Pilot1: Developing Tailored Intervention Address Differing Needs Cancer Survivors

翻译后摘要：有1110万人以前诊断癌症生活在美国。 大约65%被诊断患有癌症的人预计在诊断后至少能活5年。 癌症幸存者的原发性癌症复发风险增加， 肿瘤和癌症的非肿瘤不良长期影响，这些影响在 种族/少数民族。目前，缺乏关于减少艾滋病毒/艾滋病的潜在干预措施的研究。 癌症存活率结果的差异。拟议的形成性研究项目的目标是开发 并预先测试一个量身定制的干预措施，以减少癌症生存率的差异， 制定干预措施框架并使用基于社区的参与性研究 approach.干预绘图框架用于制定卫生干预措施， 对这一问题的理解建立在理论和经验证据的基础上。在CBPR中，社区和 研究人员被视为具有独特的知识和专业知识，可能会导致更成功， 对社区进行可持续干预。我们将收集关于以下方面的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，另一组在少数民族服务中心接受治疗。 机构。然后，将从这项试点研究中获得的数据与平行队列的结果相结合 在此P20下也正在进行调查试点（见试点2），以制定和预测试适当的 根据两个幸存者群体的具体需要采取干预措施，同时考虑到相关的 社会经济和文化因素。试点项目将提议实现以下主要具体目标： 1.收集和分析目标人群（接受过治疗的癌症幸存者）的定性数据， 综合癌症中心和少数民族服务机构），以确定他们的社会经济， 社会心理、功能和实际需要和资产。 2.根据定性数据的调查结果以及平行队列调查试点的调查结果 （试点#2），制定量身定制的干预措施，以减少癌症生存率的健康差距。 3.对一小部分癌症幸存者进行干预措施的预测试，以评估可行性并完善 为后续试点干预研究（试点#3）做准备， 在第四年。 这项研究将建立在梅哈里医学院/范德比尔特英格拉姆的结构和关系 癌症中心伙伴关系与田纳西州立大学合作，并在P20的指导下 内部咨询和社区咨询委员会，以实现这些目标。拟议的结构 研究项目将为患者及其家属提供有关长期需求的宝贵信息。 癌症幸存者

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.