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Statewide Communication to Reach Diverse Low Income Women

全州范围内的沟通，以覆盖不同的低收入妇女

基本信息

批准号：
8324775
负责人：
RENA Joy PASICK
金额：
$ 9.86万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-14 至 2013-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8324775
关键词：
Address African American Asians Breast Breast Cancer Genetics Breast Cancer Prevention Trial California Cancer Center Caring Centers for Disease Control and Prevention (U.S.)Cervical Cessation of life Chronic Disease Chronic Hepatitis Chronic Hepatitis B Clinical Research Clinical Trials Collaborations Commit Communication Communities Consent Counseling County Detection Development Diagnostic Services Discrimination Disease Early Diagnosis Effectiveness Enrollment Failure Funding Genetic Counseling Genetic screening method Goals Health Health Services Hepatitis B High Risk Woman Immigrant Individual Intervention Intervention Studies Interview Koreans Language Latina Latino Life Low income Malignant neoplasm of cervix uteri Malignant neoplasm of ovary Measures Mediating Medical Methods Mission Modeling National Surgical Adjuvant Breast and Bowel Project Outcome Participant Perception Pilot Projects Population Prevention Prevention Research Preventive Process Prostate Cancer Prevention Trial Public Health Qualitative Research Randomized Recruitment Activity Research Research Personnel Resources Risk San Francisco Screening for cancer Screening procedure Services Site Specialist Survey Methodology Surveys System Taxes Telephone Testing Time Tobacco Trust Ursidae Family Woman Work base burden of illness cost cost effectiveness design disorder control experience follow-up group intervention health disparity health literacy high risk interest malignant breast neoplasm men novel outreach prevention service programs prospective randomized trial response success

项目摘要

DESCRIPTION (provided by applicant): Recruitment for research, prevention, and early detection among health disparities populations represents a major challenge in chronic disease control. This effect is magnified for individuals at high risk for conditions such as genetic breast cancer or chronic hepatitis. Costs are typically high, particularly given the common practice of developing a single outreach channel to address each disease or condition. The goal of this study is to demonstrate the effectiveness of a model that combines efficient statewide public health recruitment of underserved, high-risk women with individually tailored telephone counseling. Based on results from a recently completed pilot study in which callers to the California toll-free breast/cervical screening phone service (Every Woman Counts -EWC) were successfully recruited to a study on a topic unrelated to cancer screening, we now propose an assessment of the reach, cost, and effectiveness of this channel to identify California women who are at high-risk for breast or ovarian cancer or for chronic Hepatitis B in order to connect them with appropriate research or prevention services. Our specific aims are: 1. To test the effectiveness of this recruitment channel for chronic disease control research and services by measuring the proportion of eligible EWC callers who consent to take part in a randomized trial of telephone counseling for: a) the next breast cancer prevention trial (Study Component 1) and b) genetic counseling for breast or ovarian cancer (Study Component 2); 2. To test the effectiveness of telephone counseling in a prospective randomized trial of consenting EWC callers with two independent main outcomes: a) the proportion of women in the immediate compared with the delayed intervention group who contact a breast cancer prevention trial site for enrollment information; b)the proportion of women in the immediate compared with the delayed intervention group who contact a genetic counseling program; 3.To assess the feasibility of the EWC as a recruitment channel for telephone counseling for Hepatitis B counseling (Study Component 3); and 4. For each study component, to explore women's response to the recruitment process, their understanding of the service(s), and their experience participating or not participating in one of the three services using in- depth interviews. At least 144 women (72/year) will be randomized for each of the 2 services in the trial, half to immediate phone counseling and half to counseling 2 months later, upon completion of the follow-up survey. Feasibility of recruitment of Asian immigrants will be assessed through 200 attempts. Qualitative research will explore women's perceptions of recruitment and their understanding of the intervention.

描述（由申请人提供）：在健康差异人群中招募研究、预防和早期检测人员是慢性病控制的主要挑战。对于遗传性乳腺癌或慢性肝炎等疾病高风险的个体，这种影响被放大。费用通常很高，特别是考虑到通常的做法是建立一个单一的外联渠道来应对每一种疾病或状况。本研究的目的是证明一种模式的有效性，该模式将有效的全州公共卫生招聘服务不足，高风险的妇女与个性化的电话咨询相结合。根据最近完成的一项试点研究的结果，在这项研究中，加州免费乳房/子宫颈筛查电话服务的呼叫者（每个女人都很重要-EWC）成功地被招募到一个与癌症筛查无关的主题的研究中，我们现在提出一个评估范围，成本，和有效性，这一渠道，以确定加州妇女谁是在高-乳腺癌或卵巢癌或慢性B型肝炎的风险，以便将它们与适当的研究或预防服务联系起来。我们的具体目标是：1.通过测量同意参加电话咨询随机试验的合格EWC呼叫者的比例来测试这种招募渠道对慢性病控制研究和服务的有效性，所述随机试验用于：a）下一个乳腺癌预防试验（研究组分1）和B）乳腺癌或卵巢癌遗传咨询（研究组分2）; 2.在一项对同意的EWC呼叫者进行的前瞻性随机试验中测试电话咨询的有效性，有两个独立的主要结果：a）与延迟干预组相比，立即干预组中联系乳腺癌预防试验中心获取入组信息的女性比例; B）与延迟干预组相比，立即干预组中联系遗传咨询项目的女性比例; 3.评估EWC作为B型肝炎咨询电话咨询招募渠道的可行性（研究组成部分3）;对于每一项研究内容，通过深入访谈，探讨妇女对招聘过程的反应、她们对服务的理解以及她们参加或不参加三项服务之一的经历。至少有144名女性（72/年）将被随机分配到试验中的两种服务中，一半立即接受电话咨询，另一半在完成随访调查后2个月接受咨询。招募亚洲移民的可行性将通过200次尝试进行评估。定性研究将探讨妇女对征聘的看法及其对干预措施的理解。

项目成果

期刊论文数量（4）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Validation of an Efficient Screening Tool to Identify Low-Income Women at High Risk for Hereditary Breast Cancer.

验证一种有效的筛查工具，以识别遗传性乳腺癌高风险的低收入女性。

DOI：
10.1159/000452095
发表时间：
2016
期刊：
Public health genomics
影响因子：
1.7
作者：
Stewart,SusanL;Kaplan,CeliaP;Lee,Robin;Joseph,Galen;Karliner,Leah;Livaudais-Toman,Jennifer;Pasick,RenaJ
通讯作者：
Pasick,RenaJ

Efficient identification of low-income Asian American women at high risk for hepatitis B.