The Influence of Family and Cultural Identity on Informed Decision-Making

描述(由申请者提供)：有证据表明，在非裔美国人中如何最好地促进和促进结直肠癌筛查的知情决策，还需要更多的研究。这项研究计划的长期目标是通过开发基于社区的干预措施和方法来培训医疗保健提供者，以有效地促进结直肠癌筛查的参与，从而降低结直肠癌的发病率和死亡率，特别是在非裔美国人中。这项描述性的横断面研究的目的是考察文化认同、家庭和结直肠癌信仰对非裔美国人结直肠癌筛查的知情决定的影响。为这项研究招募的将是非洲裔美国人男性和女性(N=128)，年龄在50岁或50岁以上，他们已经或没有接受结直肠癌筛查。在知情的情况下，将使用问卷进行描述。参与者将从底特律社区网络伙伴关系(CNP)招募，这是一个由国家癌症研究所资助的计划，旨在减少50岁及以上非裔美国人的癌症健康差距。此外，参与者将从底特律大都市理发和美容商店以及非裔美国人组织中招募。指导这项研究的概念模型来源于PI和预防性健康模型(PHM)的临床和研究经验。将涉及两个具体目标：1)检查文化认同、家庭影响、结直肠癌信仰与非裔美国人结直肠癌筛查知情决定之间的关系；2)确定非裔美国人男性和女性文化认同、家庭影响、结直肠癌信仰与结直肠癌筛查知情决定之间的关系是否不同。这项拟议的研究是为了填补护理知识、癌症预防和控制研究的关键空白而开发的。这项拟议的研究也与美国国家护理研究所的“促进健康和预防疾病”领域的研究重点一致，该领域的研究重点是“确定影响决策的因素，从而导致行为变化，从而促进健康，预防疾病和残疾。”(国家护理研究所[NINR]，2006年，第16页)。这项拟议的研究对公共卫生很重要，因为它寻求降低美国人口中发病率最高的非裔美国人的结直肠癌发病率和死亡率，并解决非裔美国人的结直肠癌筛查问题，非裔美国人的结直肠癌发病率是美国所有人口中最低的。

DESCRIPTION (provided by applicant): Evidence suggests more research is needed on how best to promote and facilitate informed decision making for colorectal cancer screening among African Americans. The long-term objective of this program of research is to decrease the colorectal cancer incidence and mortality, especially among African Americans through developing community-based interventions and methods to train healthcare providers to effectively promote colorectal cancer screening participation. The purpose of this descriptive, cross-sectional study is to examine the influence of cultural identity, family and colorectal cancer beliefs on an informed decision regarding colorectal cancer screening among African Americans. Recruited for this study will be African American men and women (N=128) 50 years and older who have or have not been screened for colorectal cancer. Informed decision making will be described using questionnaires. Participants will be recruited from the Detroit Community Network Partnership (CNP), a National Cancer Institute funded program to reduce cancer health disparities among African Americans, 50 years and older. Additionally, participants will be recruited from metropolitan Detroit barber and beauty shops and African American organizations. The conceptual model guiding this study is derived from the clinical and research experiences of the PI and the Preventative Health Model (PHM). Two specific aims will be addressed: 1) To examine the relationships among cultural identity, family influence, colorectal cancer beliefs and an informed decision regarding colorectal cancer screening in African Americans; 2) To determine if the relationships among cultural identity, family influence, colorectal cancer beliefs and an informed decision regarding colorectal cancer screening in African American men and women are different. This proposed study has been developed to fill critical gaps in nursing knowledge, cancer prevention and control research. The proposed study is also congruent with the "Promoting Health and Preventing Disease" area of research emphasis of the National Institute of Nursing Research to "identify factors that influence decision-making that results in behavioral changes that promote health and prevent disease and disability." (National Institute of Nursing Research [NINR], 2006, p. 16). This proposed study is important to public health as it seeks to reduce colorectal cancer incidence and mortality rates among African Americans whose rates are the greatest among the US population and by addressing colorectal cancer screening among African Americans whose rates are the lowest of all the US population.