The Center for Research, Health, and Social Justice

项目摘要--项目4 几十年来，黑人/非裔美国人的吸烟可归因于死亡率最高 美国。可以减轻死亡负担的循证干预措施进展缓慢 在临床环境中接触到黑人吸烟者。这项研究的长期目标是增加提供商的建议 戒烟和患者转诊至肺癌筛查、循证临床干预 可能会对拯救吸烟黑人的生命产生强大的影响。要做到这一点 目标，黑色健康块戒烟和筛查项目将吸引国家医疗机构的成员 美国最大的黑人医疗保健提供者组织，在一项培训和 由我们的小说和改编版本的国家少数民族卫生和卫生研究院指导的教育活动 与烟草相关的健康差异研究框架。我们的多学科团队将 在第一阶段进行混合方法研究(概念图和调查)，以更好地了解医疗保健 提供者的1)知识、态度和行为以及2)感知的政治、社会和结构决定因素 阻碍黑人吸烟者戒烟和肺癌筛查的健康问题。在第二阶段，我们的团队 将使用来自概念图和医疗保健提供者调查的数据来开发培训模块 帮助医疗保健提供者应对黑薄荷醇吸烟者和有社交障碍的人的独特需求 劣势。我们的研究将检验黑色健康街区文化定制的可行性和影响 单独培训与健康差距和肺癌筛查培训+黑色健康块 针对卫生保健知识、态度和行为变化的文化定制培训模块 随机分配给每个条件的提供者。在第三阶段，我们的团队将检查教育的覆盖范围 将患者和提供者与促进戒烟和肺癌筛查的资源联系起来的活动 通过病人导航仪。拟议的研究利用了一个独特和及时的机会来编写一份 全国黑人卫生保健专业人员组织帮助黑人吸烟者戒烟并在悬而未决的情况下进行筛查 禁止薄荷醇香烟和香料雪茄的联邦立法。如果这项研究成功，那么数据可以 用于启动一项更大的试验，测试与文化相关的培训模块对医疗保健提供者的影响 循证临床干预与黑人吸烟者戒烟及肺癌筛查 。

PROJECT SUMMARY – PROJECT 4 For decades, Black/African American people have had the highest cigarette smoking-attributable mortality in the United States. Evidence-based interventions that could reduce the mortality burden have been slow to reach Black smokers in the clinical setting. The long-term goal of this study is to increase provider advice to quit smoking tobacco and patient referrals to lung cancer screening, evidence-based clinical interventions that could have a powerful influence on saving the lives of Black people who smoke tobacco. To accomplish this goal, the Black Health Block Quit and Screen Project will engage members of the National Medical Association, the largest organization of Black health care providers in the United States, in a training and education campaign guided by our novel and adapted version of the National Institutes of Minority Health and Health Disparities Research Framework for Tobacco-Related Health Disparities. Our multidisciplinary team will conduct a mixed-methods study (concept mapping and survey) in Phase 1 to better understand health care providers' 1) knowledge, attitudes, and behaviors and 2) perceived political, social, and structural determinants of health that impede Black smokers from quitting tobacco and screening for lung cancer. In Phase 2, our team will use the data from concept mapping and the health care provider survey to develop training modules that help health care providers deal with the unique needs of Black menthol smokers and people with social disadvantage. Our study will examine the feasibility and impact of the Black Health Block Culturally Tailored Training alone versus the Health Disparities and Lung Cancer Screening Training + the Black Health Block Culturally Tailored training modules on changes in knowledge, attitudes, and behavior among health care providers randomly assigned to each condition. In Phase 3, our team will examine the reach of the education campaign that links patients and providers to resources to facilitate quitting smoking and lung cancer screening via a patient navigator. The proposed study takes advantage of a unique and timely opportunity to prepare a national organization of Black health care professionals to help Black smokers quit and screen amid pending federal legislation to ban menthol cigarettes and flavors cigars. If this study is successful, then the data can be used to launch a larger trial that tests the impact of culturally relevant training modules on health care provider uptake of evidence-based clinical interventions and Black smokers' quitting and screening for lung cancer. .