Specific Aims: 1) Raise awareness of colorectal cancer (CRC) and its screening among Asian Americans. 2) Conduct focus groups to collect inputs. 3) Offer seminars to test the effectiveness of education and also obtain more inputs from the community. 4) Develop a tool (survey questionnaire) for eliciting CRC screening barriers. 5) Validate the tool by conducting a pilot survey of 500 Asian Americans, and compile a list of CRC screening barriers in Michigan. Significance: The colorectal cancer (CRC) is the third leading cancer, as well as the third leading cancer- related death among all cancers in the U.S. The CDC 2010 data shows that the CRC screening rate among Americans is 58.6%;that for Asian Americans is 46.9%. It is imperative to help this fastest growing group to improve their CRC screening and reduce the healthcare disparity. The goal of this project is to develop a culturally and linguistically appropriate tool that can elicit CRC screening barriers from Asian Americans. Approach: Recruit and train bilingual community health workers as project team members. The process used is Community Based Participatory Research CBPR). The steps include: 1) Conduct focus group study to obtain Asian community input about their CRC screening. 2) Develop a PowerPoint presentation of CRC and its screening for seminars, and a small questionnaire that will be used as pre-test and post-test to gauge the effectiveness of the seminar. 3) Conduct CRC seminar workshops to collect further information about CRC screening from the community. 4) Develop a survey questionnaire using all the previous and current information with the help of experts from the Institute of Social Research, and a psychology professor. 5) Validate the questionnaire by conducting a pilot survey of 500 Asian Americans to obtain a list of barriers in Michigan. All process includes acculturation to each Asian culture in their native language. Metrics and Data Analyses: 1) A pre-/post-test questionnaires that will be used to assess the effectiveness of a seminar workshop. 2) Paired t-test analyses from the seminars. 3) The survey questionnaire. 4) Data analyses from the survey and a list of screening barriers in Michigan. Implication &Future Plan: 1) A validated tool (questionnaire) that can be used to study CRC screening barriers of Asian Americans nationally. 2) Understand more about Asian Americans'perception and barriers of CRC screening that will help healthcare workers to design and develop culturally appropriate intervention to help Asian Americans increase their CRC screening. 3) All work can be shared with any Asian American community nationally.
This proposal will have a big impact to public health, more specifically, impact to Asian Americans on their CRC knowledge and screening. First, it will raise awareness and improve knowledge of CRC and its screening among all Asian Americans in Michigan when community organizations start to participate in this project to develop various questionnaires, workshop seminars and survey.
|Patel, Minal R; Kruger, Daniel J; Cupal, Suzanne et al. (2016) Effect of Financial Stress and Positive Financial Behaviors on Cost-Related Nonadherence to Health Regimens Among Adults in a Community-Based Setting. Prev Chronic Dis 13:E46|
|Clark, Sarah J; Cowan, Anne E; Filipp, Stephanie L et al. (2016) Parent HPV vaccine perspectives and the likelihood of HPV vaccination of adolescent males. Hum Vaccin Immunother 12:47-51|
|Clark, Sarah J; Gebremariam, Acham; Cowan, Anne E (2016) Change in settings for early-season influenza vaccination among US adults, 2012 to 2013. Prev Med Rep 4:320-3|
|Unertl, Kim M; Schaefbauer, Chris L; Campbell, Terrance R et al. (2016) Integrating community-based participatory research and informatics approaches to improve the engagement and health of underserved populations. J Am Med Inform Assoc 23:60-73|
|Clark, Sarah J; Cowan, Anne E; Filipp, Stephanie L et al. (2016) Understanding Non-Completion of the Human Papillomavirus Vaccine Series: Parent-Reported Reasons for Why Adolescents Might Not Receive Additional Doses, United States, 2012. Public Health Rep 131:390-5|
|Clark, Sarah J; Cowan, Anne E; Filipp, Stephanie L et al. (2015) Association of Older Sister's HPV Vaccination Status on HPV Vaccine Receipt by Adolescents. J Am Board Fam Med 28:816-8|
|Kodjebacheva, Gergana; Kruger, Daniel J; Rybarczyk, Greg et al. (2015) Racial/ethnic and gender differences in the association between depressive symptoms and higher body mass index. J Public Health (Oxf) 37:419-26|
|Habib, Elana L; Zimmerman, Marc A; Ostaszewski, Krzysztof (2014) International note: prevailing with extracurricular activities in an alcohol-dominated environment: sex differences in resilience among middle school youth. J Adolesc 37:901-4|
|Katapodi, Maria C; Northouse, Laurel L; Schafenacker, Ann M et al. (2013) Using a state cancer registry to recruit young breast cancer survivors and high-risk relatives: protocol of a randomized trial testing the efficacy of a targeted versus a tailored intervention to increase breast cancer screening. BMC Cancer 13:97|
|Veinot, Tiffany C; Campbell, Terrance R; Kruger, Daniel J et al. (2013) A question of trust: user-centered design requirements for an informatics intervention to promote the sexual health of African-American youth. J Am Med Inform Assoc 20:758-65|
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