The Influence of Family and Cultural Identity on Informed Decision-Making

描述（由申请人提供）：证据表明，如何最好地促进和促进非洲裔美国人结直肠癌筛查的知情决策需要更多的研究。本研究项目的长期目标是通过开发基于社区的干预措施和方法来培训医疗保健提供者，以有效促进大肠癌筛查的参与，从而降低大肠癌的发病率和死亡率，特别是在非洲裔美国人中。本描述性横断面研究的目的是研究文化认同、家庭和结直肠癌信念对非裔美国人结直肠癌筛查知情决定的影响。本研究将招募50岁及以上的非裔美国男性和女性（N=128），他们有或没有接受过结直肠癌筛查。将使用问卷来描述明智的决策。参与者将从底特律社区网络伙伴关系（CNP）中招募，这是一个由国家癌症研究所资助的项目，旨在减少50岁及以上非裔美国人之间的癌症健康差距。此外，参与者将从底特律大都会的理发店和美容店以及非裔美国人组织中招募。指导本研究的概念模型来源于PI和预防性健康模型（PHM）的临床和研究经验。研究的两个具体目标是：1)研究非裔美国人的文化认同、家庭影响、结直肠癌信念与结直肠癌筛查的知情决定之间的关系；2)确定非裔美国男性和女性的文化认同、家庭影响、结直肠癌信念和结直肠癌筛查知情决策之间的关系是否不同。本研究旨在填补护理知识、癌症预防与控制研究的空白。拟议的研究也符合国家护理研究所的“促进健康和预防疾病”研究重点领域，即“确定影响决策的因素，这些因素导致行为改变，促进健康，预防疾病和残疾。”（National Institute of Nursing Research [NINR], 2006, p. 16）。这项拟议的研究对公共卫生很重要，因为它旨在降低美国人口中发病率最高的非洲裔美国人的结直肠癌发病率和死亡率，并通过解决美国人口中发病率最低的非洲裔美国人的结直肠癌筛查问题。

DESCRIPTION (provided by applicant): Evidence suggests more research is needed on how best to promote and facilitate informed decision making for colorectal cancer screening among African Americans. The long-term objective of this program of research is to decrease the colorectal cancer incidence and mortality, especially among African Americans through developing community-based interventions and methods to train healthcare providers to effectively promote colorectal cancer screening participation. The purpose of this descriptive, cross-sectional study is to examine the influence of cultural identity, family and colorectal cancer beliefs on an informed decision regarding colorectal cancer screening among African Americans. Recruited for this study will be African American men and women (N=128) 50 years and older who have or have not been screened for colorectal cancer. Informed decision making will be described using questionnaires. Participants will be recruited from the Detroit Community Network Partnership (CNP), a National Cancer Institute funded program to reduce cancer health disparities among African Americans, 50 years and older. Additionally, participants will be recruited from metropolitan Detroit barber and beauty shops and African American organizations. The conceptual model guiding this study is derived from the clinical and research experiences of the PI and the Preventative Health Model (PHM). Two specific aims will be addressed: 1) To examine the relationships among cultural identity, family influence, colorectal cancer beliefs and an informed decision regarding colorectal cancer screening in African Americans; 2) To determine if the relationships among cultural identity, family influence, colorectal cancer beliefs and an informed decision regarding colorectal cancer screening in African American men and women are different. This proposed study has been developed to fill critical gaps in nursing knowledge, cancer prevention and control research. The proposed study is also congruent with the "Promoting Health and Preventing Disease" area of research emphasis of the National Institute of Nursing Research to "identify factors that influence decision-making that results in behavioral changes that promote health and prevent disease and disability." (National Institute of Nursing Research [NINR], 2006, p. 16). This proposed study is important to public health as it seeks to reduce colorectal cancer incidence and mortality rates among African Americans whose rates are the greatest among the US population and by addressing colorectal cancer screening among African Americans whose rates are the lowest of all the US population.