Increasing Colorectal Cancer Screening among African American

描述(由申请人提供)：拟议的职业发展奖将促进理查德·C·帕尔默博士作为一名独立的癌症预防和控制研究科学家的成长。候选人的长期职业目标是将研究成果转化为旨在减少健康差距的有效卫生政策。候选人的直接职业目标是将自己确立为一名跨学科研究科学家，能够领导旨在了解和解决癌症健康差距的观察性和干预性研究。为了实现这一目标，候选人提出了一项职业发展计划，其中包括专业发展、稿件和拨款准备，以及收集试点数据的研究计划。拟议的研究计划扩展了候选人先前在结直肠癌(CRC)方面的研究工作，并建立在候选人已经进行的解决非裔美国人结直肠癌差异的工作基础上。与非西班牙裔白人相比，非洲裔美国人患结直肠癌的发病率和死亡率更高，而且参与结直肠癌筛查的比例较低。定期筛查可以降低结直肠癌的发病率和死亡率，并提供早期发现和预防的可能性。如果要实现平等，就需要采取干预措施，提高非裔美国人的筛查率。拟议研究的主要目标将是开发和测试一个交互式多媒体程序，旨在提高非裔美国人初级保健患者对结直肠癌的认识、对检测选择、决策的了解，并增加对结直肠癌的参与。为了开发互动计划，将开发和测试适当的促进结直肠癌筛查的健康信息，以检查它们对结直肠癌筛查的态度和行为意图的影响。一旦开发完成，将进行随机试验，以评估交互式多媒体程序的影响。这种交互式多媒体应用程序代表了一种改善初级卫生保健环境中非裔美国人结直肠癌筛查行为的新方法。如果互动多媒体计划是有效的，它可能是一种廉价的方式，可以增加对这一人群的结直肠癌筛查指南和其他筛查测试的了解和遵守。 公共卫生相关性：与非西班牙裔白人和其他种族/少数民族相比，非洲裔美国人的结直肠癌(CRC)筛查参与率较低，死于这种疾病的可能性更大。因此，需要采取干预措施来帮助解决这种不公平问题。这项研究将开发和测试一种多媒体干预策略，旨在提高初级保健诊所非裔美国患者对结直肠癌的认识、对检测方案的了解以及结直肠癌筛查的参与度。如果多媒体教育工具有效，它可能是一种廉价的方式，可以提高对这一人群的CRC筛查指南和可能的其他癌症筛查测试的遵从性。

DESCRIPTION (provided by applicant): The proposed Career Development Award will facilitate Dr. Richard C. Palmer's growth as an independent cancer prevention and control research scientist. The long-term career goal of the candidate is to translate research findings into effective health policy aimed at reducing health disparities. The candidate's immediate career goal is to establish himself as an interdisciplinary research scientist able to lead observational and intervention studies aimed at understanding and addressing cancer health disparities. To achieve this goal, the candidate proposes a career development plan that includes professional development, manuscript and grant preparation, and a research plan to collect pilot data. The proposed research plan extends the candidate's prior research work in colorectal cancer (CRC) and builds on work that the candidate has already conducted in addressing CRC disparities seen for African Americans. African Americans experience higher incidence and greater mortality from CRC in comparison to non-Hispanic whites and have low participation in CRC screening. Regular screening can reduce both morbidity and mortality from CRC and offers the possibility of early detection and prevention. Interventions to increase screening rates for African Americans are needed if parity is to be achieved. The primary goal of the proposed research will be to develop and test an interactive multimedia program that is aimed at increasing awareness about CRC, knowledge of testing options, decision-making, and increasing participation in CRC among African American primary care patients. To develop the interactive program, appropriate health messages promoting CRC screening will be developed and tested to examine their effect on attitudes toward CRC screening and behavioral intention. Once developed, a randomized trial will be conducted to assess the impact of the interactive multimedia program. This interactive multimedia application represents a novel approach to improving CRC screening behavior among African Americans in primary health care settings. If the interactive multimedia program is effective, it could be an inexpensive way to increase knowledge and compliance with CRC screening guidelines and other screening tests for this population. PUBLIC HEALTH RELEVANCE: African Americans have lower rates of colorectal cancer (CRC) screening participation and are more likely to die from the disease as compared to non-Hispanic whites and other racial/ethnic minorities. Consequently, interventions are needed to help address this inequity. This study will develop and test a multimedia intervention strategy aimed at increasing awareness of CRC, knowledge of testing options, and CRC screening participation among African American patients of a primary care clinic. If the multimedia education tool is effective, it could be an inexpensive way to increase compliance with CRC screening guidelines and possibly other cancer screening tests for this population.