Pilot Project

我们建议进行一项团体随机对照试验，以实施和评估一种 创新性循证乳房健康教育干预方案与对照组的比较 (延迟干预)在第一代阿富汗移民妇女中促进乳房健康筛查。 对文化、宗教和语言因素的敏感性是拟议干预的关键组成部分。 在加州乳腺癌研究计划的资助下，我们进行了试点工作(见 初步结果)和试点工作的结果，以指导干预的内容。与一致 根据以社区为基础的参与性研究的原则，试点项目的行政设计是为了 确保社区在权力和研究伙伴方面与学术研究伙伴平等合作 影响？他们收到自己的预算，并且是收集的数据(这两个)的所有者 在以社区为基础的参与性研究中，问题历来是有问题的)。 我们的研究将检验这样一种假设，即女性随机分配到定制的乳房健康 教育计划将显示乳腺癌知识和意识的增加以及乳腺癌发病率的增加。 有早期发现(CBE和乳房X光检查)。这在语言、宗教和文化上的细节 特制的(有针对性的)关于这是有针对性的还是特制的，这一领域存在争议，后者更多 专门为低识字率设计的计划，由非专业健康顾问(LHA)讲授，并提供后续咨询 以及社区导航员的协助和男性亲属的支持。 文化/宗教/教育的适应使我们的干预专门针对穆斯林的需要。 并提供一个独特的方案，使阿富汗妇女健康项目有别于其他项目 乳房健康促进项目。参与者将被随机分配到干预或对照中 (延迟干预)组。对照组在干预后接受教育方案 调查。干预前和干预后的调查将用来衡量知识的变化 预防和早期发现行为。作为干预后调查的一部分，女性将报告 他们是否做过(或预约过)CBE和/或乳房X光检查，我们将询问 乳房健康筛查的促进者和障碍。

We propose to conduct a group randomized controlled trial to implement and evaluate the effect of an innovative evidence-based breast health education intervention program compared to a control group (delayed intervention) to promote breast health screening among first generation Afghan immigrant women. Sensitivity to cultural, religious, and linguistic factors is a key component of the proposed intervention. With funding from California's Breast Cancer Research Program, we have conducted the pilot work (see preliminary results) and findings from the pilot work to guide the content of the intervention. Consistent with the tenets of community based participatory research, the pilot project was administratively designed to ensure that the community was an equal partner with the academic research partners in terms of power and influence¿^they received their own budget and are the owners of the data that was collected (these two issues have a history of being problematic in community based participatory research). Our research will test the hypothesis that women randomly assigned to a tailored breast health education program will show increased breast cancer knowledge and awareness and increased rates of having early detection (CBE and mammography). The details of this linguistically, religious and culturally tailored (targeted¿there is contention in the field as to whether this is target or tailored, the latter being more specific) program designed for low literacy and taught by lay health advisors (LHAs) with follow-up counseling and facilitation by community navigators and the support of their male relatives. The cultural/ religious/educational adaptations make our intervention specific to the needs of Muslim women and provide a unique program that distinguishes the Afghan Women's Health Project from other breast health promotion projects. Participants will be randomly assigned into the intervention or control (delayed intervention) group. The control group will receive the educational program after the post-intervention survey. Pre-and post-intervention surveys will be used to measure changes in knowledge of prevention and in early detection behaviors. As part of the post-intervention survey, women will report whether they had (or have an appointment to have) a CBE and/or a mammogram and we will inquire about the facilitators and barriers for getting a breast health screening examinations.