Programa de ARBOLES Familiares: Assessing Risk of Breast Cancer through Outreach to Latinas with Education and Support

Arboles项目摘要/摘要 拉美裔和拉美裔在咨询和检测(遗传服务)方面的差异 遗传性乳腺癌和卵巢癌(HBOC)的风险增加导致对高 终生癌症风险，因此由于缺乏适当的风险而增加死亡风险 管理层。拉丁裔和拉美裔美国人对遗传服务的不同理解(下称“拉丁裔”) 包括对转介和获得服务以及社会经济、 语言和文化障碍。替代模式，以促进风险适当转介到和 迫切需要通过基因服务进行导航。在其他癌症教育背景下， 社区外联和教育专业人员(下称CORE-P)，如社区 健康教育者、促进者、非专业健康顾问和患者导航员在以下方面卓有成效 改善服务不足人群的癌症筛查行为。增加筛查和风险 评估有助于减少癌症发病率和死亡率的差异。以核心为导向 来自疾病控制和预防中心和其他国家的能力 联盟，我们寻求教育双语西班牙语-英语的核心-P，以增加基础 关于以下方面的知识：遗传学在疾病中的作用，他们自己的遗传专业知识的局限性， 以及如何将高危个人适当地转介给医疗保健专业人员， 更多的遗传专业知识，也就是所谓的“推荐级能力”。有限的研究使用了CORE-P 通过教育和支持提高拉丁美洲人对遗传学服务的认识和接受。 在成人学习理论和大众化教育技术的指导下，我们提出 家谱计划[家庭计划：评估乳腺癌风险 通过对拉丁裔的外展和教育和支持]双语核心-P。的目标是 培训计划旨在解决未满足的推荐级能力需求 经过培训的CORE-P网络，以确保拉美裔人适当承担遗传服务的风险 HBOC面临风险。具体地说，我们的目标是：(1)完善和定稿教育课程，以 双语社区推广和教育专业人员(CORE-P)，(2)执行 Arboles Familiares计划在250名双语CORE-P中使用面对面研讨会 然后是在线模块，以及(3)确定Arboles Familiares计划对 参与者的知识、自我效能感、技能以及由此产生的社区影响 冒着拉丁裔的风险。

ARBOLES Project Abstract/Summary Disparities in counseling and testing (genetic services) among Latinas and Hispanics at increased risk of hereditary breast and ovarian cancer (HBOC) result in less awareness of high lifetime cancer risks and thus increased risk of mortality due to a lack of appropriate risk management. Disparate uptake of genetic services in Latinas and Hispanics (hereafter ‘Latinas’) includes limited awareness of referral to and access to services, as well as socioeconomic, language, and cultural barriers. Alternate models to facilitate risk appropriate referrals to and navigation through genetic services are urgently needed. In other cancer education contexts, community outreach and education professionals (hereafter, CORE-P), such as community health educators, promotoras, lay health advisors and patient navigators, have been effective in improving cancer screening behaviors in underserved populations. Increased screening and risk assessments can help reduce disparities in cancer incidence and mortality. Guided by core competencies from the Centers for Disease Control and Prevention and other national coalitions, we seek to educate bilingual Spanish-English speaking CORE-P to increase basic knowledge about: the role of genetics in disease, the limitations of their own genetic expertise, and how to make appropriate referrals for at-risk individuals to health care professionals with more genetic expertise, called ‘referral-level competence.’ Limited research has used CORE-P to increase Latinas’ awareness and uptake of genetics services through education and support. Guided by principles of Adult Learning Theory and popular education techniques, we propose the Family Tree Program [Programa de ARBOLES Familiares: Assessing Risk of Breast Cancer through Outreach to Latinas with Education and Support] for bilingual CORE-P. The goal of the training program is to address the unmet referral-level competence needs by developing a trained network of CORE-P to ensure risk appropriate uptake of genetic services among Latinas at risk for HBOC. Specifically, we aim to: (1) refine and finalize an education curriculum for bilingual community outreach and education professionals (CORE-P), (2) implement the ARBOLES Familiares program among 250 bilingual CORE-P using an in-person workshop followed by online modules, and (3) identify the impact of the ARBOLES Familiares program on participants’ knowledge, self-efficacy, skills, and the resulting community impact among high- risk Latinas.