Promoting CIS Among Black Men in Barbershops

描述（由申请人提供）：黑人男性总体癌症发病率高出25%；癌症总死亡率高出40%；结直肠癌死亡率高出1.3倍；前列腺癌死亡率是白人的2.3倍。癌症信息服务（CIS）提供有关癌症预防和治疗的免费、最新的科学信息，有助于解决与癌症相关的差异。然而，在2000年至2004年间，25.7%的NC来电者是男性，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性的CIS电话，但一旦取消，电话就会急剧下降。付费媒体对于许多农村和资源贫乏的NC社区来说是不现实的，而理发店在每个NC社区都有。黑人经常光顾理发店，交换各种各样的信息，并与他们的理发师建立信任的关系。理发店是一个很有前途的地方，可以传播简单、容易实施的干预措施，鼓励人们打电话给独联体。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拨打CIS的1-800-4-CANCER咨询结肠直肠癌和前列腺癌的信息。“削减!”（Cancer Understanding Today Study!）将分两个阶段进行：第一阶段是形成性研究（访谈、观察、调查），收集关于理发店、理发师和理发师与顾客沟通的信息。第二阶段是一个三组（注意力控制vs.印刷材料vs.印刷材料+理发师培训）随机对照试点研究，有6家匹配的黑人理发店。主要预后指标是CIS 1-800-4-CANCER的通话量（每月测量）；次要结果（动机、意图、打电话的自我效能）在干预前后和3个月的随访中进行测量。过程评价包括评估招募、剂量、成本和保真度。拟议的试点研究将提供开发创新的、特定环境的、理论驱动的理发店干预措施所需的重要信息，并设计一个更大的试验来进一步测试我们发现使用R01机制有效的干预措施。这种方法符合RFA的目标，也符合以社区为基础的参与性研究原则，即与理发师/顾客/业主合作，致力于消除黑人男性癌症差异的干预措施的长期成功。

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.