Transforming Cancer Health Messaging: Engaging Alaska Native People thru Digital

描述（由申请人提供）：转变癌症健康信息：通过数字叙事吸引阿拉斯加原住民癌症是阿拉斯加原住民死亡的主要原因。这个探索性R21主要使用定性方法来增加对数字故事的理解，作为阿拉斯加乡村社区卫生工作者（chw）创建和分享个性化癌症信息的一种文化尊重和有意义的方式，从而为阿拉斯加社区成员提供与癌症预防和癌症控制相关的行动。卫生保健员是阿拉斯加178个农村社区以村为基础的卫生保健的主要医疗提供者，规模从20人到1200人不等。社区全年只能通过航空运输到达，没有公路系统。讲故事的传统是阿拉斯加原住民文化的一部分。数字讲故事结合了传统的真实讲故事和基于计算机的技术，为卫生工作者提供了一种创造性和吸引人的方法来分享癌症健康信息。数字叙事将媒体的力量带入社区成员的声音和手中，从而促进行为改变。目的1。在阿拉斯加原住民中发现数字故事的吸引人的元素。首席研究员将在三个不同的阿拉斯加农村社区进行焦点小组调查，每个社区有八名成年社区成员。参加者将浏览和讨论由卫生工作者先前开发的四个与癌症有关的数字故事。观众将口头或书面评价文化相关性、可爱性、吸引人的因素、学到的信息、可理解性和改变行为的意图。评论将为CHW未来的数字故事创作提供信息。目标2。确定创建与癌症相关的数字故事如何影响阿拉斯加社区卫生工作者自己的健康行为，以及他们如何使用他们的数字故事作为沟通工具来改善社区成员的癌症控制。作为为期五天的癌症教育课程的一部分，40名卫生工作者将利用“了解癌症之路”课程，将课程中提供的医疗信息与他们的个人经历结合起来，以数字故事的形式创建他们自己的2至3分钟癌症健康信息，并希望与他们自己社区的人们分享。在这个为期两年的项目中，将提供4门课程，10名参与者。我们将从卫生保健工作者那里收集数据，包括课前需求评估、课程结束时的书面评估、课程结束后2周的小组电话会议、1个月的外展记录和3个月的个人深度电话访谈。目标3。确定数字故事如何影响社区成员的癌症观念和健康行为。社区成员在观看了CHW的数字故事后，CHW会询问社区成员是否可以联系他们参加一个深入的电话采访。半结构化访谈指南将协助采访者进行至少20次观众访谈，以了解他们对数字叙事的反应，包括作为健康信息传递工具的受欢迎程度、学到的信息、故事对癌症对话的影响、态度和改变行为的意图。

DESCRIPTION (provided by applicant): Transforming Cancer Health Messaging: Engaging Alaska Native People thru Digital Storytelling Cancer is the leading cause of death among Alaska Native people. This exploratory R21 uses primarily qualitative methods to increase understanding of digital storytelling as a culturally respectful and meaningful way for Alaska's village-based Community Health Workers (CHWs) to create and share a personalized cancer message that empowers action related to cancer prevention and cancer control for Alaska's community members. CHWs are primary medical providers of village-based health care in Alaska's 178 rural communities, ranging in size from 20 to 1200 people. Communities are only accessible year round by air transportation and are not on a road system. The tradition of storytelling is part of all Alaska Native cultures. Digital storytelling combines the tradition of ral storytelling with computer-based technology to provide a creative and engaging method for CHWs to share cancer health messages. Digital storytelling brings the power of the media into the voices and hands of community members to empower behavior change. Aim 1. To identify engaging elements of digital storytelling among Alaska Native people. The principal investigator will conduct focus groups in three different rural Alaska communities with eight adult community members in each. Participants will view and discuss four cancer-related digital stories previously developed by CHWs. Viewers will comment verbally and in writing about cultural relevance, likability, engaging elements, information learned, understandability, and intent to change behavior. Comments will inform future CHW digital story creation. Aim 2. To identify how creating a cancer-related digital story affects Alaska's Community Health Workers' own health behaviors and how they use their digital story as a communication tool to improve cancer control among their community members. As part of a 5-day cancer education course utilizing the 'Path to Understanding Cancer' curriculum, 40 CHWs will integrate medical information presented during the course with their personal experiences to create their own 2 to 3 minute cancer health message in the form of a digital story that they want to share with people in their own community. During this 2 year project, 4 courses with 10 participants will be provided. Data will be collected from CHWs over time including a pre-course needs assessment, an end-of-course written evaluation, a 2 week post-course group teleconference, a 1 month outreach log, and a 3 month individual in-depth telephone interview. Aim 3. To identify how digital stories affect community members' cancer perceptions and health behaviors. After viewing CHW digital stories, community members will be asked by the CHW if a project team member can contact them to participate in an in-depth telephone interview. A semi-structured interview guide will assist the interviewer to conduct a minimum of 20 viewer interviews to learn their response to digital storytelling including likeability as a health messaging tool, information learned, and impact of the story on cancer conversations, attitudes, and intent to change behavior.