Promoting CIS Among Black Men in Barbershops

描述（由申请人提供）：黑人男性的总体癌症发病率比白色男性高25%;总体癌症死亡率高40%;结肠直肠癌死亡率高1.3倍;前列腺癌死亡率高2.3倍。癌症信息服务（CIS）提供有关癌症预防和治疗的免费科学信息，有助于解决与癌症相关的差异。然而，在2000年至2004年期间，25.7%的NC呼叫者是男性，13.7%是黑人，只有3%是黑人男性！博伊德等人（1998年）证明，付费媒体（电视和广播）成功地增加了黑人男性的CIS呼叫，但当被删除时，呼叫急剧下降。付费媒体对许多农村和资源贫乏的NC社区来说是不现实的，而理发店则位于每个NC社区。黑人经常光顾理发店，交换各种信息，并与理发师建立信任关系。理发店是一个很有希望的地方，可以传播简单、易于实施的干预措施，鼓励人们打电话给独联体。拟议的试点研究将利用以社区为基础的参与性研究方法，以测试以理发店为基础的干预战略，鼓励黑人男子致电CIS' 1-800-4-Cancer获取结直肠癌和前列腺癌信息。“切！（癌症理解今天的研究！）将分两个阶段进行：第一阶段是形成性研究（访谈，观察，调查），以收集有关理发店，理发师和理发师与客户沟通的信息。第2阶段是一项3组（注意力控制vs.印刷材料vs.印刷材料+理发师培训）随机对照初步研究，有6家匹配的黑人理发店。主要结果是CIS 1-800-4-CANCER的呼叫量（每月测量）;次要结果（动机，意图，自我效能呼叫）在干预前/后和3个月随访时测量。过程评估包括评估招募、剂量、成本和保真度。拟议的试点研究将产生重要的信息，需要开发创新的，具体的，理论驱动的理发店干预措施，并设计一个更大的试验，以进一步测试干预措施，我们发现有效的使用R 01机制。这种方法与RFA的目标以及与致力于消除黑人男性癌症差异的干预措施的长期成功的理发师/客户/业主合作的社区参与性研究原则是一致的。

DESCRIPTION (provided by applicant): Black men have a 25% higher overall cancer incidence; 40% higher overall cancer mortality; 1.3 times higher colorectal cancer mortality rates; and, 2.3 times higher prostate cancer mortality rates than White men. The Cancer Information Service (CIS) provides free, state-of-science information on cancer prevention and treatment that can help address cancer-related disparities. However between 2000 and 2004, 25.7% of NC callers were men, 13.7% were Black, and only 3% were Black men! Boyd et al. (1998) demonstrated that paid media (TV and radio) successfully increased CIS calls among Black men, but when removed, calls dropped off precipitously. Paid media is unrealistic for many rural and resource poor NC communities, whereas barbershops are located in every NC community. Black men frequent barbershops regularly, exchange all types of information, and build a trusted relationship with their barbers. Barbershops represent a promising place for disseminating simple, easy to implement interventions that encourage calls to CIS. The proposed pilot study will utilize community-based participatory research methods to test barbershop-based intervention strategies that encourage Black men to call CIS' 1-800-4-CANCER for colorectal and prostate cancer information. "CUTS!" (Cancer Understanding Today Study!) will be carried out in two phases: Phase 1 is formative research (interviews, observations, surveys) to gather information on barbershops, barbers, and barber-customer communication. Phase 2 is a 3-arm (attention control vs. print materials vs. print materials + barber training) group randomized controlled pilot study with 6 matched Black barbershops. Primary outcome is call volume to CIS' 1-800-4-CANCER (measured monthly); secondary outcomes (motivations, intentions, self-efficacy to call) are measured pre/post-intervention and as a 3 month follow-up. Process evaluation includes assessing recruitment, dose, cost, and fidelity. The proposed pilot study will yield important information required to develop innovative, context-specific, theory-driven barbershop interventions and to design a larger trial to further test interventions we find effective using an R01 mechanism. This approach is consistent with aims of this RFA and with community-based participatory research principles of collaborating with barbers/customers/owners that are committed to the long-term success of interventions to eliminate cancer disparities among Black men.