Korean Immigrants & Mammography-Culture-Specific Health Intervention (KIM-CHI)

韩国移民

• 批准号: 7630563
• 负责人: EUNICE E LEE
• 金额: $ 35.19万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-01 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7630563
• 关键词: Adherence; African American; Age-Years; Analysis of Variance; Area; Attention; Behavior; Belief; Breast; Breast Cancer Detection; Breast Self-Examination; Cancer Etiology; Cervical Cancer Screening; Chronic Disease; Church; Control Groups; Cultural Characteristics; Data; Disease; Early Diagnosis; Elements; Equation; Ethnic group; Family member; Food; Frequencies; Goals; Health; Health behavior; Health behavior change; Hispanics; Home environment; Husband; Immigrant; Intervention; Intervention Studies; Knowledge; Korean American; Koreans; Language; Length; Literature; Malignant Neoplasms; Mammography; Measures; Mediating; Minority; Modeling; Multivariate Analysis; Outcome; Physicians; Population; Predisposition; Protocols documentation; Randomized; Reporting; Research; Sampling; Screening for cancer; Screening procedure; Self Efficacy; Spouses; Staging; Survival Analysis; Testing; Time; Woman; Women' s Group; Women' s Health; acronyms; base; behavior change; behavior influence; clinical practice; cost; design; group intervention; health belief; health disparity; improved; intervention program; male; malignant breast neoplasm; mortality; peer; post intervention; role model; skills

DESCRIPTION (provided by applicant): Breast cancer is the most commonly occurring cancer and most common cause of cancer mortality among Korean American (KA) women, but mammography utilization among KA women remains suboptimal. Most breast cancer screening studies with KA women have been descriptive and correlational, but in this 4-year project we will test the effects of Korean Immigrants & Mammography-Culture-Specific Health Intervention (KIM-CHI) on adherence to recommended breast cancer screening protocols. The specific aims are to: (1) compare the group receiving KIM-CHI with an attention control group on mammogram attainment outcomes including number of mammograms obtained (0, 1, or 2) and if obtained, length of time to obtain the first mammogram, at 15 months using survival analysis; (2) compare the two groups on the mediating variables of health beliefs, knowledge, self-efficacy, spousal support and breast self-examination (BSE) practice at 2 weeks and 15 months using repeated measures multivariate analysis of variance; and (3) identify the mediating effects of health beliefs, knowledge, self-efficacy, spousal support, and BSE practice at 2 weeks on mammogram attainment outcomes at 15 months, using structural equation modeling. We have tested the feasibility of the KIM-CHI program targeting KA women by incorporating culture-specific strategies for changing (1) beliefs about breast cancer and screening, (2) knowledge of breast cancer and cancer screening, and (3) self-efficacy for obtaining a mammogram and requesting a referral for a mammogram from a physician. Using Korean churches randomly assigned to intervention or control conditions, a total sample of 400 KA women 40 years of age or older who have not had a mammogram within the past 2 years, along with their husbands in a separate group, will participate in a group session incorporating an educational DVD, BSE skill practice, peer discussion, and an assignment for the couple to have a discussion afterwards at home. Data on mammography attainment and the mediating variables will be collected at baseline and at 2-weeks and 15-months post-baseline. A strength of this proposal is the testing of a cost- conservative protocol with group delivery of consistent health behavior information using Korean role models, native Korean language, and male physician authentication as well inclusion of spouses for improving KA women's mammography attainment.

描述（由申请人提供）：乳腺癌是韩裔美国人（KA）女性中最常见的癌症和癌症死亡的最常见原因，但KA女性中乳房X线摄影的使用仍然不理想。大多数KA女性乳腺癌筛查研究都是描述性和相关性的，但在这个为期4年的项目中，我们将测试韩国移民和乳房X线检查文化特定健康干预（KIM-CHI）对遵守推荐的乳腺癌筛查协议的影响。具体目标是：（1）比较接受KIM-CHI的组与注意力控制组的乳房X光检查结果，包括获得的乳房X光检查次数（0、1或2）以及如果获得，获得第一次乳房X线照片的时间长度，在15个月时使用生存分析;（2）比较两组在健康信念、知识、自我效能感、在2周和15个月时使用重复测量多变量方差分析的配偶支持和乳房自我检查（BSE）实践;（3）确定健康信念、知识、自我效能、配偶支持和2周时的BSE实践对15个月时乳房X线检查结果的中介作用，使用结构方程模型。我们已经测试了KIM-CHI计划针对KA妇女的可行性，通过纳入特定文化的策略来改变（1）关于乳腺癌和筛查的信念，（2）乳腺癌和癌症筛查的知识，以及（3）获得乳房X光检查和要求医生转诊乳房X光检查的自我效能。使用韩国教会随机分配到干预或控制条件下，总样本的400 KA妇女40岁或以上的人没有乳房X光检查在过去的2年内，沿着与他们的丈夫在一个单独的组，将参加一个小组会议，包括教育DVD，疯牛病技能的做法，同行讨论，并分配给夫妇有一个讨论后，在家里。将在基线时以及基线后2周和15个月时收集乳房X线摄影检查和中介变量的数据。该提案的优势在于测试成本保守的方案，该方案使用韩国榜样、母语韩国语和男性医生认证以及包括配偶来分组传递一致的健康行为信息，以提高KA女性的乳房X线摄影成就。