Kim Karen, Quinn Michael, Chandrasekar Edwin, Patel Reena, Lam Helen
The University of Chicago, Comprehensive Cancer Center, Chicago, IL, United States.
JMIR Res Protoc. 2016 Jun 16;5(2):e123. doi: 10.2196/resprot.5625.
One of the greatest challenges facing health promotion and disease prevention is translating research findings into evidence-based practices (EBP). There is currently a limited research base to inform the design of dissemination action plans, especially within medically underserved communities.
The objective of this paper is to describe an innovative study protocol to disseminate colorectal cancer (CRC) screening guidelines in seven Asian subgroups.
This study integrated a market-oriented Push-Pull-Infrastructure Model, Diffusion of Innovation Theory, and community-based participatory research approach to create a community-centered dissemination framework. Consumer research, through focus groups and community-wide surveys, was centered on the adopters to ensure a multilevel intervention was well designed and effective.
Collaboration took place between an academic institution and eight community-based organizations. These groups worked together to conduct thorough consumer research. A sample of 72 Asian Americans participated in 8 focus groups, and differences were noted across ethnic groups. Furthermore, 464 community members participated in an Individual Client Survey. Most participants agreed that early detection of cancer was important (434/464, 93.5%), cancer could happen to anyone (403/464, 86.9%), CRC could be prevented (344/464, 74.1%), and everyone should screen for CRC (389/464, 83.8%). However, 35.8% (166/464) of participants also felt that people were better off not knowing it they had cancer, and 45.5% (211/464) would screen only when they had symptoms. Most participants indicated that they would screen upon their doctor's recommendation, but half reported that they only saw a doctor when they were sick. Data collection currently is underway for a multilevel intervention (community health advisor and social marketing campaign) and will conclude March 2016. We expect that analysis and results will be available by June 2016.
This study outlines a complementary role for researchers and community organizations in disseminating EBP, and incorporates social interactions and influences to move individuals from simple awareness to decisions towards positive action.
健康促进和疾病预防面临的最大挑战之一是将研究成果转化为循证实践（EBP）。目前，用于指导传播行动计划设计的研究基础有限，尤其是在医疗服务不足的社区。
本文的目的是描述一项在七个亚洲亚群体中传播结直肠癌（CRC）筛查指南的创新研究方案。
本研究整合了以市场为导向的推-拉-基础设施模型、创新扩散理论和基于社区的参与性研究方法，以创建一个以社区为中心的传播框架。通过焦点小组和全社区调查进行的消费者研究以采用者为中心，以确保多层次干预设计良好且有效。
一所学术机构与八个社区组织开展了合作。这些团体共同努力进行了全面的消费者研究。72名亚裔美国人参与了8个焦点小组，不同种族群体之间存在差异。此外，464名社区成员参与了个人客户调查。大多数参与者认为癌症的早期检测很重要（434/464，93.5%），癌症可能发生在任何人身上（403/464，86.9%），结直肠癌可以预防（344/464，74.1%），每个人都应该进行结直肠癌筛查（389/464，83.8%）。然而，35.8%（166/464）的参与者也认为人们不知道自己患有癌症会更好，45.5%（211/464）的人只有在出现症状时才会进行筛查。大多数参与者表示他们会根据医生的建议进行筛查，但一半的人报告说他们只有在生病时才去看医生。目前正在进行多层次干预（社区健康顾问和社会营销活动）的数据收集，将于2016年3月结束。我们预计分析和结果将于2016年6月可得。
本研究概述了研究人员和社区组织在传播循证实践中的补充作用，并纳入社会互动和影响，以使个人从单纯的认知转向做出积极行动的决策。
