Promoting CIS Among Black Men in Barbershops

描述(申请人提供)：黑人男性的总体癌症发病率比白人男性高25%；总体癌症死亡率高40%；结直肠癌死亡率是白人男性的1.3倍；前列腺癌死亡率是白人男性的2.3倍。癌症信息服务(CIS)免费提供有关癌症预防和治疗的最新科学信息，有助于解决与癌症相关的差异。然而，在2000至2004年间，25.7%的NC呼叫者是男性，13.7%是黑人，只有3%是黑人男性！Boyd等人。(1998)证明付费媒体(电视和广播)成功地增加了黑人男子的独联体电话，但当被移除时，电话急剧下降。对于许多农村和资源贫乏的NC社区来说，付费媒体是不现实的，而理发店位于每个NC社区。黑人经常光顾理发店，交换各种信息，并与理发师建立信任关系。理发店是一个很有希望的地方，可以传播简单、易于实施的干预措施，鼓励致电独联体。这项拟议的试点研究将利用基于社区的参与性研究方法来测试以理发店为基础的干预策略，这些策略鼓励黑人男性打电话给CIS‘1-800-4-癌症，以获取结直肠癌和前列腺癌的信息。“停！”(《今日癌症了解》研究！)将分两个阶段进行：第一阶段是形成性研究(访谈、观察、调查)，收集有关理发店、理发师和理发师与客户沟通的信息。第二阶段是一项三组(注意力控制、印刷材料、印刷材料+理发师培训)组的随机对照试点研究，有6家匹配的黑色理发店。主要结果是对CIS‘1-800-4-癌症的呼叫量(每月测量)；次要结果(呼叫的动机、意图、自我效能)在干预前后和作为3个月的随访进行测量。过程评估包括评估招募、剂量、成本和忠诚度。拟议的试点研究将产生所需的重要信息，以开发创新的、特定背景的、理论驱动的理发店干预措施，并设计一项更大规模的试验，以进一步测试我们认为有效的使用R01机制的干预措施。这一方法符合本RFA的目标，也符合以社区为基础的参与性研究原则，即与致力于消除黑人男性癌症差异的干预措施长期成功的理发师/客户/业主合作。

DESCRIPTION (provided by applicant): Black men have a 25% higher overall cancer incidence; 40% higher overall cancer mortality; 1.3 times higher colorectal cancer mortality rates; and, 2.3 times higher prostate cancer mortality rates than White men. The Cancer Information Service (CIS) provides free, state-of-science information on cancer prevention and treatment that can help address cancer-related disparities. However between 2000 and 2004, 25.7% of NC callers were men, 13.7% were Black, and only 3% were Black men! Boyd et al. (1998) demonstrated that paid media (TV and radio) successfully increased CIS calls among Black men, but when removed, calls dropped off precipitously. Paid media is unrealistic for many rural and resource poor NC communities, whereas barbershops are located in every NC community. Black men frequent barbershops regularly, exchange all types of information, and build a trusted relationship with their barbers. Barbershops represent a promising place for disseminating simple, easy to implement interventions that encourage calls to CIS. The proposed pilot study will utilize community-based participatory research methods to test barbershop-based intervention strategies that encourage Black men to call CIS' 1-800-4-CANCER for colorectal and prostate cancer information. "CUTS!" (Cancer Understanding Today Study!) will be carried out in two phases: Phase 1 is formative research (interviews, observations, surveys) to gather information on barbershops, barbers, and barber-customer communication. Phase 2 is a 3-arm (attention control vs. print materials vs. print materials + barber training) group randomized controlled pilot study with 6 matched Black barbershops. Primary outcome is call volume to CIS' 1-800-4-CANCER (measured monthly); secondary outcomes (motivations, intentions, self-efficacy to call) are measured pre/post-intervention and as a 3 month follow-up. Process evaluation includes assessing recruitment, dose, cost, and fidelity. The proposed pilot study will yield important information required to develop innovative, context-specific, theory-driven barbershop interventions and to design a larger trial to further test interventions we find effective using an R01 mechanism. This approach is consistent with aims of this RFA and with community-based participatory research principles of collaborating with barbers/customers/owners that are committed to the long-term success of interventions to eliminate cancer disparities among Black men.