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博士理查德C。帕尔默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有效的卫生政策，旨在减少健康差距。候选人的直接职业目标是建立自己作为一个跨学科的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和干预研究。为了实现这一目标，候选人提出了一个职业发展计划，其中包括专业发展，手稿和赠款准备，以及一个研究计划，以收集试点数据。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在解决非裔美国人CRC差异方面开展的工作的基础上。与非西班牙裔白人相比，非裔美国人的CRC发病率和死亡率更高，并且参与CRC筛查的人数较少。定期筛查可以降低CRC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，旨在提高对CRC的认识，测试选项的知识，决策，并增加非裔美国人初级保健患者对CRC的参与。为了发展互动计划，适当的健康信息，促进CRC筛查将开发和测试，以检查其对CRC筛查的态度和行为意向的影响。一旦开发出来，将进行随机试验，以评估互动多媒体程序的影响。这种交互式多媒体应用程序代表了一种新的方法，以改善非裔美国人在初级卫生保健环境中的CRC筛查行为。如果交互式多媒体程序是有效的，它可能是一种廉价的方式，以增加知识和符合CRC筛查指南和其他筛查测试的这一人群。 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，更有可能死于这种疾病。因此，需要采取干预措施，帮助解决这种不平等现象。这项研究将开发和测试一种多媒体干预策略，旨在提高对CRC的认识，了解检测方案，并参与初级保健诊所的非裔美国人患者的CRC筛查。如果多媒体教育工具是有效的，它可能是一种廉价的方式，以提高符合CRC筛查指南和可能的其他癌症筛查测试的这一人群。

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.