SUCCEED Pilot Project 2

成功试点项目 2

• 批准号: 10491238
• 负责人: Larry D Keen
• 金额: $ 7.89万
• 依托单位: VIRGINIA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-20 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10491238
• 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; 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; 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; intervention delivery; mHealth; male; men; mortality; novel; outreach; perceived discrimination; 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：项目摘要 要保存的NCI屏幕（S2S）成功提高了对结直肠癌（CRC）和 筛查预防和早期检测的重要性。在2018 - 2020年之前使用S2S工具和方法， 我们的团队对超过211个人进行了教育，但确定需要更有效地接触非裔美国人 （AA）/黑人只代表我们入学的人的10％。 AA/黑人的CRC经历了24％ 发病率增加了47％的死亡率，并且在所有种族/族裔群体中的CRC存活率最短。而且， AA/黑人男性的CRC筛查率比其他群体低10％-30％。因为CRC 是癌症和早期疾病可以成功鉴定和治疗的少数癌症之一 通过预防性筛查，可以成功增加AA/黑人CRC的量身定制干预措施 筛选参与至关重要。该建议的目的是收集有关AA/黑人的深入信息 CRC筛选信念，吸引和价值 旨在改善CRC筛查参与。改变传统的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，以解决该结构 阻碍筛查特定于AA/黑人的吸收。其次，我们将测试干预交付的可行性 使用新型的MHealth平台，以前不受CRC筛查干预措施使用。这项研究利用了 现有的教育策略，机构承诺和专业知识感染技术和量身定制的信息 解决一个重要的公共卫生问题。如果成功，S2S MHealth具有广泛的潜力 与39个非S2S网络及以后的传播。目标1。确定与自我报告相关的因素 CRC筛查行为（n = 175）AA/黑人男子在弗吉尼亚州彼得斯堡。 H1.1。缺乏社会支持，更高 医学不信任和感知的歧视将与自我报告的筛查负相关 行为（永远和最新）。 H2.2。对预防性护理行为的参与度更高和更大的风险 将与更高的CRC筛选完成。 subaim1a。检查潜在的相互作用 感知的歧视，医学错误和预防护理行为的参与。 H1.3。增加 对歧视和更大的医疗不信任的看法会削弱预防性之间的关系 护理和自我报告的筛查（永远及最新）。目标2。为AA/黑人开发量身定制的S2S内容 可以使用简短视频和基于文本的信息的组合通过QR码进行交付 用于智能手机。目标3。评估为AA/黑人提供增强的S2S干预的可行性 （n = 30）通过当地理发店交付。 H3.1。扫描QR码的人中有50％同意参加 这些同意中有70％将完成随访调查（第12周）。 H2.2。大多数男人（≥75％）将满足 S2S MHealth干预的内容和交付方式。 H3.3。大多数完成的男人（≥60％） 增强的S2S将在干预后12周报告筛查完成。