Development of a Cervical Cancer Screening Program for Refugee Women

为难民妇女制定宫颈癌筛查计划

基本信息

批准号：
8884010
负责人：
VICTORIA M TAYLOR
金额：
$ 20.16万
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：
2015
资助国家：
美国
起止时间：
2015-03-01 至 2017-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8884010
关键词：
21 year old Address Attention Behavioral Model Bhutan Cancer Control Cancer Control Research Caring Centers for Disease Control and Prevention (U.S.)Cervical Cancer Screening Chronic Disease Collaborations Communities Country Data Developed Countries Developing Countries Development Disease Evaluation Focus Groups Future Goals Health Health care facility Health system Human Resources Immigrant Incidence Intervention Interview Knowledge Logistics Malignant Neoplasms Malignant neoplasm of cervix uteri Myanmar National Cancer Institute Outcome Pattern Prevention Guidelines Prevention strategy Preventive Process Program Acceptability Program Evaluation Readiness Recommendation Refugees Research Research Personnel Research Support Screening for cancer Secondary Prevention Services Specific qualifier value Testing United States Vulnerable Populations Washington Woman Work behavioral/social science cancer health disparity community organizations disorder prevention experience health disparity informant innovation interest intervention program mortality programs public health relevance satisfaction screening social science research theories therapy development uptake

项目摘要

DESCRIPTION (provided by applicant): Since 1975, more than 3 million refugees have been resettled in the United States. Currently, about one-half of all newly admitted refugees are from Bhutan or Burma. Regular cervical cancer screening is recommended for all women ages 21-65. Refugee groups have very high cervical cancer incidence rates and very low cervical cancer screening rates. Centers for Disease Control and Prevention guidelines specify that refugee women should be offered cervical cancer screening early in their resettlement period. Multiple organizations provide services to newly and recently arrived refugees; these organizations include voluntary resettlement agencies, mutual assistance associations, ethnic community organizations, local health departments, and health care facilities that serve vulnerable groups. Our long-term goal is to evaluate a contextually relevant cervical cancer control program targeting refugee women during their resettlement. The program would involve use of culturally tailored videos, as well as logistic assistance accessing screening services (i.e. navigation). Refugee resettlement organization personnel would implement the intervention components. This developmental application has the following objectives: (1) Through focus group research, identify and describe cervical cancer screening barriers and facilitators among refugee women; (2) Develop culturally tailored educational and motivational cervical cancer screening videos (that could be used in multiple resettlement settings); (3) Pilot test the intervention program (video use and logistic assistance), and conduct an exploratory evaluation of the program; and (4) Through key informant interviews with representatives from refugee resettlement organizations, assess refugee organizations readiness to implement our intervention program during the resettlement process. The investigator group has extensive experience working with refugee communities and resettlement organizations, as well as conducting cervical cancer control research in vulnerable populations. Our research will be conducted in Washington State. This developmental research will focus on refugee women from Bhutan and Burma (who are particularly unfamiliar with western health systems, as well as concepts of cancer and preventive care). However, our intervention program could be adapted for use with other refugee groups in the future. We will collaborate with a community advisory group (that includes representatives from refugee resettlement organizations) throughout the project. The Behavioral Model for Vulnerable Populations will guide all aspects of our research with refugee women. Weiner's Theory of Organizational Readiness will guide our key informant interviews with representatives from refugee resettlement organizations. Our exploratory evaluation will include assessments of the videos' potential effect on intermediate outcomes (e.g. knowledge and screening intentions), the videos' acceptability (i.e. women's satisfaction with the videos), and demand for logistic assistance (i.e. women's uptake of logistic assistance).

描述（由适用提供）：自1975年以来，在美国已重新安置了300万难民。目前，所有新入院的难民中约有一半来自不丹或缅甸。建议对所有21-65岁的女性进行常规的宫颈癌筛查。难民群体的宫颈癌的发病率很高，宫颈癌筛查率非常低。疾病控制与预防中心指南指出，应在重新安置期间初期对难民妇女进行宫颈癌筛查。多个组织为新近到达难民提供服务；这些组织包括自愿安置机构，互助协会，族裔社区组织，地方卫生部门以及为弱势群体服务的医疗机构。我们的长期目标是评估针对难民妇女重新安置难民妇女的上下文相关的宫颈癌控制计划。该计划将涉及使用文化量身定制的视频，以及访问筛查服务的物流协助（即导航）。难民安置组织人员将实施干预组件。该发展应用具有以下目标：（1）通过焦点小组研究，识别和描述难民妇女中的宫颈癌筛查障碍和促进者；（2）开发具有文化量身定制的教育和动机宫颈癌筛查视频（可以在多个重新安置环境中使用）；（3）试点测试干预计划（视频使用和物流协助），并对该计划进行探索性评估；（4）通过代表难民安置组织的主要线人访谈，评估难民组织准备在安置过程中实施我们的干预计划。研究人员小组拥有与难民社区和安置组织合作的丰富经验，并在脆弱人群中进行宫颈癌控制研究。我们的研究将在华盛顿州进行。这项发展研究将集中于不丹和缅甸的难民妇女（她们特别不熟悉西方卫生系统，以及癌症和预防保健的概念）。但是，我们的干预计划将来可以与其他难民团体一起使用。我们将在整个项目中与社区咨询小组（包括难民安置组织的代表）合作。弱势群体的行为模型将指导我们研究的各个方面与难民妇女有关。韦纳（Weiner）的组织准备理论将指导我们与难民安置组织的代表人士的关键知情者访谈。我们的探索性评估将包括评估视频对中间结果的潜在影响（例如知识和筛选意图），视频的可接受性（即妇女对视频的满意度）以及对物流援助的需求（即女性对逻辑援助的吸收）。