Diverse Screening Histories--Persons, Groups, Behaviors

描述（由申请人提供）：本K 05申请概述了 旨在扩大癌症背景的五年期活动 我从90年代初开始进行的对照研究。 我的研究 数据主要是关于乳房X线摄影的利用， 通过干预研究和调查数据分析， 识别筛选的相关性。 此外，这项研究已经完成， 主要是白人女性。 根据K 05指南的要求， 应用程序有三个组成部分：现有研究的继续， 开发新的研究，并指导初级研究人员， 癌症控制的职业生涯。 新的研究活动跨越仪器开发， 结构验证、大型数据集分析和干预 发展 这些活动围绕五个具体目标组织： （1.）继续研究阶段性变化的适用性 在特殊人群中进行乳腺癌筛查，并开始 结肠直肠癌筛查调查（包括有色人种）; （2.）扩大癌症筛查干预材料的开发， 有色人种;（3）要调查多个状态的相关性， 筛查实践，以制定干预措施，解决两个或两个以上 干预行为;（4.）为了调查有另一个吸烟者 家庭，因为它可能影响癌症筛查做法的绩效; （五）为了调查个人筛查史的多样性， 作为一种癌症筛查程序;以及 未被筛查为癌症的“口袋”或亚群 筛选程序被更广泛地采用。 这些活动将通过与一个国家小组合作实施， 我与之建立关系的调查人员，包括最初的 与项目开发和干预计划合作。 初级辅导 研究人员将参与这些活动，因为他们制定自己的 研究计划。

DESCRIPTION (provided by applicant): This K05 application outlines a five-year set of activities that are intended to expand the contexts of cancer control research that I have conducted since the early l990's. My research to date has been done primarily on the topic of utilization of mammography, and has been done through both intervention studies and analyses of survey data to identify correlates of screening. In addition, that research has been done with primarily Caucasian women. As required by the K05 guidelines, the application has three components: the continuation of existing research, the development of new research, and the mentoring junior investigators for careers in cancer control. The new research activities span instrument development for theoretical construct validation, analyses of large datasets, and intervention development. These activities are organized around five Specific Aims: (1.) To continue to investigate the applicability of stage-of-change constructs to breast cancer screening among special populations, and to begin investigation of colorectal cancer screening (including for persons of color); (2.) To expand the development of cancer screening intervention materials for persons of color; (3.) To investigate correlates of status on more than one screening practice, to develop interventions that address two or more behaviors in an intervention; (4.) To investigate having another smoker in the household, as it may influence the performance of cancer screening practices; (5.) To investigate both the diversity of personal screening histories that evolve as a cancer screening procedure is adopted in the population; and the "pockets" or sub-populations of persons who remain unscreened as a cancer screening procedure is more widely adopted. These activities will be implemented by working with a national group of investigators with whom I have established relationships, including initial work with item development and intervention planning. Mentored junior investigators will participate in these activities, as they develop their own programs of research.