Detroit Oral Cancer Prevention Project

底特律口腔癌预防项目

• 批准号: 6945164
• 负责人: AMID I ISMAIL
• 金额: $ 50.89万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-01 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6945164
• 关键词: African American; adult human (21+); alcoholic beverage consumption; behavioral /social science research tag; cancer prevention; clinical research; continuing education; dental personnel; early diagnosis; education evaluation /planning; health care personnel; health care personnel education; health disparity; human subject; male; mass information media; mass screening; medical outreach /case finding; neoplasm /cancer diagnosis; neoplasm /cancer education; oral pharyngeal neoplasm; patient oriented research; smoking cessation; social organization

DESCRIPTION (provided by applicant): The Detroit Oral Cancer Prevention Project is designed based on the extensive epidemiological analysis of the incidence, mortality, and early detection rates in Michigan (MI) during the last decade. African-American (AA) males in Detroit/Wayne County have the highest incidence and mortality rates in MI. The oral cancer survival rates of AA in Detroit have not changed significantly during the last 30 years; and smoking and alcohol use are relatively higher than the national average. Our analysis of data obtained from healthcare providers in community health centers show that 44% of the providers had high knowledge level on oral cancer and they identified high need for CE programs. About 70% of providers reported that they screen for oral cancer; yet there has not been a wide adoption of the one sheet screening form that was prepared specifically for these clinics by our program. A literature review identified that screening for cancers can be increased if a comprehensive media campaign and community outreach programs are implemented (Push-Pull Strategy). The aim of the Detroit Oral Cancer Prevention project is to achieve Healthy People 2010 Objectives. In Detroit (test site), a two-year media campaign will include radio and newspaper advertisements and outdoor signs that will promote early screening, tobacco cessation and reduction in drinking of alcohol. The media campaign will be coordinated with a community outreach educational program conducted in collaboration with churches and 144 local neighborhood organizations; an 800-toll free information telephone service will be available 16 hours per day for 5 days to provide information and schedule patients for free screening at a network of clinics to be available for 5 days per week. Additionally reminder postcards will be mailed to healthcare and dental providers in Detroit to emphasize the need for screening, tobacco cessation and, reduction in drinking of alcohol. In the seven comparison counties, with relatively high concentration of AA) only the reminder cards will be mailed. All healthcare and dental providers (test and comparison counties) will be offered CME or CDE courses (online and via scheduled courses) twice a year in each area. The changes in oral cancer incidence, mortality and early detection rates in Detroit and the comparison counties will be evaluated by the data collected by SEER and the Michigan Cancer Registry. Interim surveys will be conducted to evaluate the success of the program (process evaluation).

描述（由申请人提供）：底特律口腔癌预防项目是根据过去十年密歇根州 (MI) 的发病率、死亡率和早期发现率的广泛流行病学分析而设计的。底特律/韦恩县的非裔美国 (AA) 男性 MI 发病率和死亡率最高。过去 30 年来，底特律 AA 口腔癌的存活率没有显着变化；吸烟、饮酒的比例也高于全国平均水平。我们对社区卫生中心医疗保健提供者的数据进行分析表明，44% 的提供者对口腔癌有较高的了解水平，他们认为对 CE 项目的需求很高。约 70% 的医疗服务提供者表示他们进行了口腔癌筛查；然而，我们的计划专门为这些诊所准备的一张筛查表尚未得到广泛采用。文献综述发现，如果实施全面的媒体宣传和社区外展计划（推拉策略），可以增加癌症筛查。底特律口腔癌预防项目的目标是实现 2010 年健康人民目标。在底特律（测试地点），为期两年的媒体宣传活动将包括广播和报纸广告以及户外标志，以促进早期筛查、戒烟和减少饮酒。该媒体宣传活动将与社区外展教育计划相协调，该计划是与教堂和 144 个当地社区组织合作开展的； 800 免费信息电话服务将持续 5 天，每天 16 小时，提供信息并安排患者在每周 5 天的诊所网络进行免费筛查。此外，提醒明信片还将邮寄给底特律的医疗保健和牙科服务提供者，强调筛查、戒烟和减少饮酒的必要性。在AA浓度相对较高的7个对比县中，仅邮寄提醒卡。所有医疗保健和牙科提供者（测试县和比较县）将在每个地区每年两次提供 CME 或 CDE 课程（在线和通过预定课程）。底特律和对照县口腔癌发病率、死亡率和早期发现率的变化将根据 SEER 和密歇根癌症登记处收集的数据进行评估。将进行中期调查来评估该计划的成功（过程评估）。