REACH-Relevant Education and Communication for Hispanic

描述(申请人提供)：虽然西班牙裔美国人的癌症发病率一般低于非西班牙裔白人的癌症发病率，但被诊断为晚期癌症的比例更高。有必要制定解决办法，以发展关于筛查、早期发现和预防的符合文化需要和对识字敏感的癌症传播，并在拉美裔社区中有效地传播这一信息。需要更多地了解社区成员的信息需求，才能推动这类倡议。目前，几乎没有可用的数据提供关于癌症认知和优先事项以及传播偏好和实践的基线信息，这对于在社区中制定相关的癌症传播倡议是必要的。因此，这个名为REACH(拉美裔美国人相关教育和交流)的为期两年的探索性项目的首要目标是开发一份适当的问卷，用于评估癌症信息需求。该项目建立在莫菲特癌症中心和波多黎各癌症中心之间现有的强有力的研究伙伴关系的基础上，并汇集了一支强大的跨学科团队，旨在积极影响服务不足的西班牙裔和低识字率人群的健康。具体目标是：开展和分析一系列焦点小组，以探索居住在佛罗里达州希尔斯伯勒县和波多黎各圣胡安的波多黎各人的癌症信息需求。预期从焦点小组获得的见解将有助于制定关于癌症信息需求和优先事项以及通信偏好和做法的看法的调查表领域。使用系统的规划方法和一系列迭代过程，拟定西班牙文/英文调查表草稿。 这将通过审查现有问卷、相关文献、输入重点小组的关键结论、评价内容有效性以及采用包括认知评估和学习者验证技术在内的持续改进步骤来实现。预计系统程序的使用将产生关于问卷的可理解性、文化、识字和语言可接受性、有效性和吸引力的信息。对佛罗里达州希尔斯伯勒县和波多黎各圣胡安的波多黎各人样本进行问卷预测。 预计预试将产生关于总体可靠性(测试-重测程序)和问卷流程的重要信息。预计该项目将产生一份调查问卷，只要稍作修改，就可以输出并用于更大规模的社区干预研究。

DESCRIPTION (provided by applicant): While the cancer incidence among Hispanics is generally lower than the cancer incidence among non-Hispanic whites, the proportion of cancers diagnosed in advanced stages is greater. A need exists to create solutions for the development of culturally appropriate and literacy sensitive cancer communications regarding screening, early detection and prevention and to effectively penetrate this information within the Hispanic community. An increased understanding of community members' information needs is required to fuel such initiatives. Currently, there are few available data that provide baseline information with regard to cancer perceptions and priorities and communication preferences and practices, necessary to develop relevant cancer communication initiatives in the community. Therefore, the overarching goal of this two-year exploratory project, entitled REACH (Relevant Education and Communications for Hispanics), is to develop an appropriate questionnaire for assessing cancer information needs. This project builds upon an existing strong research partnership between the Moffitt Cancer Center and the Puerto Rico Cancer Center and brings together a strong interdisciplinary team that aims to positively impact the health of underserved Hispanic and low literacy populations. Specific aims are: To conduct and analyze a series of focus groups to explore cancer information needs among Puerto Ricans residing in Hillsborough County, Florida and San Juan, Puerto Rico. It is expected that insights gained from the focus groups will inform the development of the questionnaire domains relating to perceptions of cancer information needs and priorities and communication preferences and practices. To develop a draft of a Spanish/English questionnaire using systematic planning methods and a series of iterative processes. This will be accomplished through a review of existing questionnaires, relevant literature, infusion of key findings from focus groups, evaluation of content validity, and application of continual improvement steps including cognitive evaluation and learner verification techniques. It is expected that the use of systematic processes will yield information about understandability, cultural, literacy, and linguistic acceptability, validity, and attractiveness of the questionnaire. To pretest the questionnaire among a sample of Puerto Ricans in Hillsborough County, Florida and San Juan, Puerto Rico. It is expected that pretesting will yield important information about overall reliability (test-retest procedures) and questionnaire flow. It is anticipated that this project will yield a questionnaire that can be exported and used in larger community-based intervention studies with minor modifications.