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Combined Mammography Interventions for Black Women

黑人女性的联合乳房 X 光检查干预措施

基本信息

批准号：
7681315
负责人：
KATHLEEN M RUSSELL
金额：
$ 15.78万
依托单位：
INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
依托单位国家：
美国
项目类别：
财政年份：
2005
资助国家：
美国
起止时间：
2005-07-06 至 2010-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7681315
关键词：
Adherence Adoption African American Behavior Behavior Control Behavior Therapy Breast Cancer Detection Caucasians Caucasoid Race Centers for Disease Control and Prevention (U.S.)Communities Community Health Computers Data Development Diagnosis Education Educational workshop Effectiveness Emotional Feasibility Studies Funding Goals Guidelines Health Health Communication Human Individual Institute of Medicine (U.S.)Instruction Intervention K-Series Research Career Programs Knowledge Learning Low income Mammography Mentors Methodology Methods Modeling Morbidity - disease rate Nurses Outcome Participant Phase Programmed Instruction Randomized Randomized Controlled Clinical Trials Recruitment Activity Research Research Personnel Risk Screening Result Screening for cancer Screening procedure Seasons Staging Structure Survival Rate Testing Training Underrepresented Minority Woman Work cancer prevention career computer program computerized efficacy testing environmental intervention experience health belief high risk improved innovation intervention program malignant breast neoplasm medically underserved programs symposium treatment as usual

项目摘要

DESCRIPTION (provided by applicant): Medically underserved African American women are at greatest risk for late stage breast cancer due to lack of or inconsistent use of mammography screening, resulting in decreased survival. Effective methods are needed to increase their screening rates. The long-term career goal of the applicant is to become an independent investigator capable of developing and implementing intervention programs to promote cancer prevention and control behaviors in African American women. Through a structured training plan of mentoring by seasoned nurse researchers and formal seminars, workshops, and conferences, this K01 Mentored Career Development Award for Underrepresented Minorities will provide the applicant with the opportunity to develop and test the feasibility of an intervention that combines a mammography screening lay health advisor intervention adapted from a CDC Community Health Worker model with an existing, tailored, interactive computer instruction program for low income African American women. The primary aims of the research plan are to determine the feasibility of combining lay health advisors and interactive tailored computer messages into one intervention and to estimate the effect size associated with the combined intervention on mammography screening adherence. The proposed study's conceptual framework integrates concepts from both the Health Belief Model and the Transtheoretical Model. After a development phase (Phase 1), during which lay health advisors will be recruited and trained, a small randomized trial will be conducted in which participants will be randomized to the combined intervention condition or to a usual care, control condition (Phase 2). Outcomes will include mammography screening adherence and stage of mammography screening adoption. Data will be collected at baseline and at 6 months. Findings will serve as preliminary data in support of an R01 application that will test the efficacy of the combined intervention to promote mammography screening adherence in low-income African American women.

描述(由申请人提供)：由于缺乏或不一致地使用乳房X光检查，医疗服务不足的非裔美国妇女患晚期乳腺癌的风险最大，导致存活率下降。需要有效的方法来提高他们的筛查率。申请者的长期职业目标是成为一名独立的调查员，能够制定和实施干预计划，促进非裔美国女性的癌症预防和控制行为。通过由经验丰富的护士研究人员指导的结构化培训计划以及正式的研讨会、研讨会和会议，这项针对未被充分代表的少数族裔的K01指导职业发展奖将为申请者提供机会来开发和测试干预措施的可行性，该干预措施结合了从疾控中心社区卫生工作者模式改编的乳房X光检查非专业健康顾问干预与为低收入非裔美国女性提供的现有的、量身定做的交互式计算机教学程序。该研究计划的主要目的是确定将非专业健康顾问和交互式量身定制的计算机信息合并为一个干预措施的可行性，并估计与联合干预措施对乳房X光摄影筛查依从性的影响程度。这项研究的概念框架综合了健康信念模型和跨理论模型的概念。在发展阶段(阶段1)之后，将招募和培训非专业健康顾问，将进行一项小型随机试验，参与者将被随机分配到综合干预条件或通常的护理、控制条件(阶段2)。结果将包括乳房X光检查的依从性和乳房X光检查采用的阶段。数据将在基线和6个月时收集。研究结果将作为支持R01应用的初步数据，该应用将测试联合干预的有效性，以促进低收入非裔美国女性遵守乳房X光检查。