Bilingual Web-Novelas to Reach Young Latinas with Cervical Cancer Information

描述(申请人提供)：在美国，拉丁裔的宫颈癌患病率是非拉丁裔白人妇女的两倍(1，2，3，4，5)，拉丁裔与这种可预防的疾病相关的死亡率位居第二。(1)造成这种健康差距的因素有很多(1，2，3，4，5)，但造成这种高发病率和死亡率的主要因素之一，也是我们希望通过我们的创新解决的问题，是缺乏关于常规宫颈涂片和HPV疫苗的文化和语言上适当的信息。社会营销协会通过其fotonovela制作部门--fotonovela制作公司，旨在通过开发1部网络小说中的1部、1部改编并应用于互联网及其相关社交媒体的教育fotonovela，来弥补18-26岁拉丁裔妇女缺乏信息差距的问题。鉴于越来越多的证据表明，越来越多的拉美青年正在访问网络并使用社交媒体寻找和分享信息，将文化上熟悉的娱乐教育工具，即fotonovela(11，12，13，14，15)改编为基于网络的工具的时机是适当的。(6，7，8)本应用程序的具体目标是：1)制作基于证据的网络中篇小说创新的双语(西班牙语和英语)原型；(9)关于宫颈癌预防和早期发现的信息；和2)展示知识，获得并评估使用互联网或智能手机的18-26岁以西班牙语和英语为主的拉丁裔妇女对创新的接受度和可行性。对于后一个目标，我们将召集十次焦点小组访谈，进行前后测试以评估知识获取，并进行后续讨论，以探索和评估影响拉丁裔1对1获取1 Pap1测试和HPV疫苗的决定的价值观、信念、障碍和动机。除了与我们的主要受众进行焦点小组采访外，我们还将对在宫颈癌领域工作的卫生专业人员和看门人进行个别采访，以了解他们对网络中篇小说创新的见解和印象。Fotonovela概念是一种得到科学支持和文化兼容的健康传播媒介(11、12、13、14、15)，对其进行调整以在网络及其社交媒体应用中使用，这既是多文化能力健康传播领域的一项创新，也是多媒体健康教育领域的一项创新。 公共卫生相关性：该项目对公共卫生意义重大、相关和重要，原因有三：1)与宫颈癌相关的拉丁裔的发病率和死亡率代表着惊人的健康差距，并且坚定地属于国家癌症研究所消除癌症痛苦和死亡的使命(17)；2)作为一种健康传播工具的网络中篇小说创新属于国家癌症研究所S指出的2010年可能对改善癌症的预防、诊断和治疗产生最大影响的领域之一(16)；3)这项工作将有助于与利用互联网和社交媒体进行公共卫生教育相关的研究，并找到创新的、在语言和文化上适当的方法来接触到健康差距较大的人群。

DESCRIPTION (provided by applicant): The prevalence of cervical cancer among Latinas in the United States is twice the rate of non-Latina white women (1,2,3,4,5), and Latinas have the second highest mortality rate related to this preventable disease. (1) There are various factors that contribute to this health disparity, (1,2,3,4,5) but one of the main factors that contributes to this high incidence and mortality rate, and the one we would like to address with our innovation, is the lack of culturally and linguistically appropriate information regarding regular pap smears and HPV vaccines. ACMA Social Marketing, through its fotonovela production arm, The Fotonovela Production Company, aims to remedy the lack of information disparity related to Latina women ages 18-26, via1the1development1of1the1 web1novela,1an1innovation1 of the educational fotonovela adapted and applied to the internet and its related social media. The timing of the adaptation of a culturally familiar entertainment education tool, namely the fotonovela (11,12,13,14,15) into a web-based tool is appropriate given the growing evidence that more and more young Latinos are accessing the web and using social media to find and share information. (6,7,8) The specific aims of this application are to: 1) produce a bilingual (Spanish and English) prototype of the web-novela innovation on evidence-based (9) information on cervical cancer prevention and early detection; and 2), demonstrate knowledge, gain and assess acceptability and feasibility of the innovation among Spanish and English dominant Latina women ages 18-26 who use the Internet or Smart Phones. For the latter aim we will convene ten focus group interviews, administer a pre and post test to assess knowledge gain and conduct a follow up discussion to explore and assess the values, beliefs, barriers and motivators that affect Latina's1decisions1to1get1Pap1tests and HPV vaccines. In addition to focus group interviews with our primary audience, we will conduct individual interviews with health professionals and gatekeepers working in the cervical cancer field to gain their insight and impressions on the1web-novela innovation. The fotonovela concept is a scientifically supported and culturally-compatible health communications medium (11,12,13,14,15) and adapting it to use on the web and its social media applications constitutes an innovation in both the area of multi-culturally competent health communications and the expanding field of multimedia health education. PUBLIC HEALTH RELEVANCE: This project is significant, relevant and important to public health for three reasons: 1) The incidence and mortality rate of Latinas related to cervical cancer represents a startling health disparity and one that falls firmly under the1NCIs mission to eliminate the suffering and death due to cancer (17); 2) The web-novela innovation as a health communications tool falls under one of the NCI s stated areas of interest for 2010 as having potential for having the largest impact in improving prevention, diagnosis, and treatment of cancer {16); and 3) This work will contribute to the body of research related to using the internet and social media for public health education and to find innovative and linguistically and culturally appropriate ways to reach populations who suffer from health disparities.