The role of community health advisors' cancer history in implementation and efficacy of a cancer control intervention.
The role of community health advisors' cancer history in implementation and efficacy of a cancer control intervention.
复制标题
社区健康顾问的癌症史在癌症控制干预措施的实施和功效中的作用。
DOI：
10.1093/her/cyad011
复制
发表时间：
2023
影响因子：
2.4
通讯作者：
Knott,CherylL
中科院分区：
文献类型：
--
作者：
Huq,MaishaR;He,Xin;Woodard,Nathaniel;Chen,Chang;Knott,CherylL
社区健康顾问（CHAs）在促进医疗服务不足社区的健康方面发挥着关键作用，包括解决癌症差异。有必要扩大关于哪些特征有助于有效的人道主义援助的研究。我们研究了CHA个人和家族癌症史之间的关系，以及癌症控制干预试验的实施和疗效结果。28个经过培训的CHA实施了一系列的三个癌症教育小组研讨会forN= 375研讨会参与者在14个教堂。实施操作的参与者出席教育研讨会，和疗效研讨会参与者的癌症知识得分在12个月的后续行动，控制基线得分。CHA个人癌症史与实施或知识结果无显著相关性。然而，有癌症家族史的CHAs参加研讨会的人数显著高于无癌症家族史的CHAs（P= 0.03），并且在调整混杂因素后，与男性研讨会参与者12个月时的前列腺癌知识得分显著正相关（估计β系数= 0.49，P < 0.01）。研究结果表明，有癌症家族史的CHAs可能特别适合癌症同伴教育，尽管需要进一步的研究来证实这一点，并确定其他有利于CHA成功的因素。
Community health advisors (CHAs) play a key role in promoting health in medically underserved communities, including in addressing cancer disparities. There is a need to expand the research on what characteristics make for an effective CHA. We examined the relationship between CHA personal and family history of cancer, and implementation and efficacy outcomes in a cancer control intervention trial. Twenty-eight trained CHAs implemented a series of three cancer educational group workshops forN= 375 workshop participants across 14 churches. Implementation was operationalized as participant attendance at the educational workshops, and efficacy as workshop participants’ cancer knowledge scores at the 12-month follow-up, controlling for baseline scores. CHA personal history of cancer was not significantly associated with implementation, nor knowledge outcomes. However, CHAs with family history of cancer had significantly greater participant attendance at the workshops than CHAs without family history of cancer (P= 0.03) and a significant, positive association with male workshop participants’ prostate cancer knowledge scores at 12 months (estimated beta coefficient = 0.49,P< 0.01) after adjusting for confounders. Findings suggest that CHAs with family history of cancer may be particularly suitable for cancer peer education, although further research is needed to confirm this and identify other factors conducive to CHA success.