Distance Education to Engage Alaskan Community Health Aides in Cancer Control

描述（由申请人提供）：远程教育，以从事阿拉斯加的社区卫生援助在癌症控制是符合PAR-12 - 049的目的，以支持创新的教育计划，减少癌症的负担，提高癌症患者的生活质量。癌症是阿拉斯加原住民的主要死因，与美国其他人口相比，他们的癌症发病率和死亡率更高。超过一半的阿拉斯加原住民生活在178个没有公路系统的农村社区，并接受阿拉斯加受过专门训练的乡村社区卫生助理和社区卫生从业人员的护理。在社区一级为CHA/P提供及时、医学上准确的癌症教育是改善癌症控制的关键组成部分。配备了文化上尊重的远程癌症教育，CHA/Ps将处于理想的位置，以支持社区成员修改行为风险因素，倡导和安排适当的筛查检查，并确定癌症警告信号，以便将患者转诊进行早期诊断和治疗。成人学习理论，土著知识和大众教育的原则将为11个异步学习模块的开发提供信息，这些模块将在ESTA网站上提供给任何人，以增加他们的癌症知识，并包括在12周的远程学习课程中。作为每周1.5小时同步学习部分的一部分，参与者将综合并应用他们的癌症知识，以数字故事的形式创建2 - 3分钟的个人癌症相关健康信息，以支持社区外展工作。开发，实施和评估这个多维度互动在线学习课程的动态过程是由癌症教育的社会文化方法所告知的。在这一方法中，文化价值观、信仰和行为被确认为智慧和复原力的所在，并建立在为健康信息提供背景和意义的基础上。我们的目标是1：开发一个模式，尊重文化的远程学习与阿拉斯加土著人民。2：根据面对面的“了解癌症”课程，为阿拉斯加的CHA/Ps创建一个在线癌症教育课程。3：通过远程学习，与阿拉斯加的CHA/P一起提供尊重文化的癌症教育课程。评估在线癌症教育以及参与如何影响CHA/Ps的癌症知识，态度和行为。使用混合方法的方法评估数据将收集在课程前的需求评估，课程结束时的书面评估，2 - 3个月的课程后的采访，和5 - 6个月的互联网调查。结果指标将评估计算机熟悉度，谈论癌症的舒适度，癌症知识，态度和自我，与家人和患者护理实践中的癌症风险降低行为。提供与CHA/Ps一起开发并为CHA/Ps开发的尊重文化的远程教育有可能成为传播急需的癌症信息以减轻阿拉斯加土著人民癌症负担的具有成本效益和可持续性的途径。

DESCRIPTION (provided by applicant): Distance Education to Engage Alaska's Community Health Aides in Cancer Control is consistent with the purpose of PAR-12-049 to support innovative education programs that reduce the burden of cancer and improve the quality of life of cancer patients. Cancer is the leading cause of death among Alaska Native people who suffer greater cancer incidence and mortality rates compared to other U.S. populations. Over half of Alaska Native people live in 178 rural communities not on a road system and receive care from Alaska's specially trained, village-based Community Health Aides and Community Health Practitioners (CHA/Ps). Providing CHA/Ps with timely, medically-accurate, cancer education at the community level is a critical component in improving cancer control. Equipped with culturally respectful distance delivered cancer education, CHA/Ps will be in an ideal position to support community members to modify behavioral risk factors, advocate for and schedule appropriate screening exams, and identify cancer warning signs so as to refer patients for early diagnosis and treatment. Principles of adult learning theory, Indigenous knowledge, and Popular Education will inform the development of 11 asynchronous learning modules which will be available on the CHAP website for anyone to increase their cancer knowledge as well as be included in the 12 week distance learning course. As part of the 1.5 hour weekly synchronous learning portion participants will synthesize and apply their cancer knowledge to create a 2-3 minute personal cancer-related health message in the form of a digital story to support community outreach efforts. The dynamic process of developing, implementing, and evaluating this multidimensional interactive online learning course is informed by a socio- cultural approach to cancer education. Within this approach, cultural values, beliefs and behaviors are affirmed as a place of wisdom and resilience, and built upon to provide context and meaning for health information. Our Aims are 1: Develop a model for culturally respectful distance learning with and for Alaska Native people. 2: Create an online cancer education course for Alaska's CHA/Ps based upon the in-person 'Understanding Cancer' curriculum. 3: Deliver a culturally respectful cancer education course with Alaska's CHA/Ps through distance learning. and 4: Evaluate online cancer education and how participation affects CHA/Ps' cancer knowledge, attitudes, and behaviors. Using a mixed methods approach evaluation data will be collected during a precourse needs assessment, end-of-course written evaluation, 2-3 month post course interview, and 5-6 month internet survey. Outcome measures will assess computer familiarity, comfort with talking about cancer, cancer knowledge, attitudes, and cancer risk reduction behaviors for self, with family, and in patient care practices. Providing culturally respectful distance education developed with and for CHA/Ps has the potential to be a cost-effective and sustainable pathway for disseminating much needed cancer information to reduce the burden of cancer among Alaska Native people.