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

• 批准号: 9243506
• 负责人: Jamilia Raki Sly
• 金额: $ 17.02万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-15 至 2021-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9243506
• 关键词: Accounting; Address; Adult; Affect; Age; Aging; Area; Award; Behavior; Cancer Control; Cancer Remission; Career Mobility; Clinical; Clinical Trials Design; Collaborations; Colonoscopy; Communities; Data; Development; Development Plans; Diabetes Mellitus; Diet; Early Diagnosis; Educational workshop; Elderly; Environment; Equilibrium; Exercise; Flax; 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; Information Resources; Institution; Internet; Interpersonal Relations; Intervention; Interview; Journals; Lead; Longevity; Low Income Population; Low income; Malignant Neoplasms; Mammography; Manuscripts; Maps; Mentors; Minority; Mission; Modeling; New York City; Obesity; Outcome; Participant; Pathway Analysis; Peer Review; Physical activity; Population; Preventive; Preventive service; Process; Public Health; Public Housing; Publications; Randomized; Randomized Clinical Trials; Recommendation; Recruitment Activity; 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; Vulnerable Populations; Weight; Work; aged; authority; 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; health care availability; healthy aging; improved; medically underserved; meetings; member; mortality; mortality disparity; multiple chronic conditions; novel; peer; programs; psychosocial; racial and ethnic; screening; skills; social; social capital; social norm; symposium; therapy development; underserved minority

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.

项目摘要/摘要 只有四分之一的50-64岁成年人获得了预防服务的核心（即乳房X线摄影，， 结肠镜检查，影响力疫苗）。随着婴儿潮一代的发展，将会有一个 需要对人们如何“年龄”和支持健康的干预措施有更多了解 衰老已经到位，尤其是在我们社会中最脆弱的成员中。利用积极的好处 这些群体中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，但很少研究研究并检验了这一假设。那是：（1） 从社会资本中确定障碍和促进者，从 公共住房居民领导者； （2）描述低收入公共住房居民的社交网络 50-75岁的少数民族针对预防癌症行为； （3）开发和试点测试 干预以促进公共住房居民之间的癌症预防行为以确定可行性 和未来随机临床试验（RCT）的样本量估计值。拟议的研究直接 与候选人的职业目标和目标有关，将用于建立一个研究计划 制定干预措施以减少少数群体的癌症分配，同时加强候选人的培训 四个新区域。候选人的直接职业目标是获得进一步的专业培训：（1）社会 网络分析，（2）多层建模，（3）卫生政策和（4）干预开发和随机的 临床试验设计，以便她可以成功执行拟议的学习目标。鉴于该机构的高 优质的研究环境和资源，并在经验丰富的指导团队的指导下Sly博士 将获得成功进行拟议的研究和培训所需的支持和资源 目标。在五年资金期间，她将每周一对一地参加 两次与每位导师的每月一次会议，完整的正式课程/讲习班和互动 她机构提供的培训活动，包括大回合，进行工作的研究会议以及 期刊俱乐部，至少提交十个第一作者手稿以高影响力出版，并经过同行评审 期刊并参加全国认可的研究会议，以与研究人员一起培养国家网络 癌症预防和控制领域。这个多模式训练计划将提供全面的技能 需要实现她的研究目标和成为独立学者的专业目标。结果 拟议的研究将用于测试旨在增加的开发干预措施的未来RCT 少数民族的癌症预防行为。拟议研究的长期目标是传播 干预措施与社区组织和政府机构合作（即 纽约市住房局健康局）在低收入社区的老年人中 设置，从而降低了服务不足的人群的癌症死亡率。