Exploring Social Networks and Social Capital for Cancer Screening among Minorities in Public Housing

探索公共住房中少数族裔癌症筛查的社交网络和社会资本

基本信息

批准号：
10002206
负责人：
Jamilia Raki Sly
金额：
$ 17.03万
依托单位：
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-09-15 至 2022-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10002206
关键词：
Address Adult Affect Age Aging Area Award Behavior Cancer Control Cancer Remission Career Mobility Clinical Trials Design Collaborations Colonoscopy Communities Data Development Development Plans Diabetes Mellitus Diet Early Diagnosis Educational workshop Elderly Environment Exercise Fostering Funding Future Generations Goals Government Agencies Growth Health Health Policy Health Promotion Health Services Research Health behavior Healthcare Systems Housing Incidence Individual Influenza vaccination Institution Internet Interpersonal Relations Intervention Interview Journals Lead Longevity Low Income Population Low income Malignant Neoplasms Mammography Manuscripts Maps Mentors Minority Mission New York City Obesity Outcome Participant Pathway Analysis Peer Review Physical activity Population Preventive Preventive service Process Public Health Public Housing Publications Randomized Clinical Trials Recommendation Research Research Personnel Research Training Residencies Resources Sample Size Screening for cancer Shapes Social Environment Social Interaction Social Network Social support Societies System Testing Training Training Activity Underserved Population United States National Institutes of Health Vulnerable Populations Weight Work aged aging in place authority baby boomer base behavior change cancer health disparity cancer prevention cancer risk cardiovascular risk factor career career development community organizations cost cost effective design ethnic minority population experience good diet health care availability healthy aging improved medically underserved meetings member mortality mortality disparity multilevel analysis multimodality multiple chronic conditions novel peer programs psychosocial racial and ethnic recruit screening skills social social capital social norm symposium therapy development underserved minority

项目摘要

PROJECT SUMMARY/ABSTRACT Only one in four adults aged 50-64 have received the core set of preventive services (i.e., mammography, colonoscopy, influenza vaccination). As the baby boomer generation continues to get older, there will be a need for greater understanding regarding how people “age in place” and for interventions to support healthy aging in place, especially among the most vulnerable members of our society. Leveraging the positive benefits of social capital and social networks in these groups may be useful in the promotion of cancer screening interventions, but little research has examined and tested this hypothesis. Thus, the specific aims are to: (1) identify barriers and facilitators to social capital for cancer screening in public housing from the perspective of public housing resident leaders; (2) describe the social networks of low-income public housing residents minorities aged 50-75 years old for cancer prevention behaviors; and (3) develop and pilot test a peer-led intervention to promote cancer prevention behaviors among public housing residents to determine feasibility and sample size estimates for a future randomized clinical trial (RCT). The proposed research is directly relevant to the candidate's career goals and objectives and will be used to build a program of research to develop interventions to reduce cancer disparities in minorities while strengthening the candidate's training in four new areas. The candidate's immediate career goals are to obtain further specialized training in: (1) social network analysis, (2) multi-level modeling, (3) health policy and (4) intervention development and randomized clinical trial design so that she may successfully execute proposed study goals. Given the institution's high- quality research environment and resources, and with the guidance of the experienced mentoring team, Dr. Sly will have the support and resources necessary to successfully pursue the proposed research and training aims. Over the course of the five-year funding period, she will participate in ongoing one-on-one weekly and twice monthly meetings with each of her mentors, complete formal coursework/workshops and interactive training activities offered at her institution including grand rounds, work-in-progress research meetings, and journal clubs, submit a minimum of ten first author manuscripts for publication in high impact, peer-reviewed journals and attend nationally recognized research conferences to foster national networks with researchers in the field of cancer prevention and control. This multimodal training plan will provide the comprehensive skills needed to achieve her research aims and professional goal of becoming an independent scholar. The results of the proposed study will be used to test a future RCT of the developed intervention aimed at increasing cancer prevention behaviors in minorities. The long term goal of the proposed research will be to disseminate the intervention, in partnership with community organizations and government agencies (i.e., department of health, New York City Housing Authority) among older adult minorities in low-income, community-based settings, thereby reducing cancer mortality in this underserved population.

项目概要/摘要 50-64 岁的成年人中只有四分之一接受过核心预防服务（即乳房 X 光检查、随着婴儿潮一代的不断变老，将会出现结肠镜检查、流感疫苗接种等。需要更多地了解人们如何“就地衰老”，并采取干预措施来支持健康就地老龄化，特别是在我们社会中最弱势的成员中发挥积极的作用。这些群体的社会资本和社交网络可能有助于促进癌症筛查干预措施，但很少有研究检验和检验这一假设，因此，具体目标是：（1）从以下角度识别和促进公共住房癌症筛查的社会资本公屋住户领导； (2) 描述低收入公屋住户的社交网络 50-75 岁的少数群体的癌症预防行为；(3) 制定并试点测试同行主导的癌症预防行为；促进公共住房居民癌症预防行为的干预措施以确定可行性以及未来随机临床试验（RCT）的样本量估计是直接提出的研究。与候选人的职业目标相关，并将用于制定研究计划制定干预措施以减少少数族裔的癌症差异，同时加强候选人的培训候选人的近期职业目标是获得以下四个新领域的进一步专业培训：（1）社会。网络分析，(2) 多层次建模，(3) 卫生政策和 (4) 干预措施的制定和随机化鉴于该机构的高水平，临床试验设计使她能够成功执行拟议的研究目标。优质的研究环境和资源，以及经验丰富的导师团队Sly博士的指导将拥有成功开展拟议研究和培训所需的支持和资源在五年的资助期内，她将每周参加持续的一对一活动。每月与每位导师举行两次会议，完成正式课程/研讨会和互动她的机构提供的培训活动包括大型查房、正在进行的研究会议以及期刊俱乐部，提交至少十篇第一作者手稿，以便在高影响力、同行评审的期刊上发表期刊并参加国家认可的研究会议，以与以下领域的研究人员建立国家网络该多模式培训计划将提供癌症预防和控制领域的综合技能。实现她成为独立学者的研究目标和职业目标所需的。拟议研究的一部分将用于测试未来针对已开发干预措施的随机对照试验，旨在增加拟议研究的长期目标是传播少数民族的癌症预防行为。与社区组织和政府机构（即卫生部门）合作进行干预健康，纽约市住房管理局）在低收入、以社区为基础的老年人少数民族中环境，从而降低这一服务不足人群的癌症死亡率。