Development of a Cervical Cancer Screening Program for Refugee Women

为难民妇女制定宫颈癌筛查计划

• 批准号: 8884010
• 负责人: VICTORIA M TAYLOR
• 金额: $ 20.16万
• 依托单位: FRED HUTCHINSON CANCER RESEARCH CENTER
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-03-01 至 2017-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8884010
• 关键词: 21 year old; Address; Attention; Behavioral Model; Bhutan; Cancer Control; Cancer Control Research; Caring; Centers for Disease Control and Prevention (U.S.); Cervical Cancer Screening; Chronic Disease; Collaborations; Communities; Country; Data; Developed Countries; Developing Countries; Development; Disease; Evaluation; Focus Groups; Future; Goals; Health; Health care facility; Health system; Human Resources; Immigrant; Incidence; Intervention; Interview; Knowledge; Logistics; Malignant Neoplasms; Malignant neoplasm of cervix uteri; Myanmar; National Cancer Institute; Outcome; Pattern; Prevention Guidelines; Prevention strategy; Preventive; Process; Program Acceptability; Program Evaluation; Readiness; Recommendation; Refugees; Research; Research Personnel; Research Support; Screening for cancer; Secondary Prevention; Services; Specific qualifier value; Testing; United States; Vulnerable Populations; Washington; Woman; Work; behavioral/social science; cancer health disparity; community organizations; disorder prevention; experience; health disparity; informant; innovation; interest; intervention program; mortality; programs; public health relevance; satisfaction; screening; social science research; theories; therapy development; uptake

 DESCRIPTION (provided by applicant): Since 1975, more than 3 million refugees have been resettled in the United States. Currently, about one-half of all newly admitted refugees are from Bhutan or Burma. Regular cervical cancer screening is recommended for all women ages 21-65. Refugee groups have very high cervical cancer incidence rates and very low cervical cancer screening rates. Centers for Disease Control and Prevention guidelines specify that refugee women should be offered cervical cancer screening early in their resettlement period. Multiple organizations provide services to newly and recently arrived refugees; these organizations include voluntary resettlement agencies, mutual assistance associations, ethnic community organizations, local health departments, and health care facilities that serve vulnerable groups. Our long-term goal is to evaluate a contextually relevant cervical cancer control program targeting refugee women during their resettlement. The program would involve use of culturally tailored videos, as well as logistic assistance accessing screening services (i.e. navigation). Refugee resettlement organization personnel would implement the intervention components. This developmental application has the following objectives: (1) Through focus group research, identify and describe cervical cancer screening barriers and facilitators among refugee women; (2) Develop culturally tailored educational and motivational cervical cancer screening videos (that could be used in multiple resettlement settings); (3) Pilot test the intervention program (video use and logistic assistance), and conduct an exploratory evaluation of the program; and (4) Through key informant interviews with representatives from refugee resettlement organizations, assess refugee organizations readiness to implement our intervention program during the resettlement process. The investigator group has extensive experience working with refugee communities and resettlement organizations, as well as conducting cervical cancer control research in vulnerable populations. Our research will be conducted in Washington State. This developmental research will focus on refugee women from Bhutan and Burma (who are particularly unfamiliar with western health systems, as well as concepts of cancer and preventive care). However, our intervention program could be adapted for use with other refugee groups in the future. We will collaborate with a community advisory group (that includes representatives from refugee resettlement organizations) throughout the project. The Behavioral Model for Vulnerable Populations will guide all aspects of our research with refugee women. Weiner's Theory of Organizational Readiness will guide our key informant interviews with representatives from refugee resettlement organizations. Our exploratory evaluation will include assessments of the videos' potential effect on intermediate outcomes (e.g. knowledge and screening intentions), the videos' acceptability (i.e. women's satisfaction with the videos), and demand for logistic assistance (i.e. women's uptake of logistic assistance).

 描述(申请人提供)：自1975年以来，已有300多万难民被重新安置在美国。目前，所有新接收的难民中约有一半来自不丹或缅甸。建议21-65岁的所有女性定期进行宫颈癌筛查。难民群体的宫颈癌发病率很高，而宫颈癌筛查率很低。疾病控制和预防中心的指导方针规定，难民妇女应该在重新安置期间早期接受宫颈癌筛查。多个组织向新到的难民提供服务；这些组织包括自愿重新安置机构、互助协会、少数民族社区组织、当地卫生部门和为弱势群体服务的卫生保健机构。我们的长期目标是评估一项针对难民妇女重新安置期间的与背景相关的宫颈癌控制计划。该计划将涉及使用文化定制的视频，以及获得筛选服务(即导航)的后勤援助。难民重新安置组织人员将实施干预部分。这一开发应用程序有以下目标：(1)通过焦点小组研究，确定和描述难民妇女中的宫颈癌筛查障碍和促进者；(2)开发文化定制的教育和激励宫颈癌筛查视频(可以在多种重新安置环境中使用)；(3)试点测试干预计划(视频使用和后勤援助)，并对该计划进行探索性评估；以及(4)通过与难民重新安置组织代表的关键线人访谈，评估难民组织在重新安置过程中实施我们的干预计划的准备情况。该调查组拥有与难民社区和重新安置组织合作的丰富经验，以及在弱势人群中开展宫颈癌控制研究。我们的研究将在华盛顿州进行。这项发展研究将侧重于来自不丹和缅甸的难民妇女(她们特别不熟悉西方卫生系统以及癌症和预防性护理的概念)。然而，我们的干预计划可能会被改编用于未来的其他难民群体。我们将在整个项目期间与一个社区咨询小组(包括难民重新安置组织的代表)合作。弱势群体行为模式将指导我们对难民妇女的所有方面的研究。韦纳的组织准备理论将指导我们的主要线人采访难民重新安置组织的代表。我们的探索性评估将包括评估视频对中间结果的潜在影响(例如，知识和筛查意图)、视频的可接受性(即妇女对视频的满意度)以及对后勤援助的需求(即妇女接受后勤援助)。