Patient Navigator Video Training for Cancer in Low-Income African Americans

针对低收入非裔美国人的癌症患者导航视频培训

• 批准号: 7153577
• 负责人: KAY Kay COLBY
• 金额: $ 9.96万
• 依托单位: PUBLIC HEALTH TELEVISION (PHTV), INC.
• 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 2007-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7153577
• 关键词: cervix neoplasms; clinical research; colorectal neoplasms; focus groups; housing; literature survey; low socioeconomic status; neoplasm /cancer; public health; training

DESCRIPTION (provided by applicant): Project Summary/Abstract: African Americans have the highest death rates from cervical and colorectal cancers than any other racial or ethnic group. Effective screening and treatment exist for the pre-cancerous conditions that lead to the development of these deadly cancers, but there is low adherence among African Americans. Public Health Television (PHTV), in partnership with the Case Comprehensive Cancer Center, proposes to increase screening and treatment adherence for pre-cancerous among low-income African Americans for these 2 cancers by developing video-based training for patient navigators. Patient navigation refers to using lay members of the community to guide and support underserved populations through the process of obtaining screening and medical care for chronic diseases. NCI endorses patient navigation as a means to help underserved populations obtain more timely cancer treatment. PHTV will combine the concept of patient navigation with its proven process of culturally specific health communication to engage low-income African Americans in the secondary prevention of colorectal and cervical cancers. 2 specific aims will accomplish this objective. First, PHTV plans to produce a video/DVD series to train patient navigators to guide low-income African American patients through participating in colorectal cancer screening and adhering to follow up treatment for pre-cancerous polyps. Second, PHTV will develop content for a video/DVD series to train patient navigators to assist low-income African American women with cervical cancer screening algorithms and compliance with treatment for human papillomavirus (HPV) associated pre-cancerous cervical lesions. PHTV will identify and meet target group information needs with our proven culturally specific production process that uses members of the target population to design messages. Focus groups of low-income African Americans and review meetings comprised of navigators currently working with minority patients in urban settings will be conducted to identify barriers and solutions for increasing participation in secondary prevention activities. An Advisory Panel comprised of representatives from comprehensive cancer centers, public health agencies, and the American Cancer Society will validate feasibility of plans to produce and evaluate the videos among patient navigators working across Ohio and in Harlem, New York, using a web-based tracking system. These efforts will enable PHTV to successfully launch and test a video based navigator-training program in Phase II. PATIENT NAVIGATOR VIDEO TRAINING FOR CANCER IN LOW-INCOME AFRICAN AMERICANS Project Narrative Relevance: Public health relevance lies in the potential to develop a transferable instrument designed to increase participation in screening procedures and treatments to prevent invasive cervical and colorectal cancers among a population dying from these diseases at disproportionate rates. This will result in reduced overall health care costs to society.

描述(由申请人提供)：项目摘要/摘要：非裔美国人的宫颈癌和结直肠癌死亡率比任何其他种族或民族都高。对于导致这些致命癌症发展的癌前疾病，存在有效的筛查和治疗，但非裔美国人的依从性很低。公共卫生电视台(PHTV)与凯斯综合癌症中心合作，提议通过为患者导航员开发基于视频的培训，提高低收入非裔美国人对这两种癌症的癌症前期筛查和治疗依从性。患者导航指的是利用社区的非专业成员在获得慢性病筛查和医疗护理的过程中指导和支持服务不足的人群。NCI支持患者导航，将其作为帮助服务不足的人群获得更及时的癌症治疗的一种手段。PHTV将把患者导航的概念与其经过验证的特定于文化的健康交流过程结合起来，让低收入的非裔美国人参与结直肠癌和宫颈癌的二级预防。2个具体目标将实现这一目标。首先，PHTV计划制作一部视频/DVD系列，培训患者导航员，通过参与结直肠癌筛查和坚持对癌前息肉的后续治疗来指导低收入的非裔美国患者。其次，PHTV将为视频/DVD系列开发内容，以培训患者导航员，帮助低收入非裔美国妇女掌握宫颈癌筛查算法，并遵守与人类乳头瘤病毒(HPV)相关的癌前病变的治疗。PHTV将通过我们成熟的特定文化制作流程来识别和满足目标群体的信息需求，该流程使用目标人群的成员来设计消息。将举行低收入非裔美国人重点小组和由目前在城市环境中与少数族裔患者工作的导航员组成的审查会议，以确定增加参与二级预防活动的障碍和解决办法。一个由综合癌症中心、公共卫生机构和美国癌症协会的代表组成的咨询小组将验证计划的可行性，该计划将使用基于网络的跟踪系统，在俄亥俄州和纽约哈莱姆区的患者导航员中制作和评估视频。这些努力将使PHTV能够在第二阶段成功推出和测试基于视频的导航员培训计划。低收入非裔美国人癌症患者导航员视频培训项目叙述相关性：公共卫生相关性在于开发一种可转移工具的潜力，旨在增加筛查程序和治疗的参与度，以防止在死于这些疾病的人群中以不成比例的比例死亡的侵袭性宫颈癌和结肠癌。这将降低社会的总体医疗成本。