The Influence of Family and Cultural Identity on Informed Decision-Making

描述（由申请人提供）：证据表明，需要更多的研究，如何最好地促进和促进知情决策的结直肠癌筛查非洲裔美国人。该研究计划的长期目标是通过开发以社区为基础的干预措施和培训医疗保健提供者的方法来降低结直肠癌的发病率和死亡率，特别是在非洲裔美国人中，以有效促进结直肠癌筛查的参与。这项描述性横断面研究的目的是研究文化认同，家庭和结直肠癌信念对非裔美国人结直肠癌筛查的知情决定的影响。本研究将招募50岁及以上的非裔美国男性和女性（N=128），他们接受或未接受结直肠癌筛查。知情决策将使用问卷进行描述。参与者将从底特律社区网络合作伙伴关系（CNP）招募，这是一个国家癌症研究所资助的项目，旨在减少50岁及以上非洲裔美国人的癌症健康差异。此外，参与者将从底特律大都市的理发店和美容店以及非洲裔美国人组织招募。指导本研究的概念模型来自PI和自主健康模型（PHM）的临床和研究经验。两个具体的目标将被解决：1）检查文化认同，家庭影响，结直肠癌的信念和知情的决定，结直肠癌筛查在非洲裔美国人之间的关系; 2）以确定文化认同之间的关系，家庭影响，结直肠癌的信念和知情的决定，结直肠癌筛查在非洲裔美国男性和女性是不同的。这项研究旨在填补护理知识，癌症预防和控制研究的关键空白。这项拟议的研究也与国立护理研究所的“促进健康和预防疾病”研究重点领域相一致，以“确定影响决策的因素，从而导致促进健康和预防疾病和残疾的行为变化。“（国家护理研究所[NINR]，2006年，第16页）。这项拟议的研究对公共卫生很重要，因为它旨在降低非裔美国人的结直肠癌发病率和死亡率，其发病率在美国人口中最高，并通过解决非裔美国人的结直肠癌筛查，其发病率在所有美国人口中最低。

DESCRIPTION (provided by applicant): Evidence suggests more research is needed on how best to promote and facilitate informed decision making for colorectal cancer screening among African Americans. The long-term objective of this program of research is to decrease the colorectal cancer incidence and mortality, especially among African Americans through developing community-based interventions and methods to train healthcare providers to effectively promote colorectal cancer screening participation. The purpose of this descriptive, cross-sectional study is to examine the influence of cultural identity, family and colorectal cancer beliefs on an informed decision regarding colorectal cancer screening among African Americans. Recruited for this study will be African American men and women (N=128) 50 years and older who have or have not been screened for colorectal cancer. Informed decision making will be described using questionnaires. Participants will be recruited from the Detroit Community Network Partnership (CNP), a National Cancer Institute funded program to reduce cancer health disparities among African Americans, 50 years and older. Additionally, participants will be recruited from metropolitan Detroit barber and beauty shops and African American organizations. The conceptual model guiding this study is derived from the clinical and research experiences of the PI and the Preventative Health Model (PHM). Two specific aims will be addressed: 1) To examine the relationships among cultural identity, family influence, colorectal cancer beliefs and an informed decision regarding colorectal cancer screening in African Americans; 2) To determine if the relationships among cultural identity, family influence, colorectal cancer beliefs and an informed decision regarding colorectal cancer screening in African American men and women are different. This proposed study has been developed to fill critical gaps in nursing knowledge, cancer prevention and control research. The proposed study is also congruent with the "Promoting Health and Preventing Disease" area of research emphasis of the National Institute of Nursing Research to "identify factors that influence decision-making that results in behavioral changes that promote health and prevent disease and disability." (National Institute of Nursing Research [NINR], 2006, p. 16). This proposed study is important to public health as it seeks to reduce colorectal cancer incidence and mortality rates among African Americans whose rates are the greatest among the US population and by addressing colorectal cancer screening among African Americans whose rates are the lowest of all the US population.