A Telephone-Based Cancer Education & Prevention Intervention for Teens

基于电话的癌症教育

• 批准号: 7162427
• 负责人: Kenneth Tercyak
• 金额: $ 7.76万
• 依托单位: GEORGETOWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7162427
• 关键词: behavior; clinical research; counseling; education; family; neoplasm /cancer; neoplasm /cancer education; prevention

DESCRIPTION (provided by applicant): Cancer, heart disease, and diabetes are leading causes of death in the US, with breast and cervical cancer among the most common cancers affecting young women and testicular cancer affecting young men. When actual causes of death are examined, tobacco use, poor diet/physical inactivity, overweight, and alcohol consumption top the list of lifestyle and behavioral cancer and chronic disease risk factors. These risk factors originate during childhood, when stable, lifelong habits of smoking, eating, drinking, and exercise are formed and track into adulthood. Given that cancer and many chronic diseases are proposed to begin developing in early life, it is important that preventable risk factors be reduced at a very early age. This is especially true in light of a positive family history of cancer or chronic disease, and must take into account the unique biological, behavioral, and social aspects of child and adolescent development. Unfortunately, most teens do not receive age-appropriate information about behavior-cancer/heart disease/diabetes relationships despite high rates of pediatric service utilization and professional recommendations to address cancer and chronic disease prevention strategies with teens during preventive medicine and gynecology visits. As part of our research, we have educated and counseled special populations about ways to prevent and reduce their lifestyle- and behavior-related cancer risks. These interventions have been delivered in-person in high risk medical contexts. We have not yet made efforts to reach out to teens, to do so in a preventive medicine context, addressing multiple behavioral risks, or utilizing alternate modes of intervention delivery (such as the telephone) that might have greater reach. In light of the importance of reducing behavioral risk factors for cancer early in life, the proposed project seeks to investigate whether cancer-relevant cognitive and behavioral outcomes among teenagers can be favorably impacted by providing a telephone-based cancer prevention intervention in addition to standard preventive medical care. We hypothesize that teens allocated to receive telephone-based education and counseling will achieve increased understanding of cancer and modifiable and unmodifiable cancer risk factors. We also anticipate that the telephone-based intervention will promote family health history taking, intentions/motivation to adopt, and the adoption of protective health behaviors. This study will make significant contributions toward proving that cancer-relevant cognitive and behavioral outcomes among teenagers can be favorably impacted by providing them with telephone counseling as an adjunct to education and standard care. Additionally, this study will lay the foundation for future, larger studies of intervention effectiveness, reach, and impact in this population.

描述（由申请人提供）：癌症、心脏病和糖尿病是美国的主要死亡原因，其中乳腺癌和宫颈癌是影响年轻女性的最常见癌症，睾丸癌影响年轻男性。当检查死亡的实际原因时，烟草使用，不良饮食/缺乏身体活动，超重和饮酒是生活方式和行为癌症和慢性病风险因素的首选。这些风险因素起源于儿童时期，当时形成了稳定的终身吸烟，饮食，饮酒和运动习惯，并一直持续到成年。鉴于癌症和许多慢性病被认为是在生命早期开始发展的，因此必须在很小的年龄就减少可预防的风险因素。尤其是在癌症或慢性疾病的阳性家族史，必须考虑到儿童和青少年发展的独特的生物，行为和社会方面。不幸的是，大多数青少年没有收到有关行为癌症/心脏病/糖尿病关系的年龄适当的信息，尽管儿科服务利用率高，并在预防医学和妇科就诊期间与青少年一起解决癌症和慢性病预防策略的专业建议。作为我们研究的一部分，我们教育和咨询特殊人群如何预防和减少与生活方式和行为相关的癌症风险。这些干预措施是在高风险医疗环境中亲自提供的。我们还没有努力接触到青少年，在预防医学的背景下这样做，解决多种行为风险，或利用可能有更大影响力的替代干预交付模式（如电话）。鉴于减少生命早期癌症行为风险因素的重要性，拟议项目旨在调查除了标准预防性医疗之外，还提供基于电话的癌症预防干预措施是否会对青少年与癌症相关的认知和行为结果产生有利影响。我们假设，青少年分配到接受电话为基础的教育和咨询，将实现增加对癌症和可修改和不可修改的癌症风险因素的理解。我们还预计，以电话为基础的干预将促进家庭健康史，意图/动机采取，并采取保护性健康行为。这项研究将为证明青少年与癌症相关的认知和行为结果做出重大贡献，通过为他们提供电话咨询作为教育和标准护理的辅助手段，可以对他们产生有利影响。此外，这项研究将为未来更大规模的干预有效性、覆盖范围和对该人群的影响研究奠定基础。