A church-based intervention to increase cancer screening

有充分的证据表明，非洲裔美国人和欧洲裔美国人之间存在着差异， 与乳腺癌、子宫颈癌和结直肠癌相关的发病率和死亡率。虽然很棒 在过去的几年里，对与健康差距相关的因素的研究取得了进展， 关于将这一已被证明有效的研究转化为实践，还需要进一步的工作。目标是 这项研究项目的目的是检查解决乳房问题的多组分计划的有效性， 在50岁及以上非裔美国妇女中进行宫颈癌和结直肠癌筛查 参加阿拉巴马州杰斐逊县的四个当地教堂，使用基于社区的参与性研究。 这项研究计划是UAB之间成功的持续合作努力的延续 少数民族健康和研究中心、当地教会和以社区为基础的联盟--健康 健康社区(HCHC)。我们将调整福赛斯县癌症筛查项目 (FOCAS)，由Paskett和他的同事开发的一种多组分干预措施，旨在促进乳房和 在低收入妇女中进行宫颈癌筛查，主要是非裔美国人，40岁和 年纪更大了。我们将扩大这一计划的教会部分，并将结直肠癌筛查作为一部分 我们的努力。我们将首先进行形成性评估阶段，以适应和完善现有的干预措施 与我们的合作伙伴一起。然后我们将培训会众卫生领袖，反过来，他们将 在200名50岁和50岁的非裔美国妇女中实施经调整的多组成部分方案 在他们各自的教堂里年纪更大。拟议方案的直接和年度成果将是 经过仔细和广泛的评估。最后，我们会以“中心和辐条”的方式，宣传 在阿拉巴马州杰斐逊县的其他教堂进行了测试。现有的教堂将作为 愿意实施这一测试计划的新教会的“导师”。

It has been well documented that disparities exist between African Americans and European-Americans with ¿egard to morbidity and mortality associated with breast, cervical, and colorectal cancer. While great progress has been made on the research of factors associated with health disparities in the past few years, Further work is necessary with regard to translation of this proven efficacious research to practice. The goal of this research project is to examine the effectiveness of a multicomponent program that addresses breast, cervical, and colorectal cancer screening among African American women 50 years of age and older attending four local churches in Jefferson County, Alabama using community-based participatory research. This research program is a continuation of a successful ongoing collaborative effort between the UAB Minority Health and Research Center, local churches, and a community-based coalition - Healthy ongregations Healthy Communities (HCHC). We will adapt the Forsyth County Cancer Screening Project (FoCaS), a multicomponent intervention developed by Paskett and colleagues to promote breast and cervical cancer screening among low-income women, primarily African Americans, 40 years of age and older. We will expand the church component of this program and include colorectal cancer screening as part of our efforts. We will first conduct a formative evaluation phase to adapt and refine the existing intervention in conjunction with our partners. We will then train the congregational health leaders, who, in turn, will implement the adapted multicomponent program among 200 African American women 50 years of age and older in their respective churches. Immediate as well as annual outcomes of the proposed program will be carefully and extensively evaluated. Finally, based on a "hub and spoke" approach, we will disseminate the tested program to other churches in Jefferson County, Alabama. The existing churches will serve as "mentors" for the new churches who are willing to implement the tested program.