POR LA VIDA MODEL IN CANCER PREVENTION

描述：（申请人的摘要）西班牙裔妇女在增加 由于临床乳腺癌使用率低， 检查和乳房X光检查。 传统的健康促进工作 被发现对西班牙裔妇女几乎没有影响，因为 语言、文化和经济障碍以及健康促进 努力很少嵌入现有的社交网络内， 西班牙裔社区 一项创新的健康促进战略， “Por La维达”，建立了以社区为基础的健康促进 利用现有的社交网络， 当代社会学习和社会支持理论。 以Por La维达模式为基础的干预措施取得了成功 改变与心血管风险相关的行为， 最近，预防乳腺癌和宫颈癌。 我们建议进一步 制定和实施这些干预措施，以降低乳腺癌风险， 在生活在圣地亚哥县的西班牙裔妇女中进行评估， 研究干预在友谊和家庭中的扩散 计划参与者的网络。 大约20个理事会（即，联系人）将从 圣地亚哥的西班牙裔社区，并在Por La维达接受训练， 乳腺癌的预防 每一个Por La维达将招募 10名和15名来自社区的同行将被登记为参与者， 乳腺癌预防计划。 大约250名妇女 将接受基于Por La的癌症预防干预 维达模型。 此外，每个项目参与者将 在她们现有的社交网络中找出两名妇女， 将分享预防乳腺癌的信息。即一个 另有500名妇女将间接受益于Por La维达计划 程序. 干预措施的评价依赖于前后测 设计 具体而言，调查人员将调查（1） （2）按计划实施干预措施的影响 乳腺癌预防知识干预的效果 癌症筛查对计划参与者的影响，以及（3） 传播预防癌症的信息， 节目参与者的朋友和家人。 执行 的 干预将 评估 通过不引人注目的观察， 正在举行的届会，理事会在每次届会结束后完成的报告 会议、出席记录和在汇报会上收集的信息 与理事会的会议。 将收集结局指标 通过电话采访。 其中包括：（1） 乳腺癌筛查，（2）接受乳房X光检查，（3） 接受专业的乳房体检，（4） 乳房自我检查，（5）危险因素的知识， 乳腺癌的早期症状 将使用参数分析数据 非参数多变量模型

DESCRIPTION: (Applicant's Abstract) Hispanic women are at an increased risk for mortality from cancer because of low use of clinical breast examination and mammography. Traditional health promotion efforts have been found to have little effect on Hispanic women because of language, cultural, and economic barriers, and health promotion efforts are rarely embedded in existing social networks within the Hispanic community. An innovative health promotion strategy, known as Por La Vida, establishes community-based health promotion interventions, utilizing existing social networks and building on contemporary theories of social learning and social support. Interventions based on the Por La Vida, model have been successful in modifying behaviors relevant to cardiovascular risk and, most recently, breast and cervical cancer prevention. We propose to further develop and implement these interventions for breast cancer risk, to evaluate them in Hispanic women living in San Diego County, and to study the diffusion of the intervention into the friendship and family networks of program participants. Approximately 20 consejeras (i.e., link persons) will be recruited from the Hispanic community in San Diego and trained in the Por La Vida, breast cancer prevention. Each Por La Vida will then recruit between 10 and 15 peers from the community to be enrolled as participants in the breast cancer prevention program. Thus, approximately 250 women will receive the cancer prevention intervention based on the Por La Vida model. In addition, each of the program participants will identify two women in their existing social networks with whom they will share information about breast cancer prevention. That is, an additional 500 women will benefit indirectly from the Por La Vida program. The evaluation of the intervention relies on a pretest-posttest design. Specifically, the investigators will investigate (1) the extent to which the intervention was implemented as planned, (2) the impact of the intervention on knowledge of cancer prevention and breast cancer screening on program participants, and (3) the impact of the diffusion of cancer prevention information mediated through program participants to friends and family. Implementation of the intervention will be assessed by unobtrusive observations of ongoing sessions, reports by the consejeras completed after each session, records of attendance, and information collected at debriefing meetings with consejeras. Outcome measures will be collected through telephone interviews. They will include (1) knowledge of breast cancer screening tests, (2) receiving a mammography, (3) receiving a professional breast physical examination, (4) conducting breast self-examination, and (5) knowledge of risk factors and symptoms of breast cancer. Data will be analyzed using parametric and nonparametric multivariate models.