American Samoa Indigenous Samoan Partnership to Initiate REsearch Excellence (INSPIRE) in Colorectal Cancer Health Literacy

项目摘要 关于美属萨摩亚人健康状况的资料很少， 美属萨摩亚的研究基础设施需要有足够的基础和能力 进行大规模的人口健康研究。本项目的目的是：（1） 建立美属萨摩亚开展人口健康研究的研究能力，以及（2） 支持一项旨在提高结肠直肠癌筛查知识的试点健康研究项目 以便获得初步数据，并作为 美属萨摩亚未来的研究工作。该项目是一个协作社区， 研究参与的努力，反映了社区确定的优先事项，在解决一个 健康促进和癌症预防方面的研究空白。美国人的百分比 萨摩亚50 - 75岁的成年人接受CRC筛查的比例远低于美国全国平均水平，即， 7%的美属萨摩亚人对58.2%的美国成年人。卫生知识普及水平的评估 建议在特定人群中使用，并将评估结果用于制定 有针对性和量身定制的促销计划。 拟议的土著萨摩亚人发起卓越研究方案-CRC 素养（1）通过提供技术援助加强研究能力 研究方案、IRB培训和开发易于访问的癌症数据 储存库，（2）调整/试行功能性健康素养简表测试-成人（STOFHLA） 并对通过受访者招募的老年人代表性样本进行修订 驱动的抽样方法，（3）由STOFHLA结果通知，开发和实施一个 文化能力，语言适当，理论知情的筛查干预，使用 两组前后对照组比较，测量知识-态度- 行为（KAB）调查在几个点的评价和评估的主要成果 即及时完成粪便潜血试验（FOBT）。INSPIRE的工作将由 AS社区癌症联盟与LBJ热带医学中心（LBJTMC）合作， AS卫生部和相关顾问的专门技术援助 与夏威夷大学和加州的Azusa太平洋大学合作， 健康素养，RDS，癌症筛查研究，STOFHLA，社区基础 参与性方法、多模式研究/评价战略和积极的 与合作伙伴合作。这一努力应导致增加筛查的使用， 有助于为未来的翻译研究奠定基础。INSPIRE研究 对AS意义重大，因为它为系统的公共卫生奠定了急需的基础 research.此外，INSPIRE的研究将有助于健康科学的进步 与/为资源贫乏但传统丰富的土著社区开展扫盲和保健宣传活动 从而为消除社会建构的有害健康提供了充满希望的前景， 不等式

Project Abstract Very little information regarding the health status of American Samoans are available, and the research infrastructure in America Samoa (AS) requires a sufficient foundation and capacity building to conduct large-scale population health research. The purpose of this project is to: (1) build the research capacity in America Samoa to conduct population health research, and (2) to support a pilot health research project that aims to increase colorectal cancer screening literacy among American Samoans so that initial data will be available and serve as the foundation for future research efforts in America Samoa. This project is a collaborative community and research engaged effort that reflects the community-identified priorities in AS addressing a research gaps in health promotion and cancer prevention. The percentage of American Samoan adults aged 50-75 obtaining CRC screening is far below the US national average, i.e., 7% of American Samoans vs. 58.2% of US adults. Assessment of health literacy levels has been recommended in specific populations and to use assessment results in developing targeted and tailored promotional programs. The proposed Indigenous Samoan Program to Initiate Research Excellence (INSPIRE) – CRC Literacy. (INSPIRE) aims to: (1) strengthen research capacity by providing technical assistance on research protocol, IRB training, and development of an easily accessed cancer data repository, (2) adapt/pilot the Short form Test of Functional Health Literacy – Adults (STOFHLA) and administer revision to a representative sample of older adults recruited through Respondent Driven Sampling methods, and (3) informed by STOFHLA results, develop and implement a culturally competent, linguistically appropriate, and theory-informed screening intervention, use of a 2 group pre-post control group comparison, with measurement of Knowledge-Attitude- Behavior (KAB) survey at several points of evaluation and assessment of the primary outcome namely, timely completion of Fecal Occult Blood Test (FOBT). INSPIRE efforts will be led by the AS Community Cancer Coalition in partnership with LBJ Tropical Medical Center (LBJTMC), the AS Department of Health and dedicated technical assistance from consultants associated with the University of Hawai`i and Azusa Pacific University in California, with consultant expertise in health literacy, RDS, cancer screening research, STOFHLA, community-based participatory approaches, multi-modal research/evaluation strategies, and history of positive collaboration with AS partners. This effort should result in increased screening use and contribute to building a foundation for future translational research. INSPIRE-produced research is significant for AS because it lays a much needed foundation for systematic public health research. Further, INSPIRE research will contribute to advancement in the science of health literacy and health promotions with/for resource-poor, yet tradition-rich Indigenous communities thereby, offering the hopeful prospect of eliminating socially-constructed and harmful health inequalities.