Progress 10/01/08 to 09/30/09
Outputs
OUTPUTS: During the reporting period, the PI's work on this project was supported by an NIH Research Supplement to Promote Diversity in Health-Related Research. During the first year of the research supplement the PI received additional training, including courses in research ethics, focus groups, health and public policy, and knowledge mobilization. Funds from the research supplement were used to support ongoing analysis of pilot study data collected under the auspices of the Native Investigator Development Program. (In the summer of 2007, the PI disseminated the results of her cross-sectional pilot study of 185 adults, 40 years of age and older to the two American Indian communities from which the data was collected, including a formal presentation before the tribal council.) She also presented the initial result of this study at 3 national health conferences. During this reporting period the PI continued her ollaboration with faculty at the University of Washington, Native People for Cancer Control Program, and the University of Colorado at Denver Health Sciences Center, Native Elder Research Center, Johns Hopkins Bloomberg School of Public Health, Center for American Indian Health, and the Northwest American Indian Health Board. In addition, her partnership with tribal communities in the southwest continued with the analysis and dissimination of study result in several community presentations, presentations before tribal council, and collaboration on a National Institute for Health supported Centers for Population Health and Health Disparities application submitted by the University of Washington and Black Hills Center for American Indian Health. The target audiences for the project include American Indian communities, tribal leaders, federal and state policy makers, health researchers, and health care providers. PARTICIPANTS: Under the auspices of her Research Supplement to Promote Diversity in Health-Related Research, the PI engaged in a myriad of training, research and career development activities that have substantially extended her knowledge and skills related to cancer disparities research. Training activities included a 3-week Native Researchers' for Cancer Control Training Program sponsored by the National Cancer Institute, Indian Health Service, Oregon Health and Science University, Northwest Portland Area Indian Health Board, and the Spirit of EAGLES. The 3-week program included courses grant and manuscript preparation, use of Medline and other software for library searches, use of national databases, human subjects protection, grant funding agencies and potential funding sources, and grant budget management. In addition, the PI participated in a weeklong summer institute co-sponsored by the Center for American Indian Health, Johns Hopkins School of Public Health, and the University of Alberta, School of Public Health, at the Earth Institute, Columbia University. TARGET AUDIENCES: The PI returned to Arizona to present the preliminary results of her pilot study on social capital and colorectal cancer knowledge and attitudes to the community leaders on the reservation. These presentations were well received and helped further solidify her strong and trusting relationship with the tribe. PROJECT MODIFICATIONS: Not relevant to this project.
Impacts
A major goal of this project is to provide the PI with skills, knowledge, and research experience needed to establish an independent research career dedicated to understanding and addressing social inequalities in the prevention, detection and treatment, and burden of cancer and cancer-related health conditions among American Indians. During this project period, the PI substantially extended her knowledge and skills related to health disparities research through mentorship support from faculty at the University of Washington, Native American Cancer Control Program. Specific outcomes during this project period included (1) completion of coursework in quantitative methods, measurement, and statistical analysis (2) analysis of primary data collection project on the sociocultural determinants of cancer knowledge and attitudes, and (3) professional presentation in both poster and paper format at scientific meetings.
Publications
- No publications reported this period
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Progress 10/01/07 to 09/30/08
Outputs
OUTPUTS: During the reporting period, the PI completed her training in the Native Investigator Development Program through the University of Colorado Health Sciences Center. She also applied for and received an NIH Supplement to Promote Diversity in Health-Related Research. The supplement will enable her to receive additional training and mentorship, while providing funds for her to complete analysis of pilot study data collected under the auspices of the Native Investigator Development Program. In the summer of 2008, the PI disseminated the results of her cross-sectional pilot study of 185 adults, 40 years of age and older to the two American Indian communities from which the data was collected, including a formal presentation before the tribal council. She also presented the initial result of her study at 3 conferences. PARTICIPANTS: PARTICIPANTS: During this project period the PI continued her research collaboration with faculty at the University of Washington, Native People for Cancer Control Program, and the University of Colorado at Denver Health Sciences Center, Native Elder Research Center. Research partnerships with faculty at Johns Hopkins Bloomberg School of Public Health and the Oregon Health Sciences University were also formed. In addition, her partnership with tribal communities in the southwest continued with the analysis and dissimination of study result in several community presentations. TARGET AUDIENCES: TARGET AUDIENCES: The target audiences for the project include American Indian communities, tribal leaders, and health researchers and health care providers working with this population. The analysis of pilot data during this reporting period resulted in a report presented to the tribal council. The report will aid them in the design of culturally sensitive interventions aimed a reducing disparities in colorectal cancer screening and mortality among American Indians. PROJECT MODIFICATIONS: Nothing significant to report during this reporting period.
