Cancer Prevention and Control

美国印第安人和阿拉斯加原住民的癌症预防和控制：项目摘要 关于美洲印第安人和阿拉斯加州癌症预防和控制或癌症病因学的研究很少 美国的原住民（AI/AN）包括AI/AN人作为调查员。担任主要研究者的AI/AN 在癌症研究中是特别罕见的。尽管许多非AI/AN的癌症控制研究 在部落社区进行的癌症治疗是出于减少癌症发病率的良好意愿， 由于癌症死亡率低，他们往往未能减少部落人口中与癌症有关的差距。 这种缺乏进展的情况部分与“局外人”在与AI/AN合作时遇到的许多挑战有关 社区，包括缺乏信任，这可能需要多年才能建立。AI/AN调查员发挥关键作用 在癌症控制项目中，显然需要更有效地解决AI/AN中的癌症负担 保护区和城市社区。该项目的基本原理是训练有素的AI/AN 研究人员将具有文化能力，并将被视为值得信赖和可信的研究人员， 将参与AI/AN实施的研究项目或受其影响的社区成员 参与这个计划。不仅是受训者可能会在各自的工作和生活， 社区，但他们比非AI/AN更有可能知道土著语言， 愿意长期留在自己的社区。基于我们在这一领域的早期成功，我们的目标是： 1）招募和保留40名合格的AI/AN研究人员，他们寻求癌症控制研究的额外培训 以及实施癌症控制项目; 2)设计和提供一个量身定制的为期三周的癌症控制研究课程， 教师和顾问，导致一个顶点癌症预防研究项目，为每个学员; 3)提供后续支持，包括实地支持、远程学习机会和辅导， 在完成癌症控制研究的正式课程后接受培训;以及 4)提供对该计划的全面评估，并对每个受训者进行评估，以实现特定的 基准，包括在国家会议上发言，提交手稿，对许多人来说， 研究生学习的重点是癌症预防。 我们显然需要更大的联邦投资在训练有素的人工智能/人工神经网络癌症控制研究人员身上， 科学严谨，他们将在AI/AN人群中实施研究，以提高癌症发病率和风险。

Cancer Prevention and Control in American Indians and Alaska Natives: Project Summary Few studies of cancer prevention and control or of cancer etiology among American Indians and Alaska Natives (AI/ANs) in the US have included AI/AN people as investigators. AI/ANs in Principal Investigator roles in cancer research have been particularly uncommon. Although many cancer control studies by non-AI/ANs in tribal communities have been conducted with good intentions toward reduction of cancer incidence and mortality, they have often failed to achieve a reduction in cancer-related disparities among tribal populations. This lack of progress is partly related to the many challenges that 'outsiders' experience in working with AI/AN communities, including the lack of trust that may take many years to establish. AI/AN investigators in key roles in cancer control projects are clearly needed to more effectively address the cancer burden in AI/AN communities, both reservation-based and urban. The rationale for the project is that well-trained AI/AN researchers will have cultural competency and will be viewed as trustworthy and credible researchers by community members who will participate in, or be affected by, research projects implemented by the AI/AN participants in this program. Not only are the trainees likely to be working and living in their respective communities, but they are more likely than non-AI/ANs to know the indigenous language and are more motivated to stay in their communities long-term. Building on our earlier success in this area, our aims are: 1 ) to recruit and retain 40 qualified AI/AN researchers who seek additional training in cancer control research and in the implementation of cancer control projects; 2) to design and offer a tailored three-week cancer control research curriculum using experienced and qualified faculty and consultants, leading to a capstone cancer prevention research project for each trainee; 3) to provide follow-up support, including field support, distance learning opportunities, and mentoring to the trainees after they complete the formal curriculum in cancer control research; and 4) to provide thorough evaluation of the program, and of each trainee as they work to achieve specific benchmarks, including presenting a national meetings, submitting manuscripts, and for many, completing graduate studies focused on cancer prevention. We clearly need a larger federal investment in well trained AI/AN cancer control researchers who can bring scientific rigor to studies they will implement in AI/AN populations, to improve cancer rates and risks.