Navigating Low-Income African Americans Through Cancer Clinical Trials

描述（由申请人提供）：非裔美国人在乳腺癌和结肠癌的临床试验中代表性不足。公共卫生电视台（PHTV）与凯斯综合癌症中心（Case Comprehensive Cancer Center）合作，提议通过开发dvd来帮助患者导导员指导低收入的非洲裔美国人进行有关癌症治疗和临床试验参与的文化相关教育，从而增加低收入非洲裔美国人对这两种癌症的临床试验参与。病人导航是指利用社区的非专业成员，通过获得癌症诊断和治疗的过程来指导和支持服务不足的人群。NCI支持将患者导航作为一种手段，帮助服务不足的人群获得更及时的癌症治疗。PHTV将把病人导航的概念与其行之有效的文化特定健康交流过程结合起来，以提高低收入非洲裔美国人参与结肠直肠癌和乳腺癌临床试验的比例。两个具体目标将实现这一目标。首先，PHTV计划制作一系列DVD，帮助患者导航员指导低收入的非裔美国患者接受结肠癌治疗并参与临床试验。其次，PHTV将开发DVD系列内容，培训患者导航员，帮助低收入的非裔美国妇女了解乳腺癌治疗和参与临床试验PHTV将通过我们经过验证的文化特定生产流程来识别和满足目标群体的信息需求，该流程使用目标人群的成员来设计信息。dvd的内容大纲将根据特定文化的制作过程进行开发，其中包括与居住在克利夫兰公共住房社区的低收入非洲裔美国人进行焦点小组和社区会议。患者导航员咨询小组由在俄亥俄州和纽约哈莱姆的城市站点工作的患者导航员组成，将审查dvd的内容大纲并验证可行性。一个由癌症中心和美国癌症协会代表组成的医疗咨询小组将帮助制定解决方案，以解决目标人群确定的障碍，并验证包括基于网络的跟踪系统在内的评估计划的可行性。这些努力将使PHTV在II期成功启动并测试基于DVD的临床试验导航程序。

DESCRIPTION (provided by applicant): African Americans are underrepresented in clinical trials for breast and colon cancers. Public Health Television (PHTV), in partnership with the Case Comprehensive Cancer Center, proposes to increase clinical trial participation among low-income African Americans for these two cancers by developing DVDs to assist patient navigators with guiding low-income African Americans through a process of culturally relevant education about cancer treatment and clinical trials participation. Patient navigation refers to using lay members of the community to guide and support underserved populations through the process of obtaining diagnosis and treatment for cancer. NCI endorses patient navigation as a means to help underserved populations obtain more timely cancer treatment. PHTV will combine the concept of patient navigation with its proven process of culturally specific health communication to increase the rate of low-income African Americans participation in clinical trials for colorectal and breast cancers. Two specific aims will accomplish this objective. First, PHTV plans to produce a DVD series to assist patient navigators to guide low-income African American patients with an orientation to colon cancer treatment and participating in clinical trials. Second, PHTV will develop content for a DVD series to train patient navigators to assist low-income African American women with an orientation to breast cancer treatment and participation in clinical trials PHTV will identify and meet target group information needs with our proven culturally specific production process that uses members of the target population to design messages. Content outlines for DVDs will be developed with a culturally specific production process that uses focus groups and community meetings with low-income African Americans residing in Cleveland's public housing neighborhoods. A Patient Navigator Advisory Panel comprised of patient navigators working in urban sites across Ohio and in Harlem, NY will review content outlines for DVDs and validate feasibility. A Medical Advisory Panel comprised of representatives from cancer centers and the American Cancer Society will help formulate solutions to address barriers identified by target population and validate feasibility for evaluation plans that include a web-based tracking system. These efforts will enable PHTV to successfully launch and test a DVD based clinical trials navigator program in Phase II.