Developing a Barbershop-Based Trial on Masculinity Barriers to Care and Colorectal Cancer Screening Uptake among African-American Men using a MixedMethods Approach

使用混合方法开展一项以理发店为基础的试验，研究非裔美国男性的男性护理障碍和结直肠癌筛查情况

• 批准号: 10622800
• 负责人: Charles R. Rogers
• 金额: $ 17.57万
• 依托单位: MEDICAL COLLEGE OF WISCONSIN
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-17 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10622800
• 关键词: Address; Advocate; African American; Age; Area; Attitude; Barbering; Behavior; Cancer Center; Cancer Survivor; Caring; Cellular Phone; Cities; Colorectal Cancer; Communication; Communities; Complex; Conflict (Psychology); Data; Development; Device or Instrument Development; Diagnosis; Diagnostic Reagent Kits; Doctor of Philosophy; Educational workshop; Ethnic group; Etiology; Evaluation; Excision; Face; Focus Groups; Future; Gender; Goals; Healthcare; Incidence; Inequality; Intervention; Interview; Interviewer; Knowledge; Life Experience; Malignant Neoplasms; Measures; Medical; Men' s Role; Mentored Research Scientist Development Award; Mentors; Methods; Minnesota; Minority; Motivation; National Cancer Institute; Not Hispanic or Latino; Outcome; Pamphlets; Participant; Pathway interactions; Perception; Planning Theory; Population; Positioning Attribute; Precancerous Polyp; Property; Provider; Psychometrics; Psychosocial Factor; Psychosocial Influences; Randomized; Randomized Controlled Trials; Reporting; Research; Research Methodology; Research Personnel; Role; Sample Size; Scholarship; Screening for cancer; Site; Social support; Surveys; Testing; Time; Training; Trust; Twin Multiple Birth; University resources; Validation; Work; arm; barrier to care; base; behavior change wheel; cancer health disparity; career; career development; cognitive interview; colorectal cancer screening; design; efficacy outcomes; efficacy testing; evidence base; expectation; experience; health care service; help-seeking behavior; improved; innovation; male; medical schools; men; mortality; motivational enhancement therapy; pilot test; pilot trial; premature; primary outcome; racial and ethnic; racism; recruit; research and development; research study; screening; sound; stem; systematic review; telephone-based; theories; therapy development; trial design; uptake

PROJECT SUMMARY/ABSTRACT Charles R. Rogers, PhD, MPH, MS, CHES®’ long-term career goal is to become an independent researcher who utilizes community-based approaches to develop, implement, and evaluate culture-specific interventions to eliminate cancer disparities among African-American men. The training, research, and scholarship activities facilitated by this National Cancer Institute (NCI) Mentored Research Scientist Development Award to Promote Diversity (K01) will provide Dr. Rogers with the protected time to obtain the training essential for achieving his long-term career goal. The three key training areas for this K01 include instrument development and validation, mixed methods research, and intervention development and evaluation. A three-pronged approach has been developed by Rogers to reach his long-term career goal and complete his K01 plan, including: 1) a stellar team of interdisciplinary mentors and collaborators who will guide his research and career development; 2) an innovative research study integrated with his training goals that is both rigorous in its design and scientifically relevant; and 3) didactic coursework, professional exchanges, and workshops that build upon existing resources of the University of Minnesota Medical School and its NCI-designated Masonic Cancer Center. The purpose of Dr. Rogers’ research plan involves developing and pilot testing a theory-driven, culture-specific intervention that specifically targets masculinity barriers care and colorectal cancer (CRC) uptake among African-American men (ages 45-75). CRC is preventable as screening leads to identification and removal pre-cancerous polyps; however, African-American men consistently have the highest CRC mortality rates across all gender and racial/ethnic groups; and their CRC screening uptake remains low for uncertain reason. Contributing factors are etiologically complex, yet but culture-specific masculinity barriers to care may contribute to low CRC screening uptake among African-American men. Examining masculinity barriers to care is vital as CRC screening may challenge some cultural role expectations and self-representations of African-American men whose tendency is to delay help-seeking medical care. The study’s specific aims are to: 1) develop, validate, and test a culture- specific measure of masculinity barriers to care relative to CRC screening uptake among African-American men; and 2) develop and pilot test a theory-driven, culture-specific intervention that targets masculinity barriers to care, psychosocial factors, and CRC screening uptake among African-American men. Barbershops are historically known as culturally appropriate and trusted venues in African-American communities, and are critical for this research as they provide a pathway for reaching African-American men with masculinity barriers to care who are not regularly receiving healthcare services, and in particular, CRC screening. The proposed study and integrated training plan well-position Dr. Rogers to launch an independent investigator career focused on informing culture-specific interventions to eliminate cancer inequities among African-American men.

项目总结/摘要 Charles R.罗杰斯，博士，公共卫生硕士，硕士，CHES®的长期职业目标是成为一名独立的研究人员， 利用基于社区的方法来制定，实施和评估特定文化的干预措施， 消除非裔美国人之间的癌症差异。培训、研究和奖学金活动 由国家癌症研究所（NCI）指导研究科学家发展奖促进， 多样性（K01）将为罗杰斯博士提供受保护的时间，以获得实现他的目标所必需的培训。 长期职业目标。K01的三个关键培训领域包括仪器开发和验证， 混合方法研究以及干预措施的制定和评价。一个三管齐下的方法已经 由罗杰斯开发，以达到他的长期职业目标，并完成他的K01计划，包括：1）一个恒星队 跨学科的导师和合作者谁将指导他的研究和职业发展; 2） 创新的研究性学习与他的培训目标相结合，设计严谨，科学 相关; 3）教学课程，专业交流和基于现有资源的研讨会 明尼苏达大学医学院及其NCI指定的共济会癌症中心。的目的 博士罗杰斯的研究计划包括开发和试点测试理论驱动的，文化特定的干预， 专门针对非洲裔美国男性的男性障碍护理和结直肠癌（CRC）摄取 (ages 45 - 75）。CRC是可以预防的，因为筛查可以识别和切除癌前息肉; 然而，在所有性别中，非洲裔美国男性的CRC死亡率始终最高， 种族/民族群体;他们的CRC筛查摄取率仍然很低，原因不明。死因是 病因复杂，但文化特异性的男性障碍，以照顾可能有助于低CRC筛查 在非裔美国人中的应用检查男性对护理的障碍是至关重要的，因为CRC筛查可能 挑战非洲裔美国人的一些文化角色期望和自我表现，他们的倾向是 拖延求助就医。该研究的具体目标是：1）开发，验证和测试文化- 与非裔美国男性接受CRC筛查相关的男性障碍的具体措施; 和2）开发和试点测试理论驱动的，针对男性障碍的文化特定的干预措施， 护理、心理社会因素和非裔美国男性的CRC筛查摄取率。理发店是 历史上被认为是非洲裔美国人社区文化上适当和值得信赖的场所， 因为他们提供了一条途径，让非洲裔美国男性在护理方面遇到男性障碍， 没有定期接受医疗保健服务，特别是CRC筛查。拟议的研究和 综合培训计划良好的位置罗杰斯博士推出独立的研究者职业生涯的重点是 为特定文化的干预提供信息，以消除非洲裔美国人中的癌症不平等。