Pilot Project 2 (CRC)

试点项目2：项目摘要 NCI筛查拯救（S2 S）成功地提高了人们对结直肠癌（CRC）的认识， 筛查对预防和早期发现的重要性。到2018-2020年使用S2 S工具和方法， 我们的团队教育了超过211人，但确定了更有效地接触非洲裔美国人的必要性， (AA)黑人只占我们录取人数的10%。AA/黑人男性的CRC高出24% 在所有种族/族裔群体中，发病率高47%，死亡率高47%，CRC生存率最低。此外，委员会认为， AA/黑人男性的CRC筛查参与率比其他群体低10%-30%。因为CRC 是为数不多的几种癌前和早期疾病可以被识别和成功治疗的癌症之一 通过预防性筛查，量身定制的干预措施，可以成功地增加AA/黑人男性的CRC 筛选参与至关重要。该提案的目标是收集关于AA/黑人男性的深入信息， CRC筛查的信念、态度和价值观，为制定适合文化背景的移动健康干预措施提供信息 旨在提高CRC筛查参与率。改造传统的S2 S材料内容， 交付，这项研究将开发和测试增强mHealth交付材料，解决结构， 阻碍了AA/黑人男性特定筛查摄取。其次，我们将测试干预交付的可行性 使用一种新的mHealth平台，以前没有用于CRC筛查干预。这项研究利用了一个 现有的教育战略、机构承诺以及注入技术和定制信息的专业知识 来解决一个重要的公共卫生问题如果成功，S2 S mHealth具有广泛传播的潜力 通过39个非小岛屿国家网络及其他网络进行传播。目标1.确定与自我报告相关的因素 弗吉尼亚州彼得堡AA/黑人男性（n=175）的CRC筛查行为。H1.1。缺乏社会支持， 医疗不信任和感知歧视将与自我报告的筛查呈负相关 行为（以往和最新）。H2.2。更高的预防保健行为参与度和更高的感知风险 将与更高的CRC筛查完成率相关。Subaim 1a。检查以下因素之间的潜在相互作用： 感知歧视，医疗不信任和预防保健行为的参与。H1.3。增加 歧视的观念和更大的医疗不信任将削弱预防之间的关系， 护理和自我报告的筛查（以往和最新）。目标2.为AA/黑人男性开发定制的S2 S内容， 使用短视频和基于文本的信息的组合进行交付，这些信息经过优化，可通过QR码进行交付 for smartphones智能手机.目标3.评估为AA/黑人男性提供增强型S2 S干预的可行性 （n=30）通过当地理发店交付。H3.1。扫描二维码的人中有50%会同意参加 70%的同意者将完成随访调查（第12周）。H2.2。大多数男性（≥75%）会感到满意 与S2 S移动健康干预的内容和交付模式。H3.3。大多数男性（≥60%）完成 增强的S2 S将在干预后12周报告筛查完成情况。

PILOT PROJECT 2: PROJECT SUMMARY The NCI Screen to Save (S2S) has successfully increased awareness about colorectal cancer (CRC) and the importance of screening for prevention and early detection. Using S2S tools and methods through 2018-2020, our team educated over 211 individuals but identified the need to more effectively reach African American (AA)/Black men who represented only 10% of those we enrolled. AA/Black men experience 24% higher CRC incidence, 47% higher mortality, and have the shortest CRC survival rates of all racial/ethnic groups. Moreover, CRC screening participation rates among AA/Black men are 10%-30% lower than other groups. Because CRC is one of few cancers for which precancerous and early stage disease can be identified and treated successfully through preventive screening, tailored interventions that can successfully increase AA/Black men’s CRC screening participation are critical. The goal of this proposal is to collect in-depth information on AA/Black men’s CRC screening beliefs, attitudes and values to inform the development of culturally tailored mHealth intervention designed to improve CRC screening participation. Transforming the traditional S2S materials content and delivery, this study will develop and test enhanced mHealth delivered materials that address constructs that impede screening uptake specific to AA/Black men. Secondly, we will test the feasibility of intervention delivery using a novel mHealth platform, not previously used by CRC screening interventions. This study leverages an existing educational strategy, institutional commitment, and expertise infused technology and tailored messages to address an important public health issue. If successful, S2S mHealth has potential for wide-spread dissemination with the 39 NON-S2S network and beyond. Aim 1. Determine factors associated with self-reported CRC screening behaviors among (n=175) AA/Black men in Petersburg, VA. H1.1. Lack of social support, higher medical mistrust, and perceived discrimination will be negatively associated with self-reported screening behaviors (ever & up-to-date). H2.2. Higher engagement in preventive care behaviors and greater perceived risk will be associated with higher completion of CRC screening. Subaim1a. Examine potential interactions between perceived discrimination, medical mistrust and engagement in preventive care behaviors. H1.3. Increased perceptions of discrimination and greater medical mistrust will attenuate the relationship between preventive care and self-reported screening (ever & up-to-date). Aim 2. Develop tailored S2S content for AA/Black men to be delivered using a combination of short video and text-based information optimized for delivery via QR codes for smartphones. Aim 3. Evaluate the feasibility of delivering the enhanced S2S intervention for AA/Black men (n=30) delivered via local barbershops. H3.1. 50% of those who scan the QR code will consent to participate and 70% of those consented will complete follow-up surveys (weeks 12). H2.2. Most men (≥75%) will be satisfied with the content and mode of delivery of the S2S mHealth intervention. H3.3. Most men (≥60%) who complete the enhanced S2S will report screening completion at 12-weeks post intervention.