Nội dung được dịch bởi AI, chỉ mang tính chất tham khảo
Triển khai một can thiệp dựa trên bằng chứng để thúc đẩy việc tầm soát ung thư đại trực tràng trong các tổ chức cộng đồng: một thử nghiệm ngẫu nhiên theo cụm
Tóm tắt
Việc triển khai các chiến lược dựa trên bằng chứng để thúc đẩy việc tầm soát ung thư đại trực tràng (CRC) vẫn gặp nhiều thách thức. Mục tiêu của nghiên cứu này là đánh giá hai chiến lược để triển khai một can thiệp dựa trên bằng chứng nhằm thúc đẩy việc tầm soát CRC trong các tổ chức cộng đồng người Mỹ gốc Philippines. Hai mươi hai tổ chức cộng đồng đã được phân ngẫu nhiên vào hai chiến lược triển khai cơ bản hoặc nâng cao. Trong cả hai nhóm, các cố vấn sức khỏe cộng đồng đã tuyển mộ những người không tuân thủ hướng dẫn tầm soát CRC, tiến hành các buổi giáo dục, phân phát tài liệu in và bộ xét nghiệm máu ẩn phân miễn phí, nhắc nhở các thành viên tham gia đi tầm soát và gửi thư đến nhà cung cấp dịch vụ y tế của họ. Trong nhóm nâng cao, các nhà lãnh đạo của tổ chức đã tham gia vào các nỗ lực triển khai. Mặc dù hiệu quả là tương tự trong cả hai nhóm nghiên cứu (tỷ lệ tầm soát sau 6 tháng theo dõi là 53% ở nhóm nâng cao, 49% ở nhóm cơ bản), 223 người đã được tầm soát trong nhóm nâng cao so với 122 trong nhóm cơ bản. Chiến lược triển khai nâng cao đã tiếp cận được 83% nhiều người tham gia hơn và đạt được tác động sức khỏe cộng đồng lớn hơn.
Từ khóa
#ung thư đại trực tràng #tầm soát #can thiệp dựa trên bằng chứng #tổ chức cộng đồng #chiến lược triển khaiTài liệu tham khảo
Colditz GA. The promise and challenges of dissemination and implementation research. In: Brownson RC, Colditz GA, Proctor EK, eds. Dissemination and implementation research in health. New York: Oxford University Press, Inc; 2012: 3-22.
Hoeffel EM, Rastogi S, Kim MO, et al. The Asian Population: 2010. 2010 Census Brief issued March 2012. Washington, DC: US Census Bureau; 2012.
Maxwell AE, Crespi CM. Trends in colorectal cancer screening utilization among ethnic groups in California: are we closing the gap? Cancer Epidemiol Biomarkers Prev. 2009; 18(3): 752-759.
Kandula NR, Wen M, Jacobs EA, et al. Low rates of colorectal, cervical, and breast cancer screening in Asian Americans compared with non-Hispanic whites: cultural influences or access to care? Cancer. 2006; 107(1): 184-192.
Lin SS, Clarke CA, Prehn AW, et al. Survival differences among Asian subpopulations in the United States after prostate, colorectal, breast, and cervical carcinomas. Cancer. 2002; 94(4): 1175-1182.
Maxwell AE, Bastani R, Danao LL, et al. Results of a community-based randomized trial to increase colorectal cancer screening among Filipino Americans. Am J Public Health. 2010; 100(11): 2228-2234.
Baron RC, Rimer BK, Breslow RA, et al. Client-directed interventions to increase community demand for breast, cervical, and colorectal cancer screening a systematic review. Am J Prev Med. 2008; 35(1 Suppl): S34-S55.
Rabin BA, Brownson RC. Developing the terminology for dissemination and implementation research. In: Brownson RC, Colditz GA, Proctor EK, eds. Dissemination and implementation research in health. New York: Oxford University Press; 2012: 23-51.
Proctor EK, Brownson RC. Measurement issues in dissemination and implementation research. In: Brownson RC, Colditz GA, Proctor EK, eds. Dissemination and implementation research in health. New York: Oxford University Press; 2012: 261-280.
Potter MB, Somkin CP, Ackerson LM, et al. The FLU-FIT program: an effective colorectal cancer screening program for high volume flu shot clinics. Am J Manag Care. 2011; 17(8): 577-583.
Potter MB, Walsh JM, Yu TM, et al. The effectiveness of the FLU-FOBT program in primary care a randomized trial. Am J Prev Med. 2011; 41(1): 9-16.
Potter MB, Yu TM, Gildengorin G, et al. Adaptation of the FLU-FOBT Program for a primary care clinic serving a low-income Chinese American community: new evidence of effectiveness. J Health Care Poor Underserved. 2011; 22(1): 284-295.
Percac-Lima S, Grant RW, Green AR, et al. A culturally tailored navigator program for colorectal cancer screening in a community health center: a randomized, controlled trial. J Gen Intern Med. 2009; 24(2): 211-217.
Tu SP, Chun A, Yasui Y, et al. Adaptation of an evidence-based intervention to promote colorectal cancer screening: a quasi-experimental study. Implement Sci. 2014; 9: 85.
Thompson NJ, Boyko EJ, Dominitz JA, et al. A randomized controlled trial of a clinic-based support staff intervention to increase the rate of fecal occult blood test ordering. Prev Med. 2000; 30(3): 244-251.
