An Interactive Colorectal Cancer Screening Promotion Intervention for Latinos

描述（由申请人提供）：本研究的长期目标是开发一种有效的教育干预措施，提高对结直肠癌筛查指南的筛查依从性，并降低医疗服务不足的拉丁美洲人的晚期检测率和可预防的死亡率。这项研究的具体目标是：（1）开发针对低收入、低识字率拉丁美洲人的文化和语言上适当的结直肠癌筛查和风险降低信息，（2）开发数字多媒体触摸屏信息亭，向低收入、低识字率拉丁美洲人提供交互式结直肠癌筛查和风险降低信息，（3）评估交互式多媒体信息亭干预，以增加有关结肠直肠癌风险的知识，并促进筛查和低收入，低识字率的拉丁美洲人的其他降低风险的行为，和（4）评估临床提供者和接受干预的低收入，低识字率的拉丁美洲人对交互式多媒体信息亭的接受程度。卫生和公众服务部消除种族和族裔健康差距倡议呼吁关注低收入、医疗服务不足的个人在获得预防性卫生服务方面的差距。本研究旨在开发和评估针对医疗服务不足的拉丁美洲人的结直肠癌筛查促进干预措施，以响应国家癌症研究所癌症预防中的交互式媒体技术计划，癌症预防和控制司，以促进在医疗和社区环境中使用的癌症预防和控制应用中使用创新媒体技术和/或通信方法。干预研究采用随机对照设计。研究参与者将接受预测试，并随机分配到干预或控制条件下，人数相等。干预组将接受互动式多媒体结直肠癌教育干预，而对照组将接受标准护理，这意味着他们将不会收到任何CRC教育材料。自基线起6个月后，将对干预组和对照组进行后测。公共卫生相关性：该研究解决了拉丁美洲人由于筛查率低和相应的晚期检测率高而导致的可预防结直肠癌死亡率的健康差异。如果在这项研究中证明了这种教育干预对提高筛查依从性的有效性，那么互动式信息亭提供了在全国范围内部署干预措施的手段，以显著影响结直肠癌筛查率，从而降低死亡率。

DESCRIPTION (provided by applicant): The long-term goal of this study is to develop an effective education intervention that increases screening adherence to colorectal cancer screening guidelines and reduces the rates of late-stage detection and preventable mortality among medically underserved Latinos. The specific aims of this study are to: (1) develop culturally and linguistically appropriate colorectal cancer screening and risk reduction information designed for low- income, low literacy Latinos, (2) develop digital multimedia touchscreen kiosks to deliver interactive colorectal cancer screening and risk reduction information to low-income, low literacy Latinos, (3) evaluate the efficacy of an interactive, multimedia kiosk intervention to increase knowledge about colorectal cancer risk and promote screening and other risk reduction behaviors among low-income, low literacy Latinos, and (4) evaluate the acceptance of the interactive, multimedia kiosk by clinical providers and low-income, low literacy Latinos receiving the intervention. The HHS Initiative to Eliminate Racial and Ethnic Health Disparities calls attention to the gaps in access to preventive health services for low-income, medically underserved individuals. This study to develop and evaluate a colorectal cancer screening promotion intervention for medically underserved Latinos responds to the National Cancer Institute's program on Interactive Media Technologies in Cancer Prevention, Division of Cancer Prevention and Control to promote the use of innovative media technology and/or communication approaches in cancer prevention and control applications used in medical and community settings. The intervention study employs a randomized controlled design. Study participants will be given a pretest and randomly assigned to either an intervention or control condition in equal numbers. The intervention group will be exposed to an interactive, multimedia colorectal cancer education intervention while the control group will receive standard care, which means they will not receive any CRC education materials. Six-months from baseline, a post-test will be administered to both intervention and control groups. PUBLIC HEALTH RELEVANCE: The study addresses the health disparity of preventable colorectal cancer mortality among Latinos due to low screening rates and correspondingly high rates of late-stage detection. If the efficacy of this education intervention to improve screening adherence is demonstrated in this study, interactive kiosks offer the means for deployment of an intervention on a national scale to significantly impact colorectal cancer screening rates and thereby reduce mortality.