Detroit Oral Cancer Prevention Project

底特律口腔癌预防项目

• 批准号: 7091622
• 负责人: AMID I ISMAIL
• 金额: $ 49.43万
• 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/7091622
• 关键词: African American; adult human (21+); advertising; 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的设计是基于对密歇根州（MI）过去十年中的发病率、死亡率和早期发现率的广泛流行病学分析。底特律/韦恩县的非洲裔美国人（AA）男性MI的发病率和死亡率最高。在过去的30年里，底特律AA的口腔癌存活率没有显著变化;吸烟和饮酒相对高于全国平均水平。我们对社区卫生中心医疗服务提供者的数据进行了分析，结果显示，44%的提供者对口腔癌有较高的知识水平，他们认为对CE项目的需求很高。大约70%的提供者报告说，他们筛查口腔癌;但还没有广泛采用我们的计划专门为这些诊所准备的一张筛查表。一项文献综述发现，如果实施全面的媒体宣传和社区外展计划（推拉战略），癌症筛查可以增加。底特律口腔癌预防项目的目标是实现2010年健康人目标。在底特律（试验地点），将开展一项为期两年的媒体宣传活动，包括电台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。媒体宣传活动将与教会和144个当地社区组织合作开展的社区外展教育计划相协调;将提供800个免费信息电话服务，每天16小时，为期5天，以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，提醒明信片将邮寄给底特律的医疗保健和牙科服务提供者，以强调筛查、戒烟和减少饮酒的必要性。在AA浓度相对较高的七个比较县中，仅邮寄提醒卡。所有医疗保健和牙科提供者（测试和比较县）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通过SEER和密歇根州癌症登记处收集的数据进行评估。将进行中期调查，以评估该计划的成功（过程评估）。