BREAST CANCER EDUCATION FOR OLDER URBAN MINORITY WOMEN

描述：(申请人摘要)年长的低收入城市少数民族 女性乳腺癌发病率高，发现晚 到可以避免的诊断延误。乳腺癌筛查是 这一群体未得到充分利用，既定的干预措施 很大程度上无效。她们对胸部的需求最大 在定义明确的大国美国开展癌症教育 亚群。这一需求将通过实施一个社区来满足- 在两个小组的同行领导中开展乳腺癌教育计划 低收入独立生活设施。同龄志愿者计划 由圣路易斯市区的一家大型社会服务机构协调 在研究中进行协作。在社区组织上开发 20世纪80年代初的模型，来自附近居民的意见，这 志愿者计划支持老年人(60岁以上)独立生活 成年人。来自该项目的志愿者团队负责人保持 与指定的团队成员同事联系。建议的课程设置 团队领导以健康教育和社区理论为基础 组织。它将强调筛查和随访 明显的乳房问题，压力增加了有利的可能性 通过在团队成员中及早发现和寻求治疗的结果。 带开关的可控准实验研究设计 复制被建议用来评估认知和行为结果 在100名志愿者团队负责人(每个站点50名)中，他们获得了 教育和他们所服务的600名团队成员(每个站点300名)。 地点将被随机分配为：1)乳腺癌指数 教育项目网站；或2)未收到 计划，直到一年后。我们将评估：i)实施 核心教育计划的核心是在志愿者团队中领导 社区组织；ii)团队领导人选择其他 (可选)教育课程；iii)团队的方式和程度 领导向团队成员传递信息/鼓励；iv) 关于乳腺癌、筛查和治疗的知识和态度 教育前后在班组长和队员中的摸索 主动行动；v)由团队领导计划和实施的活动 在接受教育后；以及vi)参与乳腺癌 在团队领导和团队成员中进行筛选 在教育活动之后。如果成功，这个项目的 通过志愿者开展乳腺癌健康教育的实践 由社会服务机构协调的项目将是实质性的。

DESCRIPTION: (Applicant's Abstract) Older low-income urban minority women have high incidence and late detection of breast cancer due to avoidable diagnostic delays. Breast cancer screening is underutilized by this group and established interventions have been largely ineffective. They have the greatest need for breast cancer education among large well-defined United States subpopulations. This need will be met by implementing a community- based breast cancer education program among peer team leaders in two low- income independent living facilities. A peer-volunteer program coordinated by a large social service agency in urban St. Louis will collaborate in the study. Developed on a community organization model in the early 1980s with input from neighborhood residents, this volunteer program supports independent living of older (60 plus) adults. Volunteer team leaders from the program maintain contact with designated team member peers. Proposed curriculum for team leaders is grounded in theories of health education and community organization. It will emphasize screening and follow-up for apparent breast problems, stress increased probability of favorable outcomes via early detection and treatment seeking among team members. A controlled quasi-experimental research design with switching replication is proposed to evaluate cognitive and behavioral outcomes among 100 volunteer team leaders (50 per site) who receive the eduction and the 600 team members (300 per site) whom they serve. Sites will be randomly assigned to act as: 1) the index breast cancer education program site; or 2) a comparison site not receiving the program until one year later. We will evaluate:i) implementation of the core educational program to team leaders in the volunteer community organization; ii) team leaders' choices of additional (optional) education sessions; iii) means by and degree to which team leaders pass along information/encouragement to team members; iv) knowledge and attitudes about breast cancer, screening, and treatment seeking among team leaders and members before and after the eduction initiative; v) activities planned and conducted by team leaders following their education; and vi) participation in breast cancer screening among team leaders and their team members before and after the education initiative.If successful, this program's implementations for breast cancer education through volunteer programs coordinated by social service agencies would be substantial.