BREAST CANCER EDUCATION FOR OLDER URBAN MINORITY WOMEN

产品说明： （申请人摘要） 老年低收入城市少数群体 女性乳腺癌的发病率高， 可以避免的诊断延误 乳腺癌筛查是 这一群体的利用不足和既定的干预措施， 大部分无效。 她们对乳房的需求最大 美国大规模癌症教育 亚群 这一需求将通过建立一个社区来满足- 基于乳腺癌教育计划的同行团队领导人在两个 低收入独立生活设施。 同伴志愿者计划 由圣路易斯市一家大型社会服务机构协调， 在研究中合作。 在社区组织上发展起来的 在20世纪80年代初的模型与邻里居民的投入，这 志愿者计划支持老年人独立生活（60岁以上） 成年人了 该项目的志愿者团队负责人 与指定的团队成员同行联系。 拟议课程 团队领导者以健康教育和社区理论为基础 organization. 它将强调筛查和随访， 明显的乳房问题，压力增加的概率有利 通过团队成员之间的早期发现和治疗寻求结果。 一种带切换的受控准实验研究设计 提出了复制来评估认知和行为结果 在100名志愿者团队领导（每个站点50名）中， 教育和他们所服务的600名团队成员（每个站点300名）。 将随机分配研究中心，作为：1）索引乳腺癌 教育计划网站;或2）不接收 计划一年后。 我们将评估：（一）执行情况 的核心教育计划，以团队领导人在志愿者 社区组织; ii）团队领导者对其他 （可选）教育课程; iii）团队的方式和程度 领导者向团队成员传递沿着信息/鼓励; iv） 关于乳腺癌、筛查和治疗的知识和态度 在教育前后，在团队领导和成员中寻找 主动性;五）组长计划和开展的活动 接受教育后;以及vi）参与乳腺癌 筛选团队领导者及其团队成员之前， 如果成功的话，这个项目 通过志愿者实施乳腺癌教育 由社会服务机构协调的方案将是实质性的。

DESCRIPTION: (Applicant's Abstract) Older low-income urban minority women have high incidence and late detection of breast cancer due to avoidable diagnostic delays. Breast cancer screening is underutilized by this group and established interventions have been largely ineffective. They have the greatest need for breast cancer education among large well-defined United States subpopulations. This need will be met by implementing a community- based breast cancer education program among peer team leaders in two low- income independent living facilities. A peer-volunteer program coordinated by a large social service agency in urban St. Louis will collaborate in the study. Developed on a community organization model in the early 1980s with input from neighborhood residents, this volunteer program supports independent living of older (60 plus) adults. Volunteer team leaders from the program maintain contact with designated team member peers. Proposed curriculum for team leaders is grounded in theories of health education and community organization. It will emphasize screening and follow-up for apparent breast problems, stress increased probability of favorable outcomes via early detection and treatment seeking among team members. A controlled quasi-experimental research design with switching replication is proposed to evaluate cognitive and behavioral outcomes among 100 volunteer team leaders (50 per site) who receive the eduction and the 600 team members (300 per site) whom they serve. Sites will be randomly assigned to act as: 1) the index breast cancer education program site; or 2) a comparison site not receiving the program until one year later. We will evaluate:i) implementation of the core educational program to team leaders in the volunteer community organization; ii) team leaders' choices of additional (optional) education sessions; iii) means by and degree to which team leaders pass along information/encouragement to team members; iv) knowledge and attitudes about breast cancer, screening, and treatment seeking among team leaders and members before and after the eduction initiative; v) activities planned and conducted by team leaders following their education; and vi) participation in breast cancer screening among team leaders and their team members before and after the education initiative.If successful, this program's implementations for breast cancer education through volunteer programs coordinated by social service agencies would be substantial.