Development of Tailored Intervention to Promote CRC Screening Among Latino Men

描述（由申请人提供）：本申请是在回应计划公告“健康促进种族和少数民族男性”（PA-07 - 421）。 结直肠癌（CRC）是拉丁美洲人癌症相关发病率和死亡率的主要原因，尽管有有效的筛查方法。虽然筛查率总体上有所提高，但非拉丁裔白人和拉丁裔之间的CRC筛查差距也有所增加。即使考虑到社会经济因素，拉丁美洲人的筛查率也低于非拉丁美洲白人，这表明拉丁美洲人特有的CRC筛查还有其他因素和障碍。 一个被称为"积极偏差"的概念框架是一个特别有前途的方法，用于解决拉丁美洲人中CRC筛查的障碍。积极偏差背后的核心前提是，在一个社区中发现的共同问题的解决方案往往已经存在于该社区中，但它们没有被认识到，因此没有得到充分利用。一个积极的偏差方法识别与成功相关的行为，并传播策略，以采用这些行为给他人。当应用于CRC筛查时，这种方法可以识别筛查的具体障碍以及克服这些障碍的策略。视频是传播“积极的偏差者”或“成功的同龄人”用于克服CRC筛查障碍的策略的理想媒介。因此，结合视频的积极偏差方法可以利用社区中"成功同龄人"的筛选行为，并使行为干预与社区中的其他人特别相关，在文化上也是适当的。 该提案的目的是探讨讲西班牙语的拉丁美洲男性遇到的CRC筛查障碍，确定成功的同龄人克服障碍所使用的成功策略，并在此过程中，使用积极的偏差方法来制定文化和语言上合适的定制视频干预措施，以增加讲西班牙语的拉丁美洲男性的CRC筛查。 公共卫生相关性：结直肠癌筛查率很低，尤其是在英语水平有限的拉丁裔中。“积极的偏差者”或“成功的同龄人”是社区中那些实践健康行为（例如结肠直肠癌筛查）的个体，而大多数人都没有。该项目将使用"积极的偏差"方法，创建一个文化和语言上适当的创新个性化视频干预，以促进讲西班牙语的拉丁美洲男子中的结直肠癌筛查。

DESCRIPTION (provided by applicant): This application is in response to the Program Announcement "Health Promotion among Racial and Ethnic Minority Males" (PA-07-421). Colorectal cancer (CRC) is a leading cause of cancer-related morbidity and mortality among Latinos despite effective screening methods. While rates of screening overall have increased, the disparities in CRC screening between non-Latino Whites and Latinos have also increased. Even after accounting for socioeconomic factors, screening rates are lower for Latinos than for non-Latino Whites suggesting that there are other factors and barriers to CRC screening that are specific to Latinos. A conceptual framework known as "positive deviance" is a particularly promising approach for addressing barriers to CRC screening among Latinos. The central premise behind positive deviance is that solutions to common problems found in a community often already exist in that community but they go unrecognized and so are underutilized. A positive deviance approach identifies behaviors associated with success and disseminates strategies for adopting these behaviors to others. When applied to CRC screening, this approach can identify specific barriers to screening as well as strategies to overcome these barriers. Video is an ideal medium for disseminating the strategies that "positive deviants" or "successful peers" use to overcome barriers to CRC screening. A positive deviance approach combined with video can thus capitalize on the screening behaviors of "successful peers" in a community and make behavioral interventions particularly relevant and culturally appropriate to others in that community. The purpose of this proposal is to explore barriers to CRC screening encountered by Spanish-speaking Latino men, identify successful strategies used by successful peers to overcome barriers and in so doing, use a positive deviance approach to develop a culturally and linguistically appropriate tailored video-based intervention to increase CRC screening among Spanish-speaking Latino men. PUBLIC HEALTH RELEVANCE: Colorectal cancer screening rates are low, especially among Latinos with limited English proficiency. "Positive deviants" or "successful peers" are those individuals in a community who practice a healthy behavior (e.g. colorectal cancer screening) when the majority do not. This project will use a "positive deviance" approach to create a culturally and linguistically appropriate innovative personalized video intervention to promote colorectal cancer screening among Spanish-speaking Latino men.