Better Breast Health for Korean American Women

改善韩裔美国女性的乳房健康

• 批准号: 6942475
• 负责人: HAE-RA HAN
• 金额: $ 8.14万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-05-01 至 2007-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6942475
• 关键词: Asian Americans; behavioral /social science research tag; breast neoplasm /cancer diagnosis; breast self examination; cancer prevention; clinical research; community health services; education evaluation /planning; female; health care service evaluation; health care service utilization; health disparity; health education; health services research tag; human subject; mammography; mass screening; medical outreach /case finding

DESCRIPTION (provided by applicant): Breast cancer screening rates for Korean American (KA) women are far below the national goal, and below rates reported for other ethnic groups. As a result, KA women are often diagnosed at a later stage of cancer which can lead to a poor prognosis, high mortality, and subsequent emotional and financial burden. As a predominantly first generation immigrant group, KA women face multiple barriers to obtaining screening services and critical health information available in the mainstream health care system. To address the urgent need for educating and facilitating access to regular screening, we propose a pilot intervention program that utilizes community-based outreach and education strategies. Specifically, building upon the investigative team's previous community assessment of preventive health behaviors and experience with community health worker (CHW) training and intervention, we propose a feasibility study to test a community-based outreach program to promote breast cancer screening among KA women following the evidence-based screening guidelines. Using community-based participatory research (CBPR) as an operational framework, the partnership between researchers and the target community with shared vision will serve as a vehicle to implement this intervention and promote health of KA women. The specific aims of this study are to: 1) standardize the training protocol for CHWs to conduct breast cancer education and screening follow-up for KA women; 2) test the efficacy of the CHW training program; and 3) test the efficacy of the intervention program in 100 KA women aged 40 and older. The primary outcomes of the CHW intervention are self-reported receipt of, and intention to obtain mammography. Secondary outcomes include satisfaction with CHW-led education sessions and follow-up, changes in other screening behaviors (i.e., clinical breast exam and breast self-exam), and knowledge and beliefs about breast cancer. This CBPR proposal is a pilot investigation before conducting a larger scale community trial to test the effectiveness of a culturally and linguistically sensitive CHW intervention to improve breast cancer screening rates in KA women. Through initiation of these research activities, we expect 1) to establish a mechanism for disseminating health information for this linguistically isolated population, and (2) to enhance a community network which will facilitate community access to breast cancer screening.

描述（由申请人提供）：韩裔美国人（KA）妇女的乳腺癌筛查率远低于国家目标，也低于其他种族群体的报告率。因此，KA女性通常在癌症的后期被诊断出来，这可能导致预后不良，死亡率高，以及随后的情感和经济负担。作为主要的第一代移民群体，KA妇女在获得主流保健系统提供的筛查服务和关键健康信息方面面临多重障碍。为了解决教育和促进获得定期筛查的迫切需要，我们提出了一个试点干预计划，利用以社区为基础的推广和教育战略。具体而言，建立在调查小组以前的社区评估的预防性健康行为和经验与社区卫生工作者（CHW）的培训和干预，我们提出了一个可行性研究，以测试一个以社区为基础的外展计划，以促进乳腺癌筛查KA妇女以下循证筛查指南。以社区参与性研究为操作框架，研究人员与目标社区之间的伙伴关系将成为实施这一干预措施和促进KA妇女健康的工具。本研究的具体目的是：1）标准化CHW培训方案，为KA妇女进行乳腺癌教育和筛查随访; 2）测试CHW培训计划的有效性; 3）测试100名40岁及以上KA妇女干预计划的有效性。CHW干预的主要结局是自我报告的接受和打算接受乳房X光检查。次要结果包括对CHW领导的教育课程和随访的满意度，其他筛查行为的变化（即，临床乳房检查和乳房自我检查），以及有关乳腺癌的知识和信念。该CBPR提案是在进行更大规模的社区试验之前进行的试点调查，以测试文化和语言敏感的CHW干预措施对提高KA妇女乳腺癌筛查率的有效性。通过开展这些研究活动，我们希望：（1）建立一个机制，为这些语言孤立的人群传播健康信息;（2）加强社区网络，促进社区获得乳腺癌筛查。