POR LA VIDA INTERVENTION MODEL IN CANCER EDUCATION

降低癌症发病率和死亡率的潜力， 预防和早期发现似乎很大。研究是 显示了营养在预防癌症中的重要作用。 因为很多拉美裔社区的成员 获得保健服务和需要促进健康的人 服务，西班牙裔社区是一个适当的目标， 专门的癌症预防工作。尤其是西班牙裔， 文化适应程度低和正规教育水平低是一个 营养癌症控制教育的最重要目标。 Por La维达干预模式建立了基于社区的 利用现有的社交网络采取促进健康的干预措施 在当代社会学习理论和社会 支持基于“促进维达”模式的干预措施， 成功改变与心血管风险相关的行为 以及最近的乳腺癌和宫颈癌预防。这 这项研究是一个项目的竞争性更新， Por La维达干预在乳腺领域的有效性 癌症教育这项建议将扩大 干预营养癌症教育。另一个目标是 该提案旨在让加州大学圣地亚哥分校的医学生和住院医师 在家庭医学计划与Por La维达干预 癌症教育模式，并鼓励学生发展和 完成相关研究项目。大约36个理事会 将从圣地亚哥的西班牙裔社区招募 接受过培训来进行教育课程。每个理事会将 然后从社区中招募10到15名同伴， 参加教育计划。此外，每个 计划参与者将确定两名成年人在他们现有的 与之分享癌症信息的社交网络 预防一项随机实验对照研究， 设计了后测和随访来评估 教育干预。一半的委员会 培训，并将在Por La维达举办教育课程 营养癌症控制课程。的另一半 Consejeras将在Por La Vi接受培训乳房和宫颈 癌症早期检测课程。我们将研究 干预措施是否按计划实施。此外我们 将调查（l）干预措施对以下知识的影响： 营养癌症预防和乳腺癌筛查项目 参与者，（2）癌症扩散的影响 通过方案参与者提供预防信息， 朋友和家人.将通过以下方式收集结局指标 电话采访和审查医疗记录。此外，本发明还提供了一种方法， 将进行面对面访谈，收集三天的食物 15%的计划参与者的记录。

The potential for reducing cancer incidence and mortality through prevention and early detection appears to be large.Research is showing the important role of nutrition in preventing cancer. Because many members of the Hispanic community have limited access to health care services and are in need of health promotion services, the Hispanic community is an appropriate target for specialized cancer prevention efforts. In particular, Hispanics of low level of acculturation and low level of formal education are a most important target for education about nutrition cancer control. The Por La Vida intervention model 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. This study is a competing renewal of a project that examines the effectiveness of the Por La Vida intervention in the area of breast cancer education. This proposal will expand the scope of the intervention to nutrition cancer education. An additional goal of this proposal is to familiarize UCSD medical students and residents in the Family Medicine program with the Por La Vida intervention model in cancer education, and to encourage students to develop and complete related research projects. Approximately 36 consejeras will be recruited from the Hispanic community in San Diego and trained to conduct-the educational sessions. Each consejera will then recruit between 10 to 15 peers from the community to participate in the educational program. In addition, each of the program participants will identify two adults in their existing social networks with whom they will share information about cancer prevention. A randomized experimental control study with pretest, posttest, and follow-up has been designed to assess the impact of the educational interventions. Half of the consejeras will be trained and will conduct educational sessions in the Por La Vida nutrition cancer control curriculum. The other half of the consejeras will be trained in the Por La Viia breast and cervical cancer early detection curriculum. We will examine the extent to which the interventions are implemented as planned. Furthermore we will investigate (l) the impact of the intervention on knowledge of nutrition cancer prevention and breast cancer screening on program participants, and (2) the impact of the diffusion of cancer prevention information mediated through program participants to friends and family. Outcome measures will be collected through telephone interviews and review of medical records. In addition, face-to-face interviews will be conducted to collect three-day food records from 15% of the program participants.