Digital Multimedia Cervical Cancer Kiosks for Latinas

描述（由申请人提供）：尽管在过去十年中，美国妇女的宫颈癌死亡率每年下降约1.8%，拉丁裔的死亡率在此期间以每年0.2%的速度上升。这项研究的长期目标是为低收入，低识字率的拉丁美洲人制定宫颈癌教育干预措施，以解决这种健康差距。这项研究的具体目标是：（1）制定文化和语言上适当的宫颈癌筛查信息，（2）开发互动式多媒体信息亭，以提供教育干预，（3）评估干预措施的有效性，以促进巴氏筛查，（4）评估目标人群对互动式多媒体信息亭的接受程度。 多媒体信息亭将整合新兴技术，创造下一代数字信息亭，提供令人惊叹的全动态视频与清晰的数字图像和声音在紧凑，移动的，可靠和成本低廉的单位。在9.31亿美元的健康教育媒体市场中，交互式多媒体数字信息亭作为癌症教育平台具有巨大的潜力。这些信息亭可以达到多个人口群体与一个单一的产品，通过定制的信息在一个显着的价格点。 本研究采用随机、前测后测、对照组实验设计。加州的一个农村和两个城市社区诊所将累计900名低收入拉丁裔人。研究参与者将在进行预测试后被随机分配到实验或对照条件下，数量相等。实验组将接受多媒体宫颈癌教育干预，而对照组将接受宫颈癌宣传册，这是宫颈癌教育的标准护理。自基线起6个月后，将对治疗组和对照组进行后测。这些数据将使用卡方检验进行分析，以比较研究组，以确定行为和态度结果，以及自我效能和决策平衡的变化。将使用多变量模型检查干预效应的协变量。

DESCRIPTION (provided by applicant): Although cervical cancer mortality rates declined by approximately 1.8 percent annually in the past decade among women in the U.S., the mortality rate for Latinas increased during this time period at a rate of 0.2 percent per year. The long-term goal of this study is to develop a cervical cancer education intervention for low-income, low literacy Latinas to address this health disparity. The specific aims of this study are to: (1) develop culturally and linguistically appropriate cervical cancer screening messages, (2) develop interactive, multimedia kiosks to deliver the education intervention, (3) evaluate the efficacy of the intervention to promote Pap screening, and (4) evaluate the acceptance of the interactive, multimedia kiosks by the target population. The multimedia kiosks will integrate emerging technologies to create next-generation digital kiosks that deliver stunning full-motion video with crisp digital images and sound in compact, mobile, reliable and cost-accessible units. Interactive multimedia digital kiosks have great potential as a cancer education platform in the $931 million health education media market. These kiosks can reach multiple population groups with a single product through custom-tailored messages at a significant price point. The study employs a randomized, pre-test and post-test, control-group experimental design. A total of 900 low-income Latinas will be accrued at one rural and two urban community clinics in California. Study participants will be randomly assigned to either an experimental or control condition in equal numbers after they are administered a pre-test. The experimental group will be exposed to a multimedia cervical cancer education intervention while the control group will receive a cervical cancer brochure, which represents standard care for cervical cancer education. Six-months from baseline, a post-test will be administered to both treatment and control groups. These data will be analyzed using chi-square tests to compare the study arms to determine behavioral and attitudinal outcomes, as well as change in self-efficacy and decisional balance. Multivariate models will be used to examine covariates of the intervention effect.