Native Navigators and the Cancer Continuum (NNACC)

描述（由申请人提供）：“土著导航员和癌症连续体”（NNACC）是一个基于社区的参与式研究（CBPR）项目，基于三个美国印第安人（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、扩展和调整各种导航模型，在每个合作伙伴的环境中使用，以解决美洲原住民社区和患者在整个癌症治疗过程中的需求。研究的问题是，“由导航员发起的针对印第安人的综合性社区癌症教育干预能否改善印第安人社区成员的健康行为？”目前，这三种方法都有一个全面的癌症项目的组成部分，但没有一种完全解决了癌症治疗的完整连续性。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成部分，并改进、调整和扩展现有项目，使其与当地土著社区和临床环境相关。具体目标如下。目标# 1。到2011年底，行政团队将扩大和加强领航员在职培训，并修改人工智能社区教育讲习班，以包括完整的癌症护理。目标# 2。在2002年至2004年期间，每个合作伙伴的项目工作人员将向至少200名非复制的美洲印第安人（三个合作伙伴共600人）实施和评估人工智能社区教育讲习班。目标# 3。在2002年至2004年期间，人工智能社区教育研讨会将使人工智能参与者的知识和预期行为增加至少25%。目标# 4。在2002年至2005年期间，Navigators将为在教育干预过程中发现的美国印第安癌症患者和家庭提供一对一的支持。目标# 5。评估和比较人工智能社区癌症教育干预和导航员癌症患者支持工作的过程和结果。结果测量将包括但不限于全面的人工智能在职导航员培训计划、人工智能社区教育干预措施、记录社区参与者知识和预期行为增加的评估数据、记录诊断和治疗服务增加和及时获得的跟踪数据，以及记录向社区参与者、他们各自的社区和其他人传播的发现。

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.