Stories of our Men: American Indian/Alaska Native Colorectal Health

 描述（由申请人提供）： 美洲印第安人和阿拉斯加原住民的结肠直肠癌（CRC）发病率和死亡率很高。筛查率很低。大多数教育材料往往不涉及这些社区男子的文化或信息需求。我们将与两个部落社区合作，一个在明尼苏达州，一个在阿留申群岛，以确定男性的文化知识，信仰和需求，以增加他们筛查CRC的意愿。我们的具体目标： 1.与部落社区合作，制作文化上适当的电影短片，旨在提高印第安纳土著人男子获得儿童权利委员会筛查的意愿。 2.创建一个美洲印第安人和阿拉斯加土著男子健康多媒体门户网站，其中包括部落开发/医生审查的电影短片和其他医生审查的资源，使用土著社区中AIAN男子的声音、价值观和前景。 该项目与公共卫生有关，因为AIAN男性患CRC的比率高于美国的大多数人口。因此，由于死亡率高，缺乏筛查活动对AIAN人口，特别是男性，产生了重大影响。在土著社区的合作下，“我们男人的故事”旨在提高AIAN筛查CRC的意愿。我们开发的AIAN男子门户网站将使这些小插曲和其他文化适当的资源AIAN男子可通过社区中心，部落学院，当地公共和学术图书馆和国家（例如，MedlinePlus）和特定人群门户网站（NLM的土著之声）。 “我们男人的故事”是创新的密切合作，与两个本地医生同事和他们的家庭社区。此外，共同主要研究者是马约诊所的美洲原住民肿瘤学家，是美国仅有的两名之一。有多个本地医生与不同的AIAN社区合作是一个难得的机会，在健康差异研究，并会增加信任和社区成员的高度参与。 在第一年，将采用基于社区的启发性研究方法，让两个社区的男性志愿者参与进来。通过由本地男性医生领导的焦点小组，我们将与社区一起沿着学习，他们希望制作电影短片的方式来支持他们的CRC健康并提高他们的筛查意图。在第二年，社区成员将致力于创造自己的电影小插曲-这些可以从个人讲故事，以脚本故事主演的社区成员作为主要演员。角色和内容将由社区成员创建，并由本地医生审查医疗准确性。 通过开发印第安纳土著人协会男子健康门户网站，我们希望向土著社区成员、保健工作者、健康差距研究人员，包括公共和学术图书馆员，提供免费提供的文化上适当的电影短片和其他专门针对印第安纳土著人协会男子的经医生审查的材料。在分析了这些社区和其他社区对电影小插曲的社区评价后，我们希望深入了解AIAN讲故事的最有效做法，以及其他信息和文化工具，以提高AIAN健康公平性为目标，增加屏幕的意图。

 DESCRIPTION (provided by applicant): American Indian and Alaska Native have high rates of morbidity and mortality from colorectal cancer (CRC). Screening rates are low. Most educational materials often do not address the cultural or information needs of men in these communities. We will work with two tribal communities, one in Minnesota, and one in the Aleutian Islands to identify cultural knowledge, beliefs and needs of men to increase their intent to screen for CRC. Our specific aims: 1. Partner with tribal communities to create culturally appropriate movie vignettes intended to increase AIAN men's intent to obtain a CRC screen. 2. Create an American Indian and Alaska Native Men's Health Multi-Media web portal, populated with tribally-developed/physician-reviewed movie vignettes and other physician-reviewed resources using the voices, values and outlook of AIAN men in their native communities. This project is relevant to public health as AIAN men suffer from higher rates of CRC than majority populations in the United States. Consequently, absence of screening activity has a significant impact on AIAN populations, especially men, due to high mortality. With the collaboration of native communities, "Stories of our Men" is intended to increase AIAN intent to screen for CRC. Our development of the AIAN Men's web portal will enable these vignettes and other culturally-appropriate resources for AIAN men to be available to all native and non-native communities via community centers, tribal colleges, local public and academic libraries and national (e.g., MedlinePlus) and population specific web portals (NLM's Native Voices). "Stories of our Men" is innovative by closely collaborating with two native physician colleagues and their home communities. Additionally the co-PI is a Mayo Clinic Native American Oncologist, one of only two in the United States. Having multiple native physicians partnering with different AIAN communities is a rare opportunity in health disparities research and will likel increase trust and high participation of community members. In the first year, a Community Based Participatory Research approach will be used to engage male volunteers in both communities. Through focus groups led by native male physicians, we will learn along with the community, the ways in which they would like to produce movie vignettes to support their CRC health and improve their intent to screen. In the second year, community members will work on creating their own movie vignettes- these could range from personal-storytelling to scripted stories starring community members as the main actors. The roles and content will be created by the community members and reviewed for medical accuracy by the native physicians. Through the development of an AIAN Men's Health Web portal, we expect to provide indigenous community members, health care workers, health disparities researchers including public and academic librarians, freely available and culturally appropriate movie vignettes and other physician-reviewed materials specific to AIAN men. After analysis of community evaluations of the movie vignettes from these and other communities we expect to gain insight into the most effective practices of AIAN storytelling, and other informational and cultural tools o increase intent to screen with the goal of improving AIAN health equity.