Background: Although prostate cancer (CaP) mortality and morbidity have declined since the 1990s, Black men (BM) in the United States (US) are still disproportionately affected by CaP. In Florida, BM were the only racial/ethnic group that did not meet the Healthy People 2010 objective to reduce the CaP death rate to 28.2 (per 100,000 men). The Healthy People 2020 objective for CaP death rate has been reduced to 21.2. With the 2011 CaP death rate for Florida BM at 43.59, it will take a concerted and inventive effort to meet the Healthy People 2020 challenge for BM in Florida. A unique approach that is of significant interest to our team is increased access to life-changing, scientific CaP discoveries for BM, especially those with implications for primary and secondary preventive interventions as well as information that will enhance access to CaP clinical trials.Hypothesis/Objective: Our long-term goal is to eliminate the CaP morbidity and mortality disparities experienced by BM through community-based and culturally appropriate interventions. The proposed study is built on the logic, concepts, and methods of behavioral science, health communications, and dissemination research. The primary objective is to develop a research dissemination program, the Minority Prostate Cancer (MiCaP) Research Digest, which will spread information about CaP scientific discoveries, evidence-based interventions, and open clinical trials instantly among BM. We hypothesize that knowledge, attitude, perceived behavioral control, cues to action, and risk-reduction and prevention behaviors will be higher among the users of the MiCaP Research Digest compared to non-users.Specific Aims: The specific aims are to: (1) plan the MiCaP Research Digest, which is preliminarily proposed as a bimonthly issue comprised of an e-publication, video, weblog, and community forum clips accessible by a designated password; (2) develop and pretest the MiCaP Research Digest by assessing BM's reaction to the channel and materials for quality improvement; and (3) using a randomized waitlist research design, evaluate the MiCaP Research Digest's: (a) extent and patterns of use; (b) perceived quality; (c) user satisfaction; and (d) impact in improving users' (i) knowledge, (ii) attitude, (iii) perceived behavioral control, (iv) cues to action, and (v) risk-reduction and prevention behaviors. The secondary aims of this application are to: (i) estimate the direct and indirect costs of transplanting the MiCaP Research Digest and (ii) explore the feasibility of transplanting the MiCaP Research Digest in Black communities nationally.Study Design: The development of the MiCaP Research Digest will be guided by valid behavioral and health communication models and based on an understanding of the scientific information needs of BM. The study population will be BM between the ages of 35 and 70 years. The research setting will be in Florida. The following health communication process stages will guide the overall development of the Research Digest: (1) planning and strategy selection; (2) development and pretest of materials; and (3) implementation. We are proposing a 4-year, mixed-method study that will be completed in three phases. Phase I will use the qualitative methodologies of focus groups and individual interviews to plan and select the strategy, channel, and material. Phase II will focus on developing and pretesting the Research Digest. The communication strategy statement developed in the first phase will be used to develop message concepts and materials, including guidelines for the scientific discoveries that will be featured, scope of the digest, management, editorial review process, quality criteria standards, strategy to attract leading scientists, activities to promote the digest, and an economic model for sustainability. Phase III will test the study hypothesis using a prospective, randomized, delayed-intervention study design to assess the impact of the MiCaP Research Digest. The secondary aims will be accomplished through formative interviews and documentation of costs associated with the Research Digest.Impact: This application is relevant to the Prostate Cancer Research Program's focus area of 'Survivorship and Palliative Care.' It will impact the CaP care continuum, from prevention to survivorship, by increasing CaP knowledge and awareness; influencing/reinforcing perceptions, beliefs, and attitudes; prompting action; and refuting myths and misconceptions. It will also assist BM to make informed decisions about participating in CaP clinical trials. In the long term, it will facilitate sustained change through increasing BM's knowledge of high-impact CaP scientific discoveries and help users to overcome barriers/systemic problems associated with CaP. Overall, this study will contribute to the elimination of CaP disparities among BM. Our application is directly responsive to the Prostate Cancer Research Program's overarching challenges to 'Develop strategies to optimize the physical and mental health of men with prostate cancer.'
|Effective start/end date||9/15/15 → 9/14/19|
- Congressionally Directed Medical Research Programs: $1,089,679.00