ACCISS study rationale and design: activating collaborative cancer information service support for cervical cancer screening.
ACCISS study rationale and design: activating collaborative cancer information service support for cervical cancer screening.
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DOI：
10.1186/1471-2458-9-444
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发表时间：
2009-12-02
影响因子：
4.5
通讯作者：
Spring B
中科院分区：
文献类型：
--
作者：
Cofta-Woerpel L;Randhawa V;McFadden HG;Fought A;Bullard E;Spring B
高质量的癌症信息资源是可用的，但公众利用不足。尽管与高加索人相比，低收入的非洲裔美国人和西班牙裔美国人对国家癌症研究所的癌症信息服务有更高的认识，但实际癌症信息服务的使用率低于预期，与这些亚组的癌症相关发病率和死亡率过高平行。这项拟议的研究将探讨如何将癌症信息服务与低收入的非洲裔美国人和西班牙裔妇女及其医疗保健提供者联系起来。该研究将检查是否有针对性的医生邮寄给计划进行阴道镜检查的妇女，以跟进异常的巴氏试验，可以增加癌症信息服务的呼叫，加强适当的医疗随访，并提高对医患沟通的满意度。该研究将在芝加哥种族多样的低收入社区的两个诊所进行。在形成阶段，患者和提供者将提供有关计划用于研究实验阶段的材料的输入。实验阶段将采用两组前瞻性随机对照试验设计。非裔美国人和西班牙裔妇女与异常巴氏试验将被随机分配到阴道护理（常规阴道镜检查提醒信）或干预（提醒加供应商建议致电癌症信息服务和样本问题问）。主要结果将是：1）致电癌症信息服务; 2）及时的医疗随访，通过患者是否在异常Pap的六个月内保持阴道镜预约进行操作;以及3）患者对随访时提供者与患者沟通的满意度。该研究探讨了一个可行的，可持续的，文化上敏感的战略，以提高认识和使用癌症信息服务之间的服务不足的人口的有效性。将公共服务（癌症信息服务）与现实生活中的实践环境（诊所）联系起来，并考虑患者，提供者和癌症信息服务工作人员的意见，目的是确保干预措施，如果被证明有效，可以纳入现有的护理系统并持续下去。研究设计和规划的方法旨在弥合研究与实践/服务之间的差距。NCT00873288
High-quality cancer information resources are available but underutilized by the public. Despite greater awareness of the National Cancer Institute's Cancer Information Service among low-income African Americans and Hispanics compared with Caucasians, actual Cancer Information Service usage is lower than expected, paralleling excess cancer-related morbidity and mortality for these subgroups. The proposed research examines how to connect the Cancer Information Service to low-income African-American and Hispanic women and their health care providers. The study will examine whether targeted physician mailing to women scheduled for colposcopy to follow up an abnormal Pap test can increase calls to the Cancer Information Service, enhance appropriate medical follow-up, and improve satisfaction with provider-patient communication. The study will be conducted in two clinics in ethnically diverse low-income communities in Chicago. During the formative phase, patients and providers will provide input regarding materials planned for use in the experimental phase of the study. The experimental phase will use a two-group prospective randomized controlled trial design. African American and Hispanic women with an abnormal Pap test will be randomized to Usual Care (routine colposcopy reminder letter) or Intervention (reminder plus provider recommendation to call the Cancer Information Service and sample questions to ask). Primary outcomes will be: 1) calls to the Cancer Information Service; 2) timely medical follow-up, operationalized by whether the patient keeps her colposcopy appointment within six months of the abnormal Pap; and 3) patient satisfaction with provider-patient communication at follow-up. The study examines the effectiveness of a feasible, sustainable, and culturally sensitive strategy to increase awareness and use of the Cancer Information Service among an underserved population. The goal of linking a public service (the Cancer Information Service) with real-life settings of practice (the clinics), and considering input from patients, providers, and Cancer Information Service staff, is to ensure that the intervention, if proven effective, can be incorporated into existing care systems and sustained. The approach to study design and planning is aimed at bridging the gap between research and practice/service. NCT00873288
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影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
Boles, SM
影响因子：
254.7
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254.7
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3
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影响因子：
4.4
作者：
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通讯作者：
Bright, MA