Evaluation of a Hepatitis B Outreach Intervention for Cambodians

对柬埔寨人乙型肝炎外展干预措施的评估

• 批准号: 8330342
• 负责人: VICTORIA M TAYLOR
• 金额: $ 39.79万
• 依托单位: FRED HUTCHINSON CANCER RESEARCH CENTER
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-22 至 2014-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8330342
• 关键词: Adult; American; Area; Cambodia; Cancer Control; Communities; Control Groups; Counseling; Data; Diagnosis; Effectiveness; Ethnic Origin; Evaluation; Focus Groups; Future; Goals; Health; Health Priorities; Health behavior; Hepatitis B; Hepatitis B Vaccination; Hepatitis B Virus; Home visitation; House Call; Immigrant; Individual; Infection; Intervention; Knowledge; Liver diseases; Logistics; Malignant neoplasm of liver; Medical Records; Morbidity - disease rate; NIH Program Announcements; Outcome; Pamphlets; Participant; Patient Self-Report; Phase; Population; Practice Guidelines; Preparation; Prevention; Race; Randomized; Randomized Controlled Trials; Refugees; Research; Research Methodology; Research Personnel; Research Project Grants; Research Support; Respondent; Serologic tests; Specific qualifier value; Surveys; Testing; Time; United States; Vaccinated; Virus Diseases; Washington; aged; arm; base; behavioral/social science; community based participatory research; disorder prevention; experience; follow-up; group intervention; health disparity; improved; metropolitan; mortality; outreach; prevent; programs; racial and ethnic; research study; secondary outcome; social science research; southeast Asian

PROJECT SUMMARY/ABSTRACT Primary liver cancer occurs more frequently among Southeast Asians in the United States (US) than among individuals of any other race/ethnicity. This health disparity can be attributed to high rates of hepatitis B virus infection combined with low levels of hepatitis B vaccination coverage. Over 10% of Cambodian immigrants are chronically infected with the hepatitis B virus, compared to less than 0.5% of the general US population. Practice guidelines specify that all immigrants from areas of the world with endemic hepatitis B should receive serologic testing. However, available data indicate that less than one-half of Cambodian Americans have received testing for hepatitis B. Our study objective is to conduct a randomized controlled trial to evaluate the effectiveness of a culturally and linguistically appropriate lay health worker outreach intervention in improving levels of hepatitis B testing completion among Cambodians. This community-based participatory research project will be conducted in the SeattleTacoma metropolitan area of Western Washington and the researchers will collaborate with an existing Cambodian Community Coalition. Our research will use the theoretical perspective of the Health Behavior Framework. Focus group findings will be used to develop a hepatitis B survey instrument and our hepatitis B outreach intervention. The outreach will be delivered by lay health workers and will include the following components: A home visit, use of an educational pamphlet and a motivational DVD, and tailored counseling and logistic assistance. We will conduct a community-based survey of 500 Cambodians aged 20-64 years. Survey respondents who have never been tested for hepatitis B (250 individuals) will be randomized to intervention or control status. The primary randomized controlled trial outcome will be hepatitis B serologic testing. Secondary outcomes will include future hepatitis B testing intentions and hepatitis B-related knowledge. Outcome evaluation will be based on a follow-up survey, as well as medical record verification of self-reported hepatitis B testing. PROJECT NARRATIVE This project will collaborate with the Cambodian community to develop and evaluate a culturally and linguistically appropriate hepatitis B outreach intervention for Cambodian adults. The outreach will be delivered by lay health workers and will include the following components: A home visit, use of an educational pamphlet and a motivational DVD, and tailored counseling and logistic assistance.

项目总结/摘要 原发性肝癌在美国（US）的东南亚人中发生率高于在 任何其他种族/民族的人。这种健康差异可归因于高比率的B型肝炎病毒 感染加上B型肝炎疫苗接种覆盖率低。超过10%的柬埔寨移民 慢性感染B型肝炎病毒，而美国总人口的比例不到0.5%。 实践指南规定，所有来自世界B型肝炎流行地区的移民都应接受 血清学检测然而，现有数据表明，不到一半的柬埔寨裔美国人 接受了B型肝炎检测。 我们的研究目的是进行一项随机对照试验，以评估文化和 在提高B型肝炎检测水平中进行语言适当的非专业卫生工作者外展干预 完成了在中国人。 这个以社区为基础的参与性研究项目将在西雅图进行塔科马都会区 研究人员将与现有的柬埔寨社区合作， 联盟。我们的研究将使用健康行为框架的理论视角。焦点小组 研究结果将用于开发B型肝炎调查工具和我们的B型肝炎外展干预措施。的 外展将由非专业卫生工作者提供，包括以下组成部分：家访、使用 一本教育小册子和一张激励DVD，以及量身定制的咨询和后勤援助。 我们将对500名年龄在20-64岁之间的哥伦比亚人进行一次社区调查。接受调查的人， 从未接受过B型肝炎检测的受试者（250名受试者）将随机分为干预组或对照组。 主要随机对照试验结局为B型肝炎血清学检测。次要结局将 包括未来乙肝B检测意向和乙肝相关知识。成果评价将是 基于随访调查，以及对自报B型肝炎检测的病历核查。项目叙述 该项目将与柬埔寨社区合作，制定和评估一项文化和 为柬埔寨成年人提供语言上适当的B型肝炎外展干预。外联活动将在 由非专业卫生工作者提供，包括以下内容：家访、使用教育小册子 和一张激励DVD，以及量身定制的咨询和后勤援助。

项目成果

Hepatitis B knowledge and practices among Cambodian Americans.

柬埔寨裔美国人的乙型肝炎知识和实践。

• 发表时间: 2011
• 期刊: Asian Pacific journal of cancer prevention : APJCP
• 作者: Taylor,VictoriaM;Talbot,Jocelyn;Do,HHoai;Liu,Qi;Yasui,Yutaka;Jackson,JCarey;Bastani,Roshan
• 通讯作者: Bastani,Roshan

Community health worker hepatitis B education for Cambodian American men and women.

社区卫生工作者为柬埔寨裔美国男性和女性进行乙型肝炎教育。

• DOI: 10.7314/apjcp.2013.14.8.4705
• 发表时间: 2013
• 期刊: Asian Pacific journal of cancer prevention : APJCP
• 作者: Taylor,VictoriaMary;Burke,NancyJean;Sos,Channdara;Do,HuyenHoai;Liu,Qi;Yasui,Yutaka
• 通讯作者: Yasui,Yutaka

Factors associated with hepatitis B testing among Cambodian American men and women.

• DOI: 10.1007/s10903-011-9536-8
• 发表时间: 2012-02
• 期刊: JOURNAL OF IMMIGRANT AND MINORITY HEALTH
• 影响因子: 1.9
• 作者: Taylor, Victoria M.;Bastani, Roshan;Burke, Nancy;Talbot, Jocelyn;Sos, Channdara;Liu, Qi;Jackson, J. Carey;Yasui, Yutaka
• 通讯作者: Yasui, Yutaka