POR LA VIDA MODEL IN CANCER PREVENTION

描述：(应聘者摘要)拉美裔女性的比例越来越高 临床乳房使用率低导致癌症死亡风险 检查和乳房X光检查。传统的健康促进工作已经 被发现对西班牙裔女性几乎没有影响，因为 语言、文化和经济障碍与健康促进 努力很少嵌入到现有的社交网络中 西班牙裔社区。一种创新的健康促进战略，众所周知 作为Por La Vida，建立社区健康促进 干预措施，利用现有的社交网络，并在 当代关于社会学习和社会支持的理论。 基于Por La Vida模式的干预措施取得了成功 在改变与心血管风险相关的行为方面，大多数 最近，乳腺癌和宫颈癌的预防。我们建议进一步 针对乳腺癌风险制定和实施这些干预措施， 对居住在圣地亚哥县的西班牙裔妇女进行评估，并 研究干预向友谊和家庭的扩散 计划参与者的网络。 将从以下地点招聘约20名顾问(即联络人) 圣地亚哥的西班牙裔社区，在Por La Vida接受培训， 预防乳腺癌。然后，每个Por La Vida将在 来自社区的10位和15位同龄人将被注册为 乳腺癌预防计划。因此，大约有250名妇女 将接受基于Por La的癌症预防干预 维达模特。此外，每个项目参与者都将 确定她们现有社交网络中的两名女性 将分享有关乳腺癌预防的信息。也就是说，一个 另外500名妇女将间接受益于Por La Vida 程序。 干预效果的评价依赖于前测-后测 设计。具体地说，调查人员将调查(1) 干预措施按计划实施；(2)影响 癌症预防知识和乳房知识的干预效果 癌症筛查对项目参与者的影响，以及(3) 癌症预防信息的传播通过 向朋友和家人介绍项目参与者。实施 干预措施将通过以下不引人注意的观察来评估 正在进行的届会，理事会的报告在每届会议结束后完成 会议、出席情况记录和汇报时收集的资料 与康塞耶拉斯会面。将收集结果衡量标准 通过电话采访。它们将包括(1)以下知识 乳腺癌筛查测试，(2)接受乳房X光检查，(3) 接受专业乳房体检，(四)进行 乳房自我检查，以及(5)风险因素和 乳腺癌的症状。数据将使用参数进行分析 和非参数多变量模型。

DESCRIPTION: (Applicant's Abstract) Hispanic women are at an increased risk for mortality from cancer because of low use of clinical breast examination and mammography. Traditional health promotion efforts have been found to have little effect on Hispanic women because of language, cultural, and economic barriers, and health promotion efforts are rarely embedded in existing social networks within the Hispanic community. An innovative health promotion strategy, known as Por La Vida, establishes community-based health promotion interventions, utilizing existing social networks and building on contemporary theories of social learning and social support. Interventions based on the Por La Vida, model have been successful in modifying behaviors relevant to cardiovascular risk and, most recently, breast and cervical cancer prevention. We propose to further develop and implement these interventions for breast cancer risk, to evaluate them in Hispanic women living in San Diego County, and to study the diffusion of the intervention into the friendship and family networks of program participants. Approximately 20 consejeras (i.e., link persons) will be recruited from the Hispanic community in San Diego and trained in the Por La Vida, breast cancer prevention. Each Por La Vida will then recruit between 10 and 15 peers from the community to be enrolled as participants in the breast cancer prevention program. Thus, approximately 250 women will receive the cancer prevention intervention based on the Por La Vida model. In addition, each of the program participants will identify two women in their existing social networks with whom they will share information about breast cancer prevention. That is, an additional 500 women will benefit indirectly from the Por La Vida program. The evaluation of the intervention relies on a pretest-posttest design. Specifically, the investigators will investigate (1) the extent to which the intervention was implemented as planned, (2) the impact of the intervention on knowledge of cancer prevention and breast cancer screening on program participants, and (3) the impact of the diffusion of cancer prevention information mediated through program participants to friends and family. Implementation of the intervention will be assessed by unobtrusive observations of ongoing sessions, reports by the consejeras completed after each session, records of attendance, and information collected at debriefing meetings with consejeras. Outcome measures will be collected through telephone interviews. They will include (1) knowledge of breast cancer screening tests, (2) receiving a mammography, (3) receiving a professional breast physical examination, (4) conducting breast self-examination, and (5) knowledge of risk factors and symptoms of breast cancer. Data will be analyzed using parametric and nonparametric multivariate models.