コミュニティのメンバーを肺がんスクリーニングに誘導するイニシアティブ
Mikhalya Brown1, Tatiana Ramirez2, Maryam Mohammed-Norgan3
1Quinnipiac University, Frank H Netter MD School of Medicine, North Haven, CT 06473, United States.
Health education research
|September 2, 2025
まとめ
レイ・ヘルス・ナビゲーター (LHN) は,肺がんに関する知識を向上させ,低用量コンピュータトモグラフィー (LDCT) のスクリーニングにリスクのあるコミュニティのメンバーを成功させ,がんのケアにおける格差に対処しました.
科学分野:
- 公衆衛生
- 癌 の 予防
- 健康 の 格差
背景:
- 肺がんの罹患率と死亡率は アメリカでは黒人より高くなっています
- 肺がんに特異的なプレゼンテーションを作成するために既存のがん教育努力が適応されました.
- 輸送などの非臨床的障壁は,低用量コンピュータトモグラフィー (LDCT) のスクリーニングへのアクセスを妨げています.
研究 の 目的:
- LHN (レイ・ヘルス・ナビゲーター) を用いた肺がん教育・ナビゲーションプログラムの開発・評価
- リスクの高いコミュニティの肺がん検診の格差に対処する
- LDCTのスクリーニングのナビゲーターとしてのコミュニティメンバーの有効性を評価する.
主な方法:
- 文化的に言語的に代表的な学生ボランティアがLHNとして訓練され評価されました.
- LHNはコミュニティのメンバーに肺がんに関する教育プレゼンテーションを行いました.
- LHNは,LDCTのスクリーニングへのアクセスを容易にするために,非臨床的障壁に対処しました.
主要な成果:
- LHNは,がんに関する知識 (P < 0. 01) と自信 (P < 0. 05) で統計的に有意な改善を示した.
- 41の教育的なプレゼンテーションが ニューヨーク市で1966のコミュニティメンバーに届きました.
- 対象者の57%がLHNによるLDCTスクリーニングに成功しました.
結論:
- レイ・ヘルス・ナビゲーターは 癌に関する知識を効果的に改善し 検診のアクセスを促進できます
- コミュニティベースのナビゲーションプログラムは 癌のスクリーニングの格差を減らす可能性を示しています
- このプログラムは,がんのスクリーニングの患者ナビゲーションの非医療従事者の使用をサポートします.
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