Impacts
A major goal of this project is to provide the PI with skills, knowledge, and research experience needed to establish an independent research career dedicated to understanding and addressing social inequalities in the prevention, detection and treatment, and burden of cancer and cancer-related health conditions among American Indians. During this project period, the PI substantially extended her knowledge and skills related to health disparities research through continued participation in the National Institute on Aging-sponsored Native Investigator Development Program, a collaborative program of the University of Colorado Denver Health Sciences Center and the University of Washington. She also received additional training at the Johns Hopkins Bloomberg School of Public Health. Specific outcomes during this project period included (1) an increase in knowledge of quantitative methods, measurement, and statistical analysis (2) analysis of primary data collection project on the sociocultural determinants of cancer knowledge and attitudes, and (3) professional presentation in both poster and paper format at scientific meetings.
Publications
- No publications reported this period
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Progress 10/01/06 to 09/30/07
Outputs
OUTPUTS: During this first year of the project the PI continued her training in the Native Investigator Development Program through the University of Colorado Health Sciences Center. This training included formal coursework in qualitative methodologies, social and behavioral theories of health, and community based participatory research. Under the auspices of this program the PI received intensive training and mentoring in the study of American Indian Health disparities. In the summer of 2007, the PI collected cross-sectional pilot study data from 185 adults 40 years of age and older residing in 2 American Indian communities in the Southwest. The aim of this project was to examine knowledge about colorectal cancer and attitudes towards preventive screening. Colorectal cancer is the second leading cause of cancer death among American Indian men and the third leading cause among American Indian women. To address the high mortality and underutilization of colorectal cancer screening
tests among American Indians, this study drew upon the sociological concept of "social capital," an increasingly important concept in health disparities research, to examine how features of the socio-cultural environment influence health knowledge, attitudes, behaviors and outcomes. The specific aims of this study were to 1) identify and measure the different forms of social capital characterizing each village; 2) describe individuals' knowledge of and attitudes towards colorectal cancer; and 3) estimate the association between specific forms of social capital with knowledge and attitudes about colorectal cancer in each village, adjusting for sociodemographic and health factors. During this reporting period, the PI completed initial descriptive statistics, including the calculation of means and standard deviations for continuous variables and frequency distributions for categorical variables. With this, the PI was able to examine basic data on sociodemographic and health status
factors overall and among respondents from each of the 2 sampled communities. To complete data analysis the PI submitted an NCI Research Supplement to Promote Diversity in Health-Related Research under a parent grant at the University of Washington.
PARTICIPANTS: During this project period the PI continued her participation in the NIA-sponsored Native Investigator Development Program. Under the auspices of this program she continued her research collaboration with faculty at the University of Washington, Native People for Cancer Control Program, the University of Colorado at Denver Health Sciences Center, Native Elder Research Center. Research partnerships were also formed with American Indian communities in the Southwest.
TARGET AUDIENCES: The target audiences for the project include American Indian communities, tribal leaders, and health care providers working with this population. The pilot data collection project completed during this reporting period was designed to understand the disparities in colorectal cancer screening and mortality among American Indians compared to other groups, and the extent to which lack of knowledge about, and culturally-based attitudes toward colorectal cancer and screening may affect prevention behavior. Understanding the relationship between sociocultural factors and knowledge and attitudes about cancer will help community-based health programs tailor their initiatives and interventions to better meet the unique needs of special populations.
Impacts
A major goal of this project is to provide the PI with skills, knowledge, and research experience needed to establish an independent research career dedicated to understanding and addressing social inequalities in the prevention, detection and treatment, and burden of cancer and cancer-related health conditions among American Indians. During this project period, the PI substantially extended her knowledge and skills related to health disparities research through continued participation in the National Institute on Aging-sponsored Native Investigator Development Program, a collaborative program of the University of Colorado Denver Health Sciences Center and the University of Washington. Specific outcomes included (1) an increase in knowledge of quantitative methods, measurement, and statistical analysis (2) completion of primary data collection project on the sociocultural determinants of cancer knowledge and attitudes, and (3) professional presentation in both poster
and paper format at scientific meetings.
Publications
- No publications reported this period
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