需要进行乳房 X 光检查的站点。我们将审查与招募 LHN 相关的因素，包括： LHN 的招聘和保留、他们工作的忠诚度以及使用导航员的成本效益 这样。我们针对该项目招聘 LHN 的方法是基于项目的可持续性 以证据为基础的文化和语言目标健康教育计划，哈莱姆区见证项目， 以及我们当前的 LHN 计划的发展，以提高肺癌筛查的依从性。这 哈林区见证项目的开发是为了针对被确定为促进者和促进者的信仰和神话。 黑人和非裔美国女性癌症筛查的障碍。我们的外展活动目标 纽约市每 10 万人中年龄调整乳腺癌死亡率最高的社区组织 居民。使用开发的导航评估工具来评估导航的所有组成部分，我们将 检查我们的 LHN 的工作，包括其可持续性和保真度、我们的乳房 X 光检查的成功率 提高非专业健康导航计划的依从性和成本效益。 。

项目成果

Transcriptome-based repurposing of apigenin as a potential anti-fibrotic agent targeting hepatic stellate cells.

基于转录组的芹菜素重新利用作为针对肝星状细胞的潜在抗纤维化剂。

• 发表时间: 2017-03-03
• 影响因子: 4.6
• 作者: Hicks, Daniel F;Goossens, Nicolas;Blas;Tsuchida, Takuma;Wooden, Benjamin;Wallace, Michael C;Nieto, Natalia;Lade, Abigale;Redhead, Benjamin;Cederbaum, Arthur I;Dudley, Joel T;Fuchs, Bryan C;Lee, Youngmin A;Hoshida, Yujin;Friedman
• 通讯作者: Friedman

Are Clinical Guidelines for the Management of Intraductal Papillary Mucinous Neoplasms Followed?: A Single-Center Analysis.

是否遵循导管内乳头状粘液性肿瘤治疗的临床指南？：单中心分析。

• 发表时间: 2017-02
• 影响因子: 2.9
• 作者: Tabrizian, Parissa;Berger, Yaniv;Pierobon, Elisa Sefora;Aycart, Samantha;Argiriadi, Pamela;Fei, Kezhen;Carrasco;Labow, Daniel M;Sarpel, Umut
• 通讯作者: Sarpel, Umut

Impact of correlation of predictors on discrimination of risk models in development and external populations.

预测变量的相关性对发展和外部人群风险模型区分的影响。

• 发表时间: 2017-04-19
• 影响因子: 4
• 作者: Kundu, Suman;Mazumdar, Madhu;Ferket, Bart
• 通讯作者: Ferket, Bart

Accelerators: Sparking Innovation and Transdisciplinary Team Science in Disparities Research.

加速器：在差异研究中激发创新和跨学科团队科学。

• 发表时间: 2017
• 作者: Horowitz, Carol R;Shameer, Khader;Gabrilove, Janice;Atreja, Ashish;Shepard, Peggy;Goytia, Crispin N;Smith, Geoffrey W;Dudley, Joel;Manning, Rachel;Bickell, Nina A;Galvez, Maida P
• 通讯作者: Galvez, Maida P

2D and 3D Matrices to Study Linear Invadosome Formation and Activity.

用于研究线性侵袭体形成和活动的 2D 和 3D 矩阵。

• 发表时间: 2017-06-02
• 作者: Di Martino, Julie;Henriet, Elodie;Ezzoukhry, Zakaria;Mondal, Chandrani;Bravo;Moreau, Violaine;Saltel, Frederic
• 通讯作者: Saltel, Frederic