Lasser KE, Murillo J, Medlin E, et al. A multilevel intervention to promote colorectal cancer screening among community health center patients: results of a pilot study. BMC Fam Pract. 2009; 10: 37.
Green BB, Wang CY, Anderson ML, et al. An automated intervention with stepped increases in support to increase uptake of colorectal cancer screening: a randomized trial. Ann Intern Med. 2013; 158(5 Pt 1): 301-311.
Nguyen TT, Love MB, Liang C, et al. A pilot study of lay health worker outreach and colorectal cancer screening among Chinese Americans. J Cancer Educ. 2010; 25(3): 405-412.
Maxwell AE, Danao LL, Bastani R. Dissemination of colorectal cancer screening by Filipino American Community Health Advisors: a feasibility study. Health Promot Pract. 2013; 14(4): 498-505.
Ma GX, Shive S, Tan Y, et al. Community-based colorectal cancer intervention in underserved Korean Americans. Cancer Epidemiol. 2009; 33(5): 381-386.
Nguyen BH, McPhee SJ, Stewart SL, et al. Effectiveness of a controlled trial to promote colorectal cancer screening in Vietnamese Americans. Am J Public Health. 2010; 100(5): 870-876.
Blumenthal DS, Smith SA, Majett CD, et al. A trial of 3 interventions to promote colorectal cancer screening in African Americans. Cancer. 2010; 116(4): 922-929.
Navarro AM, Raman R, McNicholas LJ, et al. Diffusion of cancer education information through a Latino community health advisor program. Prev Med. 2007; 45(2–3): 135-138.
Nelson A, Lewy R, Dovydaitis T, et al. Promotores as researchers: expanding the promotor role in community-based research. Health Promot Pract. 2011; 12(5): 681-688.
Messias DK, Parra-Medina D, Sharpe PA, et al. Promotoras de Salud: roles, responsibilities, and contributions in a multisite community-based randomized controlled trial. Hisp Health Care Int. 2013; 11(2): 62-71.
Hill A, De Zapien JG, Staten LK, et al. From program to policy: expanding the role of community coalitions. Prevent Chronic Dis. 2007; 4(4): A103.
Maxwell AE, Danao LL, Cayetano RT, et al. Adoption of an evidence-based colorectal cancer screening promotion program by community organizations serving Filipino Americans. BMC Public Health. 2014; 14(1): 246.
Hayes RJ, Moulton LH. Cluster randomised trials. Boca Raton, FL: Chapman & Hall/CRC; 2009.
Maxwell AE, Danao LL, Cayetano RT, et al. Evaluating the training of Filipino American community health advisors to disseminate colorectal cancer screening. J Community Health. 2012; 37(6): 1218-1225.
Kessler R, Glasgow RE. A proposal to speed translation of healthcare research into practice: dramatic change is needed. Am J Prev Med. 2011; 40(6): 637-644.
Gaglio B, Phillips SM, Heurtin-Roberts S, et al. How pragmatic is it? Lessons learned using PRECIS and RE-AIM for determining pragmatic characteristics of research. Implement Sci. 2014; 9: 96.
Glasgow RE, Vogt TM, Boles SM. Evaluating the public health impact of health promotion interventions: the RE-AIM framework. Am J Public Health. 1999; 89(9): 1322-1327.
Glasgow RE, Klesges LM, Dzewaltowski DA, et al. Evaluating the impact of health promotion programs: using the RE-AIM framework to form summary measures for decision making involving complex issues. Health Educ Res. 2006; 21(5): 688-694.
Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associated; 1988.
Donner A, Klar N. Design and analysis of cluster randomized trials in health research. New York, NY: Oxford University Press; 2000.
DuBois DL, Holloway BE, Valentine JC, et al. Effectiveness of mentoring programs for youth: a meta-analytic review. Am J Community Psychol. 2002; 30(2): 157-197.
Smith PK, Ananiadou K, Cowie H. Interventions to reduce school bullying. Can J Psychiatry. 2003; 48(9): 591-599.
Glasgow RE, Nelson CC, Strycker LA, et al. Using RE-AIM metrics to evaluate diabetes self-management support interventions. Am J Prev Med. 2006; 30(1): 67-73.
Chambers DA, Glasgow RE, Stange KC. The dynamic sustainability framework: addressing the paradox of sustainment amid ongoing change. Implement Sci. 2013; 8: 117.
Mosen DM, Feldstein AC, Perrin N, et al. Automated telephone calls improved completion of fecal occult blood testing. Med Care. 2010; 48(7): 604-610.
Tu SP, Taylor V, Yasui Y, et al. Promoting culturally appropriate colorectal cancer screening through a health educator: a randomized controlled trial. Cancer. 2006; 107(5): 959-966.
Maxwell AE, Danao LL, Crespi CM, et al. Disparities in the receipt of fecal occult blood test versus endoscopy among Filipino American immigrants. Cancer Epidemiol Biomarkers Prev. 2008; 17(8): 1963-1967.
Maxwell AE, Crespi CM, Antonio CM, et al. Explaining disparities in colorectal cancer screening among five Asian ethnic groups: a population-based study in California. BMC Cancer. 2010; 10: 214.
Klabunde CN, Brown M, Ballard-Barbash R, et al. Cancer screening—United States, 2010. MMWR Morb Mortal Wkly Rep. 2012; 61(3): 41-45.