Pilot1: Developing Tailored Intervention Address Differing Needs Cancer Survivors

摘要：美国有1110万以前被诊断患有癌症的人。 大约65%的被诊断为癌症的人预计在确诊后至少能活5年。 癌症幸存者原发癌症复发、继发癌症的风险增加 肿瘤和癌症的非肿瘤性不良长期影响，在 少数族裔。目前，对减少艾滋病的潜在干预措施缺乏研究。 癌症生存结果的差异。拟议的形成性研究项目的目标是开发 在干预之后，预先测试一种为减少癌症存活率差异而量身定做的干预措施 绘制干预发展和使用社区参与性研究(CBPR)的框架图 接近。利用干预地图框架来制定全面的卫生干预措施 对这一问题的理解既有理论基础，也有经验证据。在CBPR中，社区和 研究人员被视为拥有独特的知识和专业知识，这些知识和专业知识可能会导致更成功和 社区中的可持续干预。我们将收集有关客户需求和资产的定性信息 两组幸存者，一组在综合癌症中心接受治疗，另一组在少数人服务中心接受治疗 机构。从这项初步研究中获得的数据将与来自平行队列的研究结果相结合 还根据本P20进行了调查试点(见试点2)，以制定和预试适当的 针对两个幸存者群体的具体需要而量身定做的干预措施，考虑到 社会经济和文化因素。试点工作将提出以下主要具体目标： 1.收集和分析来自目标人群的定性数据(癌症幸存者在 综合性癌症中心和少数族裔服务机构)，以确定他们的社会经济状况， 心理社会、功能和实际需求和资产。 2.根据定性数据的调查结果与平行队列调查试点的结果相结合 (试点2)，开发一种量身定制的干预措施，以减少癌症生存健康差距。 3.在一小部分癌症幸存者身上预先测试干预措施，以评估可行性并改进 干预，为将进行的后续试点干预研究(试点3)做准备 在第四年。 这项研究将建立在Meharry医学院/Vanderbilt Ingram的结构和关系的基础上 在P20的指导下与田纳西州立大学合作的癌症中心伙伴关系S 内部咨询和社区咨询委员会，以实现这些目标。建议的形成性 研究项目将为患者及其家属提供有关长期治疗需求的有价值的信息 癌症幸存者。

Abstract: There are 11.1 million people with a previous diagnosis of cancer living in the United States. Approximately 65% of people diagnosed with cancer are expected to live at least 5 years after diagnosis. Cancer survivors are at increased risk for recurrence of their primary cancer, development of secondary neoplasms, and non-oncologic adverse long-term effects of cancer which are more pronounced among racial/ethnic minorities. Currently, there is a dearth of research on potential interventions for reducing disparities in cancer survivorship outcomes. The goal of the proposed formative research project is to develop and pre-test a tailored intervention for reducing disparities in cancer survivorship, following the Intervention Mapping framework for intervention development and using a community-based participatory research (CBPR) approach. The Intervention Mapping framework is utilized to develop health interventions with a thorough understanding of the issue based on both theory and empirical evidence. In CBPR, both the community and researchers are seen as having unique knowledge and expertise that may lead to more successful and sustainable interventions in the community. We will gather qualitative information on the needs and assets of two groups of survivors, one treated at a comprehensive cancer center and the other at a minority serving institution. The data obtained from this pilot study will then be combined with the findings from a parallel cohort survey pilot also being conducted under this P20 (See Pilot #2) to develop and pre-test an appropriate intervention tailored to the specific needs of the two survivor populations, taking into account relevant socioeconomic and cultural factors. The pilot will propose to address the following primary specific aims: 1. Gather and analyze qualitative data from the target population (cancer survivors treated at a comprehensive cancer center and a minority serving institution) to identify their socioeconomic, psychosocial, functional and practical needs and assets. 2. Based on findings from the qualitative data combined with findings from a parallel cohort survey pilot (Pilot #2), develop a tailored intervention to reduce cancer survivorship health disparities. 3. Pre-test the intervention on a small sample of cancer survivors to assess feasibility and refine the intervention in preparation for a subsequent pilot intervention study (Pilot #3) that would be conducted in Year 4. This study will build upon the structure and relationships of the Meharry Medical College/Vanderbilt Ingram Cancer Center Partnership in collaboration with Tennessee State University with guidance from the P20's Internal Advisory and Community Advisory Committees to achieve these aims. The proposed formative research project will provide valuable information to patients and their families regarding the needs of longterm cancer survivors.