Native Navigators and the Cancer Continuum (NNACC)

描述(由申请人提供)：“原住民导航者与癌症连续体”(NNACC)是一个基于社区的参与性研究(CBPR)项目，基于三个美洲印第安人(Al)社区之间的伙伴关系：(1)科罗拉多州；(2)南达科他州；(3)密歇根州。该项目的目标是让合作伙伴合作，改进、扩展和调整每个合作伙伴环境中使用的各种导航器模式，以满足美洲原住民社区和患者在整个癌症护理连续体系中的需求。这项研究的问题是，“原住民特定的、全面的、由导航者发起的社区癌症教育干预能否改善美国印第安人社区成员的健康行为？这三个项目中的每一个目前都有一个全面的癌症计划的组成部分，但没有一个完全解决癌症护理的完整连续体。通过合作，NNACC合作伙伴将分享他们正在进行的导航模型的成功组件，并改进、调整和扩展现有计划，使其与当地原住民社区和临床环境相关。具体目标如下。目标#1.到2001年年底，行政小组将扩大和加强导航员在职培训，并修改Al社区教育讲习班，以包括癌症护理的全部连续课程。目标2.在02至04年间，每个合作伙伴的项目工作人员将为至少200名未复制的美洲印第安人实施和评估Al社区教育讲习班(来自所有三个合作伙伴的共计600个)。目标#3.在02至04年间，Al社区教育讲习班将使Al参与者的知识和预期行为增加至少25%。目标4：从2002年到2005年，导航员将为在教育干预过程中确定的美国印第安人癌症患者和家庭提供一对一的支持。目的#5.评估和比较Al社区癌症教育干预措施和导航员癌症患者支持努力的过程和结果衡量标准。成果措施将包括但不限于全面的Al Navigator在职培训方案、Al社区教育干预措施、记录社区参与者知识和预期行为增加的评估数据、记录更多和及时获得诊断和治疗服务的跟踪数据以及记录向社区参与者、其各自社区和其他人传播调查结果的记录。

DESCRIPTION (provided by applicant): "Native Navigators and the Cancer Continuum" (NNACC) is a community based participatory research (CBPR) project based on partnerships among three American Indian (Al) communities in: (1) Colorado; (2) South Dakota; and (3) Michigan. The goal of this project is for the partners to collaborate to refine, expand and adapt various navigator models used within each partners' setting to address Native American community and patients' needs throughout the continuum of cancer care. The research question is, "Can a Native specific comprehensive Navigator-initiated community cancer education intervention improve health behaviors among American Indian community members?" Each of the three currently has components of a comprehensive cancer program, but none totally addresses the full continuum of cancer care. Through collaboration, the NNACC partners will share successful components of their ongoing navigation models and refine, adapt, and expand existing programs to be relevant to their local Native communities and clinical settings. The specific aims follow. Aim #1. By the end of year 01, the Administrative Team will expand and enhance the Navigator in-service trainings and modify the Al Community Education Workshops to include the full continuum of cancer care. Aim #2. During years 02 through 04, each Partner's Project Staff will implement and evaluate the Al Community Education Workshops to at least 200 unduplicated American Indians (total n=600 from all three Partners). Aim #3. During years 02 through 04, the Al Community Education Workshops will increase the knowledge and intended behaviors among the Al participants by at least 25%. Aim #4. During years 02 through 05, Navigators will provide one-on-one support for American Indian cancer patients and families identified in the course of the education intervention. Aim #5. Evaluate and compare the process and outcome measures of the Al community cancer education interventions and the Navigators' cancer patient support efforts. Outcome measures will include, but not be limited to comprehensive Al Navigator-in-service training programs, Al community education interventions, evaluation data documenting an increase in community participants' knowledge and intended behaviors, tracking data documenting increased and timely access to diagnostic and treatment services and documentation of dissemination of findings to community participants, their respective communities and others.