Development of Evidence Based Programs: Translational Interventions

描述(申请人提供)：作为一名研究助理，Sabado女士将参与IRB批准的家长资助项目，该项目利用社区参与式研究(CBPR)原则驱动的多层次、跨学科的方法，实施研究、培训和社区教育的综合计划。该项目，编织岛民癌症意识和研究网络(WINCART 2)(1 U54 CA153458-01)，解决了减少南加州太平洋岛民(PI)癌症健康差距的挑战。利用基于社区的参与性研究(CBPR)模式，社区成员和学术研究人员(与Sabado女士一起)将利用他们的集体专业知识来调查文化、社会和环境线索、个人内部和神经认知特征如何影响青春期晚期和成年早期PI的吸烟和戒烟行为，从而为基于理论、文化协调的多成分戒烟干预的发展提供信息。WINCART 2提出的干预研究项目包括两项相互关联的研究，建立在现有的CBPR框架基础上，该框架侧重于减少南加州个人投资者之间的癌症健康差异。研究1利用吸烟史半结构化访谈、吸烟行为和线索的生态瞬时评估以及计算机辅助的神经认知决策评估进行全面的烟草使用和戒烟评估；研究2在研究1的指导下，最终开发和测试了一种新型的戒烟干预措施，其中包括基于计算机的互动程序、定制的短信、基于网络的社交网络和电话指导。经验丰富的社区领袖和研究人员将在CBPR原则和程序的指导下，促进WINCART2所有组成部分的整合，包括：(1)社区和学术研究人员共同参与社区教育、研究和培训活动的规划、发展、实施和评估；(2)学术和社区合作伙伴之间的共同学习；(3)通过中心指导委员会和社区咨询小组的合作机制；以及(4)促进可持续的社区惠益，以减少与PI癌症相关的慢性非传染性疾病的健康差距。WINCART2采用了一种多层次的人口健康方法来解决健康差距，并采用新技术(包括远程学习、电子调查和干预系统)在中心内进行交流、向外部受众传播和最新的科学研究，所有这些都是为了缩小个人卫生机构之间的健康差距。 公共卫生相关性：与烟草有关的死亡率和发病率是太平洋岛民社区极为关切的问题。该CBPR项目将填补多个知识空白，并将是第一个对太平洋岛上年轻成年居民的烟草使用/线索和戒烟行为进行全面调查的研究。该项目将为奖学金申请者提供戒烟干预科学的发展、实施和评估的全面经验。

DESCRIPTION (provided by applicant): As a research assistant, Ms. Sabado will participate in an IRB approved parent grant that implements integrated programs of research, training, and community education utilizing a multi-level, interdisciplinary approach driven by community based participatory research (CBPR) principles. The project, Weaving an Islander Network for Cancer Awareness, Research (WINCART 2) (1 U54 CA153458-01) addresses the challenge of reducing cancer health disparities among Pacific Islanders (PIs) in Southern California. Utilizing a community-based participatory research (CBPR) model, community members and academic researchers (along with Ms. Sabado) will use their collective expertise to investigate how culture, social and environmental cues, intrapersonal and neuro-cognitive characteristics impact smoking and quitting behaviors among late adolescent and early adult PIs to inform the development of a theory-based, culturally-attuned, multi-component smoking cessation intervention. The intervention research project proposed by WINCART 2, comprises two-interrelated studies, building upon an existing CBPR framework that focuses on the reduction of cancer health disparities among PIs in Southern California. Study 1 entails a comprehensive tobacco use and quitting assessment utilizing smoking history semi-structured interviews, ecological momentary assessment of smoking behaviors and cues, and a computer-assisted neurocognitive decision- making assessment; Study 2 informed by Study 1, culminates in the development and testing of a novel smoking cessation intervention that incorporates an interactive computer-based program, tailored text messaging, web-based social networking, and telephone coaching. Experienced community leaders and researchers will facilitate integration across all WINCART2 components guided by CBPR principles and processes including: (1) Shared participation by both community and academic researchers in the planning, development, implementation and evaluation of community education, research, and training activities; (2) Co- learning between academic and community partners; (3) Collaboration mechanisms through the Center Steering Committee and Community Advisory Groups and (4) Promotion of sustainable community benefits towards the reduction of chronic, non-communicable diseases associated with PI cancer health disparities. WINCART2 incorporates a multilevel population health approach to address health disparities, and employs new technologies (including distance learning, electronic surveys and intervention systems) for communication within the Center, dissemination to external audiences, and state-of-the-science research, all in the service of reducing health disparities among PIs. PUBLIC HEALTH RELEVANCE: Tobacco-related mortality and morbidity are of great concern to Pacific Islander communities. This CBPR project will fill multiple knowledge gaps, and be the first study to conduct a comprehensive investigation of tobacco use/cues & cessation behaviors in young adult Pacific Islanders. The project will provide the fellowship applicant with comprehensive experience in development, implementation and evaluation of smoking cessation intervention science.