Pilot Project 2 (CRC)

试点项目 2 (CRC)

• 批准号: 10302581
• 负责人: Maria D. Thomson
• 金额: $ 3.04万
• 依托单位: VIRGINIA COMMONWEALTH UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-21 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10302581
• 关键词: Accounting; Address; African American; Attenuated; Attitude; Awareness; Behavior; Belief; Cancer Etiology; Caring; Cellular Phone; Cessation of life; Code; Colonoscopy; Colorectal Cancer; Communities; Consent; Data; Development; Discrimination; Disease; Early Diagnosis; Enrollment; Ethnic group; Friends; Fright; General Population; Goals; Guidelines; Health behavior; Incidence; Individual; Insurance; Intervention; Malignant Neoplasms; Medical; Methods; Modeling; National Cancer Advisory Board; Patient Self-Report; Perception; Pilot Projects; Planning Theory; Poverty; Prevention; Preventive; Preventive care; Preventive screening; Privatization; Public Health; Recommendation; Reporting; Research Training; Risk; Scanning; Self-Direction; Social Network; Social support; Surveys; Survival Rate; Tablets; Technology; Testing; Text; Training Programs; Trust; base; behavioral study; black men; cancer health disparity; colorectal cancer screening; community setting; design; evidence base; expectation; experience; feasibility testing; follow-up; health belief; health care settings; improved; mHealth; male; men; mortality; novel; outreach; post intervention; premalignant; programs; racial and ethnic; racism; response; screening; screening participation; screening program; tailored messaging; therapy design; tool; uptake

PILOT PROJECT 2: PROJECT SUMMARY The NCI Screen to Save (S2S) has successfully increased awareness about colorectal cancer (CRC) and the importance of screening for prevention and early detection. Using S2S tools and methods through 2018-2020, our team educated over 211 individuals but identified the need to more effectively reach African American (AA)/Black men who represented only 10% of those we enrolled. AA/Black men experience 24% higher CRC incidence, 47% higher mortality, and have the shortest CRC survival rates of all racial/ethnic groups. Moreover, CRC screening participation rates among AA/Black men are 10%-30% lower than other groups. Because CRC is one of few cancers for which precancerous and early stage disease can be identified and treated successfully through preventive screening, tailored interventions that can successfully increase AA/Black men’s CRC screening participation are critical. The goal of this proposal is to collect in-depth information on AA/Black men’s CRC screening beliefs, attitudes and values to inform the development of culturally tailored mHealth intervention designed to improve CRC screening participation. Transforming the traditional S2S materials content and delivery, this study will develop and test enhanced mHealth delivered materials that address constructs that impede screening uptake specific to AA/Black men. Secondly, we will test the feasibility of intervention delivery using a novel mHealth platform, not previously used by CRC screening interventions. This study leverages an existing educational strategy, institutional commitment, and expertise infused technology and tailored messages to address an important public health issue. If successful, S2S mHealth has potential for wide-spread dissemination with the 39 NON-S2S network and beyond. Aim 1. Determine factors associated with self-reported CRC screening behaviors among (n=175) AA/Black men in Petersburg, VA. H1.1. Lack of social support, higher medical mistrust, and perceived discrimination will be negatively associated with self-reported screening behaviors (ever & up-to-date). H2.2. Higher engagement in preventive care behaviors and greater perceived risk will be associated with higher completion of CRC screening. Subaim1a. Examine potential interactions between perceived discrimination, medical mistrust and engagement in preventive care behaviors. H1.3. Increased perceptions of discrimination and greater medical mistrust will attenuate the relationship between preventive care and self-reported screening (ever & up-to-date). Aim 2. Develop tailored S2S content for AA/Black men to be delivered using a combination of short video and text-based information optimized for delivery via QR codes for smartphones. Aim 3. Evaluate the feasibility of delivering the enhanced S2S intervention for AA/Black men (n=30) delivered via local barbershops. H3.1. 50% of those who scan the QR code will consent to participate and 70% of those consented will complete follow-up surveys (weeks 12). H2.2. Most men (≥75%) will be satisfied with the content and mode of delivery of the S2S mHealth intervention. H3.3. Most men (≥60%) who complete the enhanced S2S will report screening completion at 12-weeks post intervention.

试点项目2：项目总结 NCI Screen To Saving(S2S)成功地提高了人们对结直肠癌(CRC)和 筛查对预防和早期发现的重要性。在2018-2020年间使用S2S工具和方法， 我们的团队教育了超过211个人，但发现有必要更有效地接触非裔美国人 (AA)/黑人男性，仅占我们招收的学生的10%。AA/黑人男性的CRC发病率高出24% 儿童死亡率高47%，是所有种族/族裔群体中存活率最低的。此外， AA/黑人男性的结直肠癌筛查参与率比其他群体低10%-30%。因为CRC 是少数几种可以成功识别和治疗癌前病变和早期疾病的癌症之一。 通过预防性筛查，量身定制的干预措施可以成功地增加AA/黑人男性的CRC 筛选参与是至关重要的。这项提议的目标是收集关于AA/黑人男性 CRC筛查信念、态度和价值观为文化定制的mHealth干预措施的发展提供信息 旨在提高儿童对儿童的筛查参与度。改造传统的S2S材料内容和 交付，这项研究将开发和测试增强的mHealth交付的材料，以解决 阻碍AA/黑人男性特有的筛查吸收。其次，我们将测试干预交付的可行性 使用一种新的mHealth平台，以前未被CRC筛查干预使用。这项研究利用 现有的教育战略、机构承诺和专业知识注入了技术和量身定制的信息 来解决一个重要的公共卫生问题。如果成功，S2S mHealth有广泛传播的潜力 通过39个非S2S及以上网络进行传播。目标1.确定与自我报告相关的因素 弗吉尼亚州彼得堡(n=175)AA/黑人男性的CRC筛查行为H1.1。缺乏社会支持，更高 医疗不信任和感觉到的歧视将与自我报告的筛查负相关 行为(永远最新)。H2.2。更高的预防性护理行为参与度和更大的感知风险 将与更高的结直肠癌筛查完成率相关。Subaim1a.检查以下各项之间的潜在交互 感知歧视、医疗不信任和参与预防性护理行为。H1.3。增加了 对歧视的看法和更大的医疗不信任将削弱预防和预防之间的关系 护理和自我报告筛查(一直和最新)。目标2.为AA/黑人男性开发定制的S2S内容 使用短视频和基于文本的信息的组合进行交付，该信息针对二维码交付进行了优化 适用于智能手机。目的3.评估对AA/黑人男性实施强化S2S干预的可行性 (n=30)通过当地理发店送货。H3.1。扫描二维码的人中有50%会同意参与 70%的同意者将完成后续调查(12周)。H2.2。大多数男性(≥75%)会感到满意 S2S移动健康干预的内容和实施方式。H3.3。大多数男性(≥60%)完成 增强的S2S将在干预后12周报告筛查完成。