Research Project

研究项目

• 批准号: 8033523
• 负责人: PAUL A. GODLEY
• 金额: $ 45.39万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-01 至 2015-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8033523
• 关键词: African; African American; Age; Clinic; Colonoscopy; Communities; County; Diagnostic; Endoscopy; Funding; Goals; Guidelines; Health Communication; Healthcare Systems; Individual; Low income; Mails; Malignant Neoplasms; Media Intervention; Morbidity - disease rate; North Carolina; Pilot Projects; Provider; Research; Research Project Grants; Risk; Screening procedure; Services; Survival Rate; System; Uninsured; aged; base; colorectal cancer screening; cost; design; evidence base; follow-up; improved; member; programs

PROJECT SUMMARY: The proposed research project is designed to build on findings from a recently completed CCN pilot study, Improving colorectal cancer screening: enhancing systems and health communication. The overall goal for the proposed project remains the same as that of the pilot project: to close gaps in colorectal cancer screening and survival rates among uninsured and African American individuals in Guilford County, North Carolina. The overall goal for the proposed project is to close gaps in colorectal cancer screening and survival rates among uninsured and African American individuals in Guilford County, North Carolina. Based on findings from the pilot project and on research partnerships with community members indicafing the confinuing need to close the gap in colorectal cancer screening among uninsured African American individuals in Guilford County, we propose three aims for this research project: 1) Develop a CRC screening risk profile to esfimate minimal systems requirements for implemenfing guidelinecompliant CRC screening and diagnostic follow-up for low income individuals aged 50 years and over attending free clinics in Guilford County; 2) Determine if receipt ofa small media intervenfion (re-packaged FIT Kit) increases return rates compared to receipt of usual FIT by African Americans aged 50 or over at average CRC risk and attending free clinics in Guilford County; and 3) Develop and disseminate using evidence-based approaches specific products and content based on the CRC Screening Risk Profile (Aim 1) for both a primary audience of endoscopy providers as well as other audiences including community partners, health care systems, funding organizations and the NC Comprehensive Cancer Program.

项目摘要：拟议的研究项目旨在以最近完成的 CCN 试点研究“改善结直肠癌筛查：增强系统和健康沟通”的结果为基础。拟议项目的总体目标与试点项目相同：缩小北卡罗来纳州吉尔福德县无保险和非裔美国人在结直肠癌筛查和生存率方面的差距。拟议项目的总体目标是缩小北卡罗来纳州吉尔福德县未参保和非裔美国人在结直肠癌筛查和生存率方面的差距。根据试点项目的调查结果以及与社区成员的研究伙伴关系，表明持续需要缩小吉尔福德县未参保的非裔美国人中结直肠癌筛查的差距，我们为该研究项目提出了三个目标： 1) 制定 CRC 筛查风险概况，以评估对吉尔福德县免费诊所的 50 岁及以上低收入个人实施符合指南的 CRC 筛查和诊断随访的最低系统要求； 2) 确定平均年龄在 50 岁或以上的非裔美国人中，与接受常规 FIT 相比，接受小型媒体干预（重新包装的 FIT 套件）是否会提高退货率 结直肠癌风险和去吉尔福德县的免费诊所就诊； 3) 使用循证方法，针对内窥镜检查提供者的主要受众以及社区合作伙伴、医疗保健等其他受众，开发和传播基于 CRC 筛查风险概况（目标 1）的特定产品和内容 系统、资助组织和北卡罗来纳州综合癌症计划。