Research Project

研究项目

• 批准号: 8379206
• 负责人: JOAN R BLOOM
• 金额: $ 32.86万
• 依托单位: UNIVERSITY OF CALIFORNIA BERKELEY
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-01 至 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8379206
• 关键词: Appointment; Awareness; Behavior; Breast; Budgets; California Breast Cancer Research Program; Communities; Control Groups; Counseling; County; Data; Detection; Early Diagnosis; Educational Intervention; Educational process of instructing; Elements; Ensure; Funding; Generations; Goals; Health; Health Promotion; Health education; Immigrant; Intervention; Knowledge; Linguistics; Mammography; Measures; Muslim population group; Participant; Pilot Projects; Prevention; Randomized; Randomized Controlled Trials; Recording of previous events; Relative (related person); Religion and Spirituality; Reporting; Research; Research Project Grants; Screening procedure; Surveys; Testing; Woman; Women' s Health; Work; cancer health disparity; community based participatory research; design; evidence base; follow-up; group intervention; innovation; intervention program; literacy; male; malignant breast neoplasm; post intervention; programs

We propose to conduct a group randomized controlled trial to implement and evaluate the effect of an innovative evidence-based breast health education intervention program compared to a control group (delayed intervention) to promote breast health screening among first generafion Afghan immigrant women. Sensitivity to cultural, religious, and linguistic factors is a key component ofthe proposed intervention. With funding from California's Breast Cancer Research Program, we have conducted the pilot work (see preliminary results) and findings from the pilot work to guide the content ofthe intervention. Consistent with the tenets of community based participatory research, the pilot project was administratively designed to ensure that the community was an equal partner with the academic research partners in terms of power and influence¿they received their own budget and are the owners of the data that was collected (these two issues have a history of being problematic in community based participatory research). Our research will test the hypothesis that women randomly assigned to a tailored breast health education program will show increased breast cancer knowledge and awareness and increased rates of having eariy detection (CBE and mammography). The details of this linguistically, religious and culturally tailored (targeted¿^there is contention in the field as to whether this is target or tailored, the latter being more specific) program designed for low literacy and taught by lay health advisors (LHAs) with follow-up counseling and facilitation by community navigators and the support of their male relatives. The cultural/ religious/educational adaptations make our intervention specific to the needs of Muslim women and provide a unique program that distinguishes the Afghan Women's Health Project from other breast health promotion projects. Participants will be randomly assigned into the intervention or control (delayed intervention) group. The control group will receive the educational program after the postintervenfion survey. Pre-and post-intervenfion surveys will be used to measure changes in knowledge of prevention and in eariy detection behaviors. As part of the post-intervention survey, women will report whether they had (or have an appointment to have) a CBE and/or a mammogram and we will inquire about the facilitators and barriers for getting a breast health screening examinations.

我们建议进行一组随机对照试验来实施和评价an的效果