PROJECT 1

项目1

• 批准号: 10661347
• 负责人: Erica Phillips
• 金额: $ 38.14万
• 依托单位: WEILL MEDICAL COLL OF CORNELL UNIV
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-31 至 2028-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10661347
• 关键词: Address; Adherence; Adolescent; Adult; Age; Behavior; Behavioral; Beverages; Black race; Cancer Burden; Cancer Control Research; Caregivers; Characteristics; Child; Cities; Collaborations; Communication; Country; Data; Disparity; Education; Educational Curriculum; Educational Intervention; Educational process of instructing; Ethnic Origin; Exposure to; Failure; Family; Family member; Fellowship; Future; Goals; Health; Health Promotion; Hispanic; Home; Household; Incidence; Individual; Intention; Intervention; Intervention Studies; Interview; Knowledge; Life Cycle Stages; Life Style; Low income; Malignant Neoplasms; Malignant neoplasm of cervix uteri; Marketing; Mathematics; Modeling; Neighborhoods; New York City; Nonprofit Organizations; Outcome Measure; Parents; Personal Satisfaction; Population Study; Poverty; Poverty Areas; Preparation; Prevention program; Randomized; Research; Resources; Rest; Risk Behaviors; Risk Factors; Schools; Self Determination; Social Change; Social Justice; Specific qualifier value; Stress; Students; System; Testing; Training; Training Programs; Unemployment; United States; Vulnerable Populations; Waiting Lists; Youth; active control group; behavior change; built environment; cancer education; cancer health disparity; cancer initiation; cancer prevention; cancer risk; design; effectiveness testing; empowerment; ethnic minority; experience; follow-up; improved; innovation; junior high school; lens; post intervention; primary outcome; programs; racial minority; residence; response; rural counties; science teacher; secondary outcome; social capital; social consciousness; social culture; teacher; theories; therapy design; young adult

The rise in cancer incidence among younger adults (ages 20-39) in NYC is currently outpacing the increase across the rest of the US (96.9 vs. 89.5 per 100,000). However, the burden of cancer in NYC is not equally distributed. In NYC's poorest neighborhoods, the rates of preventable cancers, such as cervical cancer, is 73% higher compared to the wealthiest neighborhoods. The magnitude of this disparity exceeds those associated with Black race, Hispanic ethnicity, or residence in a rural county documented in a previous population-based study of the US. Rather, it is likely the persistent poverty in these neighborhoods that drives cancer disparities. Despite these known facts, there remains limited research on multi-level and multi-generational approaches that address the impact of persistent poverty on youth and young adults' current and future cancer risk behaviors. Effective cancer education interventions in schools could significantly impact health-promoting intentions and cancer risk behaviors in younger adults. To date, most school-based intervention studies have been limited. The need for this research is especially salient in NYC, the most populous city in the United States, with nearly 2 million New Yorkers under 18. In response to RFA-CA-22-015 Cancer Control Research in Persistent Poverty Areas, this application in randomize a total of 10 new York City schools (n=906 students) in two waves, over 2 years, to an immediate vs delayed (wait list control) six-week cancer education and social justice intervention delivered by trained classroom science teachers. The intervention is guided by the Self-Determination and youth empowerment theory, thus it will leverage the natural desire of youth to be socially conscious, autonomous individuals who can be effective agents of social change. The intervention aims to: 1) increase students’ intention to engage in at least one health-promoting behavior (e.g., drink less or no sugary beverages) in the next month as a predictor of actual behavior change; and 2) increase cancer risk communication between the student and a parent. Additionally, we will explore the impact of increased cancer risk communication on the health-promoting behaviors of at least one parent or adult caregiver in the household. Assessments of students will be conducted at baseline, 6 and 24 weeks. Parents will be assessed 6 weeks after implementation of the curricula and then again at 24 weeks. If effective, our pragmatic approach provides a framework for integrating a cancer education intervention with a social justice lens more broadly into NYC public schools, the largest public school system in the country. This program will have far-reaching effects, empowering adolescents with knowledge that can not only mitigate future cancer incidence of vulnerable youth but also promote healthier behaviors within families.

纽约市的年轻人（20-39岁）的癌症发病率上升正在超过增加 在美国其他地区（96.9 vs.每100,000）。但是，纽约市癌症的燃烧并不相同 分布式。在纽约市最贫穷的社区中，可预防的癌症（例如宫颈癌）的发生率为73％ 与最富有的社区相比，更高。这种差异的幅度超过了相关的差异 黑人种族，西班牙裔种族或居住在以前的基于人群的艰难计数中 美国研究。相反，在这些社区中，持续的贫困可能导致癌症分布。 尽管有这些已知事实，但对多层次和多代方法的研究仍然有限 解决持续贫困对年轻人和年轻人当前和未来癌症风险行为的影响。 在学校中有效的癌症教育干预措施可能会对健康促进的意图产生重大影响 年轻人的癌症风险行为。迄今为止，大多数基于学校的干预研究受到限制。这 在美国人口最多的城市纽约市，对这项研究的需求尤其重要，近2个 纽约人18岁以下的纽约人对RFA-CA-22-015的回应持续贫困研究 区域，该应用程序在两次波浪中随机分配了10个纽约市学校（n = 906名学生），超过2次 多年，直接与延迟（等待名单控制）为期六周的癌症教育和社会司法干预 由训练有素的课堂科学老师提供。干预以自决和青年为指导 因此，授权理论将利用年轻人的自然愿望，使人具有社会意识，自主 可以成为社会变革的有效推动者的个人。干预旨在：1）增加学生的意图 下个月从事至少一种促进健康的行为（例如，少喝或没有含糖饮料） 作为实际行为变化的预测指标； 2）增加学生与学生之间的癌症风险交流 父母。此外，我们将探讨增加癌症风险沟通对健康促进的影响 家庭中至少一位父母或成人照顾者的行为。将对学生进行评估 在基线，6周和24周。将在实施课程后6周评估父母 再次在24周。如果有效，我们的务实方法为整合癌症提供了一个框架 与社会正义镜头的教育干预更广泛地进入纽约公立学校，这是最大的公立学校 该国的系统。该计划将具有深远的影响，使青少年具有知识 这不仅可以减轻未来的脆弱青年癌症事件，还可以促进更健康的行为 家庭内部。