American Samoa Indigenous Samoan Partnership to Initiate REsearch Excellence (INSPIRE) in Colorectal Cancer Health Literacy

美属萨摩亚土著萨摩亚伙伴关系将启动结直肠癌健康素养卓越研究 (INSPIRE)

• 批准号: 10010040
• 负责人: Luana Scanlan
• 金额: $ 12.5万
• 依托单位: AMERICAN SAMOA COMMUNITY CANCER COALITIO
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-07-01 至 2021-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10010040
• 关键词: Address; Adult; Advisory Committees; Age; American; American Samoa; Americas; Attention; Automobile Driving; Behavioral Risk Factor Surveillance System; Blood; California; Clinical; Code; Collaborations; Colorectal; Colorectal Cancer; Communities; Control Groups; Cues; Data; Development; Education; Elderly; Evaluation; Evaluation Research; Fecal occult blood; Feces; Foundations; Future; Guidelines; Health; Health Knowledge, Attitudes, Practice; Health Priorities; Health Promotion; Health Sciences; Health Status; Home environment; Hospitals; Indigenous; Infrastructure; Institutional Review Boards; Instruction; Intervention; Linguistics; Malignant Neoplasms; Measurement; Medical center; Methods; Outcome; Pacific Island Americans; Patient Education; Patients; Population; Preventive service; Protocols documentation; Randomized; Recording of previous events; Regulation; Research; Research Infrastructure; Research Personnel; Research Project Grants; Resources; Respondent; Review Literature; Samoa; Samoan; Sampling; Screening for cancer; Surveys; Test Result; Testing; Time; Training; Translational Research; Universities; Update; aged; base; cancer prevention; cognitive interview; cohort; colorectal cancer screening; comparison group; control trial; data warehouse; design; efficacy testing; follow-up; functional health literacy; health assessment; health data; health disparity; health inequalities; health literacy; human subject protection; improved; indigenous community; literacy; minority communities; multimodality; neoplasm registry; population health; primary outcome; programs; public health research; recruit; repository; research facility; screening; skills; social; sociodemographics; standard of care; systematic review; theories; trial comparing; welfare

Project Abstract Very little information regarding the health status of American Samoans are available, and the research infrastructure in America Samoa (AS) requires a sufficient foundation and capacity building to conduct large-scale population health research. The purpose of this project is to: (1) build the research capacity in America Samoa to conduct population health research, and (2) to support a pilot health research project that aims to increase colorectal cancer screening literacy among American Samoans so that initial data will be available and serve as the foundation for future research efforts in America Samoa. This project is a collaborative community and research engaged effort that reflects the community-identified priorities in AS addressing a research gaps in health promotion and cancer prevention. The percentage of American Samoan adults aged 50-75 obtaining CRC screening is far below the US national average, i.e., 7% of American Samoans vs. 58.2% of US adults. Assessment of health literacy levels has been recommended in specific populations and to use assessment results in developing targeted and tailored promotional programs. The proposed Indigenous Samoan Program to Initiate Research Excellence (INSPIRE) – CRC Literacy. (INSPIRE) aims to: (1) strengthen research capacity by providing technical assistance on research protocol, IRB training, and development of an easily accessed cancer data repository, (2) adapt/pilot the Short form Test of Functional Health Literacy – Adults (STOFHLA) and administer revision to a representative sample of older adults recruited through Respondent Driven Sampling methods, and (3) informed by STOFHLA results, develop and implement a culturally competent, linguistically appropriate, and theory-informed screening intervention, use of a 2 group pre-post control group comparison, with measurement of Knowledge-Attitude- Behavior (KAB) survey at several points of evaluation and assessment of the primary outcome namely, timely completion of Fecal Occult Blood Test (FOBT). INSPIRE efforts will be led by the AS Community Cancer Coalition in partnership with LBJ Tropical Medical Center (LBJTMC), the AS Department of Health and dedicated technical assistance from consultants associated with the University of Hawai`i and Azusa Pacific University in California, with consultant expertise in health literacy, RDS, cancer screening research, STOFHLA, community-based participatory approaches, multi-modal research/evaluation strategies, and history of positive collaboration with AS partners. This effort should result in increased screening use and contribute to building a foundation for future translational research. INSPIRE-produced research is significant for AS because it lays a much needed foundation for systematic public health research. Further, INSPIRE research will contribute to advancement in the science of health literacy and health promotions with/for resource-poor, yet tradition-rich Indigenous communities thereby, offering the hopeful prospect of eliminating socially-constructed and harmful health inequalities.

项目摘要 关于美属萨摩亚人健康状况的信息非常少，而且 美属萨摩亚（AS）的研究基础设施需要足够的基础和能力 建设进行大规模人口健康研究的目的是：（1） 建设美属萨摩亚开展人口健康研究的研究能力，以及 (2) 支持旨在提高结直肠癌筛查知识的试点健康研究项目 以便获得初步数据并作为基础 美属萨摩亚的未来研究工作该项目是一个协作社区和 参与的研究工作反映了社区在 AS 中确定的优先事项，解决了 健康促进和癌症预防方面的研究差距 美国人的百分比。 萨摩亚 50-75 岁成年人接受 CRC 筛查的比例远低于美国全国平均水平，即 7% 的美属萨摩亚人对健康素养水平的评估为 58.2%。 已在特定人群中推荐并使用评估结果来制定 有针对性和量身定制的促销计划。 拟议的萨摩亚土著启动卓越研究计划 (INSPIRE) – CRC 扫盲（INSPIRE）旨在：（1）通过提供技术援助加强研究能力。 研究方案、IRB 培训和易于访问的癌症数据的开发 存储库，(2) 改编/试点功能健康素养简式测试 – 成人 (STOFHLA) 对通过受访者招募的老年人代表性样本进行修订 驱动抽样方法，以及 (3) 根据 STOFHLA 结果，制定并实施 具有文化能力、语言适当性和理论指导的筛选干预、使用 两组前后对照组比较，并测量知识态度- 行为（KAB）调查的几个评估点和主要结果的评估 即及时完成粪便潜血检测（FOBT）工作将由 INSPIRE 领导。 AS 社区癌症联盟与 LBJ 热带医疗中心 (LBJTMC) 合作， AS 卫生部和相关顾问的专门技术援助 与夏威夷大学和加利福尼亚州阿苏萨太平洋大学合作，并配有顾问 健康素养、RDS、癌症筛查研究、STOFHLA、基于社区的专业知识 参与式方法、多模式研究/评估策略以及积极性的历史 与 AS 合作伙伴的合作应该会增加筛查的使用和 为 INSPIRE 未来的转化研究奠定基础做出贡献。 对于 AS 来说非常重要，因为它为系统性公共卫生奠定了急需的基础 此外，INSPIRE 研究将有助于健康科学的进步。 与资源匮乏但传统丰富的土著社区一起开展扫盲和健康促进活动 从而提供了社会建构的有害健康的希望前景 不平等。