Pilot1: Developing Tailored Intervention Address Differing Needs Cancer Survivors

Pilot1：制定定制干预措施以满足癌症幸存者的不同需求

• 批准号: 8181489
• 负责人: Maureen Sanderson
• 金额: $ 6.51万
• 依托单位: MEHARRY MEDICAL COLLEGE
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-08-23 至 2014-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8181489
• 关键词: Accounting; Address; Advisory Committees; Behavior; Cancer Center; Cancer Survivor; Cancer Survivorship; Caring; Collaborations; Communities; Comprehensive Cancer Center; Data; Development; Diagnosis; Diagnostic Neoplasm Staging; Environmental Exposure; Equilibrium; Evaluation; Family; Feasibility Studies; Funding; Future; Genetic; Goals; Health; Healthcare Systems; Incidence; Intervention; Intervention Studies; Knowledge; Lead; Life; Life Style; Long-Term Effects; Malignant Neoplasms; Maps; Medical; Minority; Minority Groups; Minority-Serving Institution; Neoplasm Metastasis; Outcome; Patients; Pilot Projects; Population; Preparation; Prevalence; Randomized; Recurrence; Research; Research Personnel; Research Project Grants; Risk; Risk Factors; Sampling; Severities; Structure; Surveys; Survivors; Target Populations; Tennessee; Testing; The Vanderbilt-Ingram Cancer Center at the Vanderbilt University; United States; Universities; abstracting; base; cancer diagnosis; cohort; community based participatory research; design; ethnic minority population; experience; health disparity; medical schools; medically underserved population; mortality; psychosocial; racial and ethnic; socioeconomics; survivorship; theories; therapy development

Abstract: There are 11.1 million people with a previous diagnosis of cancer living in the United States. Approximately 65% of people diagnosed with cancer are expected to live at least 5 years after diagnosis. Cancer survivors are at increased risk for recurrence of their primary cancer, development of secondary neoplasms, and non-oncologic adverse long-term effects of cancer which are more pronounced among racial/ethnic minorities. Currently, there is a dearth of research on potential interventions for reducing disparities in cancer survivorship outcomes. The goal of the proposed formative research project is to develop and pre-test a tailored intervention for reducing disparities in cancer survivorship, following the Intervention Mapping framework for intervention development and using a community-based participatory research (CBPR) approach. The Intervention Mapping framework is utilized to develop health interventions with a thorough understanding of the issue based on both theory and empirical evidence. In CBPR, both the community and researchers are seen as having unique knowledge and expertise that may lead to more successful and sustainable interventions in the community. We will gather qualitative information on the needs and assets of two groups of survivors, one treated at a comprehensive cancer center and the other at a minority serving institution. The data obtained from this pilot study will then be combined with the findings from a parallel cohort survey pilot also being conducted under this P20 (See Pilot #2) to develop and pre-test an appropriate intervention tailored to the specific needs of the two survivor populations, taking into account relevant socioeconomic and cultural factors. The pilot will propose to address the following primary specific aims: 1. Gather and analyze qualitative data from the target population (cancer survivors treated at a comprehensive cancer center and a minority serving institution) to identify their socioeconomic, psychosocial, functional and practical needs and assets. 2. Based on findings from the qualitative data combined with findings from a parallel cohort survey pilot (Pilot #2), develop a tailored intervention to reduce cancer survivorship health disparities. 3. Pre-test the intervention on a small sample of cancer survivors to assess feasibility and refine the intervention in preparation for a subsequent pilot intervention study (Pilot #3) that would be conducted in Year 4. This study will build upon the structure and relationships of the Meharry Medical College/Vanderbilt Ingram Cancer Center Partnership in collaboration with Tennessee State University with guidance from the P20's Internal Advisory and Community Advisory Committees to achieve these aims. The proposed formative research project will provide valuable information to patients and their families regarding the needs of longterm cancer survivors.

摘要：美国有 1110 万人曾被诊断患有癌症。 大约 65% 被诊断患有癌症的人预计在诊断后至少能活 5 年。 癌症幸存者原发性癌症复发、继发性癌症发展的风险增加 肿瘤和癌症的非肿瘤性长期不良影响在人群中更为明显 少数种族/族裔。目前，缺乏关于减少潜在干预措施的研究。 癌症生存结果的差异。拟议的形成性研究项目的目标是开发 并在干预之后预先测试量身定制的干预措施，以减少癌症生存率的差异 制定干预措施的规划框架并使用基于社区的参与性研究 (CBPR) 方法。干预映射框架用于制定全面的健康干预措施 基于理论和经验证据对问题的理解。在 CBPR 中，社区和 研究人员被认为拥有独特的知识和专业知识，可以带来更大的成功和 社区的可持续干预措施。我们将收集有关需求和资产的定性信息 两组幸存者，一组在综合癌症中心接受治疗，另一组在少数服务中心接受治疗 机构。从这项试点研究中获得的数据将与平行队列的研究结果相结合 调查试点也在本 P20 下进行（参见试点#2），以开发和预先测试适当的 针对两个幸存者群体的具体需求量身定制干预措施，同时考虑到相关因素 社会经济和文化因素。该试点项目将建议解决以下主要具体目标： 1. 收集并分析目标人群（接受治疗的癌症幸存者）的定性数据 综合癌症中心和少数族裔服务机构）以确定他们的社会经济、 社会心理、功能和实际需求和资产。 2. 基于定性数据的结果以及平行队列调查试点的结果 （试点＃2），制定量身定制的干预措施，以减少癌症生存健康差异。 3. 对一小部分癌症幸存者进行干预预测试，以评估可行性并完善干预措施 干预措施，为随后将进行的试点干预研究（试点#3）做准备 第四年。 这项研究将建立在梅哈里医学院/范德比尔特英格拉姆学院的结构和关系的基础上 癌症中心在 P20 的指导下与田纳西州立大学合作 内部咨询和社区咨询委员会旨在实现这些目标。拟议的形成 研究项目将为患者及其家人提供有关长期需求的有价值的信息 癌症幸存者。