Colorectal Screening in Vietnamese : A Controlled Trial

越南语结肠直肠筛查：对照试验

• 批准号: 7061307
• 负责人: BANG H NGUYEN
• 金额: $ 32.25万
• 依托单位: CANCER PREVENTION INSTIT OF CALIFORNIA
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-05-13 至 2008-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7061307
• 关键词: Asian Americans; Internet; behavioral /social science research tag; clinical research; clinical trials; colorectal neoplasms; continuing education; education evaluation /planning; educational resource design /development; health disparity; health surveys; human middle age (35-64); human old age (65+); human subject; information dissemination; longitudinal human study; mass screening; medical education; neoplasm /cancer diagnosis; neoplasm /cancer education; patient oriented research; radio; television; videotape /videodisc

DESCRIPTION (provided by applicant): This project is designed to increase colorectal cancer screening among Vietnamese Americans in Northern California through an intervention focused on educating Vietnamese American public and their health care providers. The objective of this study is to reduce morbidity and mortality caused by colorectal cancer. Colorectal cancer is the third most common cancer in Vietnamese American men and the fourth in women. The rate of colorectal screening is low among Vietnamese Americans; only 35 percent of Vietnamese have ever had a fecal occult blood test. The aims of this project are: 1) increase colorectal cancer screening among Vietnamese Americans ages 50 to 74 through a multifaceted intervention; and 2) evaluate the effectiveness of the intervention by following longitudinal cohorts in a controlled trial; 3) identify predictors of screening. The primary hypotheses are that the proportions of Vietnamese Americans ages 50 to 74 who 1) have ever had a colorectal cancer screening test; or 2) are up-to-date for colorectal cancer screening will increase more in the intervention population than in the control. The intervention will be carried out over 24 months in Alameda and Santa Clara Counties, California with Vietnamese Americans in Harris County, Texas serving as the control population. Building on the "Pathways" conceptual framework and our preliminary qualitative and quantitative research findings, the intervention will promote colorectal cancer screening by: 1) reaching Vietnamese Americans through a print and electronic media campaign that will distribute Vietnamese language health education information; and 2) reaching health care providers with Vietnamese-language counseling materials, training videos, and continuing medical education seminars. We will conduct formative research using focus groups to develop culturally appropriate materials (booklets, calendars, posters, and a web site) and products for distribution through Vietnamese-language media (newspaper, television, and radio advertisements). We will evaluate the effectiveness of the intervention by comparing rates of screening using pre- and post intervention surveys. To test the primary hypotheses we will use z-tests to determine if the differences in the change in rates (deltas) between the intervention and control populations are statistically significant. We will also generate logistic regression models to test the independent effects of the intervention and to identify predictors for colorectal cancer screening.

描述（由申请人提供）：该项目旨在通过重点教育越南裔美国公众及其医疗保健提供者的干预措施，增加北方加州越南裔美国人的结直肠癌筛查。本研究的目的是降低结直肠癌的发病率和死亡率。结直肠癌是越南裔美国男性第三大常见癌症，女性第四大常见癌症。在越南裔美国人中，结直肠癌筛查率很低;只有35%的越南人曾经做过粪便潜血试验。该项目的目的是：1）通过多方面的干预措施，增加50至74岁的越南裔美国人的结直肠癌筛查; 2）通过在对照试验中跟踪纵向队列，评估干预措施的有效性; 3）确定筛查的预测因素。 主要假设是，50至74岁的越南裔美国人的比例1）曾经进行过结直肠癌筛查试验;或2）最新的结直肠癌筛查将在干预人群中比对照人群增加更多。干预将在加州的阿拉米达和圣克拉拉县进行24个月，德克萨斯州哈里斯县的越南裔美国人作为对照人群。基于“路径”概念框架和我们初步的定性和定量研究结果，干预措施将通过以下方式促进结直肠癌筛查：1）通过印刷和电子媒体活动接触越南裔美国人，分发越南语健康教育信息; 2）通过越南语咨询材料，培训视频和继续医学教育研讨会接触医疗保健提供者。我们将使用焦点小组进行形成性研究，以开发适合文化的材料（小册子，日历，海报和网站）和产品，通过越南语媒体（报纸，电视和广播广告）进行分发。我们将通过比较干预前后的筛查率来评估干预的有效性。为了检验主要假设，我们将使用z检验来确定干预人群和对照人群之间的变化率（Δ）差异是否具有统计学显著性。我们还将生成逻辑回归模型来测试干预的独立影响，并确定结直肠癌筛查的预测因素。

项目成果

Effectiveness of a controlled trial to promote colorectal cancer screening in Vietnamese Americans.

• DOI: 10.2105/ajph.2009.166231
• 发表时间: 2010-05
• 期刊: American journal of public health
• 影响因子: 12.7
• 作者: Nguyen BH;McPhee SJ;Stewart SL;Doan HT
• 通讯作者: Doan HT

Effectiveness of continuing medical education in increasing colorectal cancer screening knowledge among Vietnamese American physicians.

继续医学教育在增加越南裔美国医生结直肠癌筛查知识方面的有效性。

• DOI: 10.1353/hpu.0.0290
• 发表时间: 2010
• 期刊: Journal of health care for the poor and underserved
• 影响因子: 1.4
• 作者: Nguyen,BangH;Pham,JaneT;Chew,RileneA;McPhee,StephenJ;Stewart,SusanL;Doan,HiepT
• 通讯作者: Doan,HiepT

Colorectal cancer screening in Vietnamese Americans.

越南裔美国人的结直肠癌筛查。

• DOI: 10.1080/08858190701849395
• 发表时间: 2008
• 期刊: Journal of cancer education : the official journal of the American Association for Cancer Education
• 作者: Nguyen,BangH;McPhee,StephenJ;Stewart,SusanL;Doan,HiepT
• 通讯作者: Doan,HiepT