POR LA VIDA INTERVENTION MODEL IN CANCER EDUCATION

通过以下途径降低癌症发病率和死亡率的潜力 预防和早期发现似乎是很重要的。 展示了营养在预防癌症中的重要作用。 因为西班牙裔社区的许多成员进入的渠道有限 获得医疗保健服务并需要健康促进 服务，西班牙裔社区是一个合适的目标 专门的癌症预防工作。特别是，西班牙裔 低文化适应程度和低正规教育水平是一种 关于营养癌症控制的教育最重要的目标。 Por La Vida干预模式建立以社区为基础 健康促进干预，利用现有的社会网络 并建立在当代社会学习和社会理论的基础上 基于Por La Vida模式的支持干预措施 成功改变与心血管风险相关的行为 最近，还有乳腺癌和宫颈癌的预防。这 研究是一个项目的竞争性更新，它检查 波拉维达乳房介入治疗的效果观察 癌症教育。这项建议将扩大 开展癌症营养宣教干预。另一个目标是 这项建议是为了让加州大学圣地亚哥分校的医学生和住院医生熟悉 在Por La Vida介入的家庭医学计划中 在癌症教育中树立榜样，鼓励学生发展和 完成相关研究项目。大约36个康塞耶拉人 将从圣地亚哥的西班牙裔社区招募 接受培训以指导--教育会议。每一次会议都会 然后从社区中招募10到15名同事来 参加教育项目。此外，每一个 计划参与者将确定他们现有的两名成年人 他们将与之分享癌症信息的社交网络 预防。具有前测的随机实验对照研究， 后测和后续调查的目的是评估 教育干预。一半的康塞杰拉人将是 在Por La Vida接受培训并将开展教育课程 营养癌症控制课程。世界的另一半 Consejera将接受Por La VIIa胸部和颈部的培训 癌症早期检测课程。我们将研究在多大程度上 干预措施按计划实施。此外，我们 将调查(L)干预对知晓率的影响 营养性癌症预防和乳腺癌筛查在计划中 参与者，以及(2)癌症扩散的影响 通过计划参与者传递的预防信息 朋友和家人。结果衡量标准将通过以下方式收集 电话采访和审查医疗记录。此外, 将进行面对面的访谈，收集为期三天的食物 15%的项目参与者的记录。

The potential for reducing cancer incidence and mortality through prevention and early detection appears to be large.Research is showing the important role of nutrition in preventing cancer. Because many members of the Hispanic community have limited access to health care services and are in need of health promotion services, the Hispanic community is an appropriate target for specialized cancer prevention efforts. In particular, Hispanics of low level of acculturation and low level of formal education are a most important target for education about nutrition cancer control. The Por La Vida intervention model 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. This study is a competing renewal of a project that examines the effectiveness of the Por La Vida intervention in the area of breast cancer education. This proposal will expand the scope of the intervention to nutrition cancer education. An additional goal of this proposal is to familiarize UCSD medical students and residents in the Family Medicine program with the Por La Vida intervention model in cancer education, and to encourage students to develop and complete related research projects. Approximately 36 consejeras will be recruited from the Hispanic community in San Diego and trained to conduct-the educational sessions. Each consejera will then recruit between 10 to 15 peers from the community to participate in the educational program. In addition, each of the program participants will identify two adults in their existing social networks with whom they will share information about cancer prevention. A randomized experimental control study with pretest, posttest, and follow-up has been designed to assess the impact of the educational interventions. Half of the consejeras will be trained and will conduct educational sessions in the Por La Vida nutrition cancer control curriculum. The other half of the consejeras will be trained in the Por La Viia breast and cervical cancer early detection curriculum. We will examine the extent to which the interventions are implemented as planned. Furthermore we will investigate (l) the impact of the intervention on knowledge of nutrition cancer prevention and breast cancer screening on program participants, and (2) the impact of the diffusion of cancer prevention information mediated through program participants to friends and family. Outcome measures will be collected through telephone interviews and review of medical records. In addition, face-to-face interviews will be conducted to collect three-day food records from 15% of the program participants.