This proposal for a Preventive Oncology Academic Award describes a plan for my professional development towards a career in the study of behavioral risk factors and the design, implementation, and evaluation of interventions for cancer prevention and control. It describes a course of study, mentored training opportunities, and a research project. The research plan includes four specific aims: 1) To investigate factors associated with repeat mammography participation through a secondary analysis of existing data collected through the YWCA's ENCOREplus program (a nation-wide community-based breast and cervical cancer education and referral program); 2) To develop and validate an instrument to assess the behavioral and environmental predictors of mammography rescreening among low income women aged 50 or older due for a repeat mammogram; 3) To conduct a prospective study through survey and subsequent follow-up of 1000 low-income women aged 50 or older due for a repeat screening mammogram to examine factors influencing their decision to return for repeat screening; and 4) To develop, implement, and evaluate an intervention designed to increase mammography rescreening. This intervention will be developed using the process of Intervention Mapping and will be pilot tested in YWCA sites. Twenty YWCA sites will be matched and randomized to intervention and comparison conditions and followed-up in order to determine the effects of the intervention on mammography rescreening rates and intermediate variables of interest (e.g. stage of mammography adoption, self-efficacy, attitudes toward mammography, and perceived susceptibility to breast cancer).

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Academic/Teacher Award (ATA) (K07)
Project #
5K07CA079759-03
Application #
6376958
Study Section
Subcommittee G - Education (NCI)
Program Officer
Gorelic, Lester S
Project Start
1999-05-07
Project End
2004-04-30
Budget Start
2001-05-01
Budget End
2002-04-30
Support Year
3
Fiscal Year
2001
Total Cost
$109,729
Indirect Cost
Name
University of Texas Health Science Center Houston
Department
Miscellaneous
Type
Schools of Public Health
DUNS #
City
Houston
State
TX
Country
United States
Zip Code
77225
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Fernández, María E; Gonzales, Alicia; Tortolero-Luna, Guillermo et al. (2009) Effectiveness of Cultivando la Salud: a breast and cervical cancer screening promotion program for low-income Hispanic women. Am J Public Health 99:936-43
Vernon, Sally W; del Junco, Deborah J; Tiro, Jasmin A et al. (2008) Promoting regular mammography screening II. Results from a randomized controlled trial in US women veterans. J Natl Cancer Inst 100:347-58
Leong-Wu, Cindy A; Fernandez, Maria E (2006) Correlates of breast cancer screening among Asian Americans enrolled in ENCOREplus. J Immigr Minor Health 8:235-43
Fernandez, Maria E; Palmer, Richard C; Leong-Wu, Cindy A (2005) Repeat mammography screening among low-income and minority women: a qualitative study. Cancer Control 12 Suppl 2:77-83
Fernandez, Maria E; Gonzales, Alicia; Tortolero-Luna, Guillermo et al. (2005) Using intervention mapping to develop a breast and cervical cancer screening program for Hispanic farmworkers: Cultivando La Salud. Health Promot Pract 6:394-404