Centers of Excellence in Cancer Communications Research

摘要：本CECCR的最终目的是提高非裔美国人癌症交流的有效性。我们提出的研究将有助于确定将癌症交流整合到不同非裔美国人群体的文化规范、价值观和信仰中的策略，评估这些策略的效果，并解释它们影响癌症相关信仰和实践的机制。CECCR包括三个主要研究、四个核心组成部分和一个试点研究项目。研究1将用录像带记录80名非裔美国女性乳腺癌幸存者的故事，研究这些故事在900名非裔美国女性中促进乳房x光检查的有效性，并测试叙事癌症传播效应的新解释模型。通过讲故事的方式进行基于经验的交流深深植根于非裔美国女性的文化中，并有望促进癌症交流。研究2将对黑人报纸进行首次全国性研究，以确定他们报道癌症相关新闻的频率和性质，然后开发和测试一种基于计算机的干预措施，通过向黑人报纸提供社区特定的癌症报道和数据来提高黑人报纸的癌症报道。黑人报纸作为癌症交流的渠道在很大程度上尚未开发，但很有希望，因为它们被非裔美国人阅读、信任和重视，关注当地黑人社区的问题，并提供一般媒体在很大程度上缺失的信息和观点。研究3将比较三种不同的文化适宜性方法对一系列结肠直肠癌风险降低杂志的情感、认知和行为反应的有效性。更多地了解这三种方法——外围、证据和社会文化——将有助于发展文化癌症传播理论，并帮助从业者开发更有效的项目和材料。核心A为初级教师、非裔美国博士生提供职业发展机会，并提供跨学科的种子基金项目。核心B提供内容开发、图形设计、计算机编程、翻译和传播服务。核心C提供研究方法支持，包括形成性研究、测量和数据收集、生物统计学和数据管理。核心D提供科学领导、研究监督和评估，以及行政和预算支持。试点研究项目将征集、识别和支持创新的癌症传播研究理念。该中心在组织结构、教师、合作者和主题上都是高度跨学科的。

Revised Abstract: The ultimate goal of this CECCR is to enhance the effectiveness of cancer communication among African Americans. Our proposed research will help identify strategies for integrating cancer communication within the cultural norms, values, and beliefs of various groups of African Americans, evaluate the effects of these strategies, and explain the mechanisms through which they influence cancer-related beliefs and practices. The CECCR consists of three major studies, four core components, and a pilot research program. Study 1 will capture on videotape the stories of 80 African American women breast cancer survivors, examine the effectiveness of these stories in promoting mammography in 900 African American women, and test a new explanatory model of narrative cancer communication effects. Experience-based communication through storytelling is deeply rooted in the culture of African American women and promising for cancer communication. Study 2 will conduct the first ever national study of Black newspapers to determine the frequency and nature of their coverage of cancer-related stories, then develop and test a computer-based intervention to enhance cancer coverage in Black newspapers by providing them with community-specific stories and data on cancer. Black newspapers are largely untapped as a channel for cancer communication, but promising because they are read, trusted and valued by African Americans, attentive to issues in the local Black community, and provide information and perspectives that are largely missing from the general media. Study 3 will compare the effectiveness of three different approaches to cultural appropriateness on affective, cognitive, and behavioral responses to a series of colorectal cancer risk reduction magazines. Learning more about these three approaches - peripheral, evidential, and sociocultural - will help develop a theory of cultural cancer communication and assist practitioners in developing more effective programs and materials. Core A provides career development for junior faculty, African American doctoral students, and an interdisciplinary seed grant program. Core B provides content development, graphic design, computer programming, and translation and dissemination services. Core C provides research methods support including formative research, measurement and data collection, and biostatistics and data management. Core D provides scientific leadership, research oversight and evaluation, and administrative and budgetary support. The Pilot Research Program will solicit, identify and support innovative cancer communication research ideas. The center is highly interdisciplinary in its organizational structure, faculty, collaborators, and theme.