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Grant Details

Grant Number: 5R01CA065880-12 Interpret this number
Primary Investigator: Fox, Sarah
Organization: University Of California Los Angeles
Project Title: Increasing Colorectal Cancer Screening Through Churches
Fiscal Year: 2006
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Abstract

DESCRIPTION: The proposed study is a 5-year randomized controlled community trial to test two interventions designed to promote increased use of colorectal cancer (CRC) screening. The interventions will be tested in 74 churches in Los Angeles County and Honolulu with men and women church members ages 50-75. The interventions comprise a church-level one, Church Leadership Training (CLT) and a member-level one, Targeted Print (TP). CLT targets pastors and other key church leaders through training workshops to increase public health awareness throughout the organization with a focus on promoting CRC screening. This proposal is a competing continuation application that builds on a previous trial in Los Angeles churches that successfully tested a targeted print intervention to increase mammography screening. In this study, TP will target older church members through mailings that address barriers to CRC screening. Low to moderate income Asians, blacks, Hispanics and whites will be the focus population. We propose a 2-site study in Los Angeles and Honolulu using a randomized longitudinal cohort design within each site. 54 churches from Los Angeles and 20 from Honolulu will be randomized into 3 study conditions (2 interventions and a minimal contact control). 2,700 church members from Los Angeles and 1,000 from Honolulu will be followed over 3 years to study the effectiveness and cost-effectiveness of the 2 interventions on regular CRC screening. A church-wide evaluation, consisting of extended interviews with pastors and other key church leaders, will be conducted to develop case studies. This qualitative assessment will contribute to an appreciation of the impact of research studies on church organizations. Several strengths of this study include testing a church-level vs. a member-level intervention to promote CRC screening, the use of extensive church pilot data to establish the feasibility of this study, a design that allows generalizations about the efficacy of church-based health promotion programs, and a quantitative and qualitative approach that broadens our understanding of using urban churches to reach underserved groups.

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Publications

Health disparities and prevention: racial/ethnic barriers to flu vaccinations.
Authors: Chen JY, Fox SA, Cantrell CH, Stockdale SE, Kagawa-Singer M
Source: J Community Health, 2007 Feb;32(1), p. 5-20.
PMID: 17269310
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Expression of a soluble transforming growth factor-beta (TGFbeta) receptor reduces tumorigenicity by regulating natural killer (NK) cell activity against 9L gliosarcoma in vivo.
Authors: Witham TF, Villa L, Yang T, Pollack IF, Okada H, Robbins PD, Chambers WH
Source: J Neurooncol, 2003 Aug-Sep;64(1-2), p. 63-9.
PMID: 12952287
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Women's receptivity to church-based mobile mammography.
Authors: Derose KP, Duan N, Fox SA
Source: J Health Care Poor Underserved, 2002 May;13(2), p. 199-213.
PMID: 12017910
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Role of Black churches in health promotion programs: lessons from the Los Angeles Mammography Promotion in Churches Program.
Authors: Markens S, Fox SA, Taub B, Gilbert ML
Source: Am J Public Health, 2002 May;92(5), p. 805-10.
PMID: 11988451
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Effectiveness of telephone counseling for mammography: results from five randomized trials.
Authors: Stoddard AM, Fox SA, Costanza ME, Lane DS, Andersen MR, Urban N, Lipkus I, Rimer BK, NCI Breast Screening Consortium
Source: Prev Med, 2002 Jan;34(1), p. 90-9.
PMID: 11749101
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Costs and cost-effectiveness of a church-based intervention to promote mammography screening.
Authors: Stockdale SE, Keeler E, Duan N, Derose KP, Fox SA
Source: Health Serv Res, 2000 Dec;35(5 Pt 1), p. 1037-57.
PMID: 11130802
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Church-based telephone mammography counseling with peer counselors.
Authors: Derose KP, Fox SA, Reigadas E, Hawes-Dawson J
Source: J Health Commun, 2000 Apr-Jun;5(2), p. 175-88.
PMID: 11010348
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Dealing with diversity: recruiting churches and women for a randomized trial of mammography promotion.
Authors: Derose KP, Hawes-Dawson J, Fox SA, Maldonado N, Tatum A, Kington R
Source: Health Educ Behav, 2000 Oct;27(5), p. 632-48.
PMID: 11009131
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Maintaining mammography adherence through telephone counseling in a church-based trial.
Authors: Duan N, Fox SA, Derose KP, Carson S
Source: Am J Public Health, 2000 Sep;90(9), p. 1468-71.
PMID: 10983211
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Exploitation of immune mechanisms in the treatment of central nervous system cancer.
Authors: Pollack IF, Okada H, Chambers WH
Source: Semin Pediatr Neurol, 2000 Jun;7(2), p. 131-43.
PMID: 10914414
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Breast cancer screening adherence: does church attendance matter?
Authors: Fox SA, Pitkin K, Paul C, Carson S, Duan N
Source: Health Educ Behav, 1998 Dec;25(6), p. 742-58.
PMID: 9813745
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Underusers of mammogram screening: stage of adoption in five U.S. subpopulations. The NCI Breast Cancer Screening Consortium.
Authors: Stoddard AM, Rimer BK, Lane D, Fox SA, Lipkus I, Luckmann R, Avrunin JS, Sprachman S, Costanza M, Urban N
Source: Prev Med, 1998 May-Jun;27(3), p. 478-87.
PMID: 9612839
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Confirmatory analysis of opinions regarding the pros and cons of mammography.
Authors: Rakowski W, Andersen MR, Stoddard AM, Urban N, Rimer BK, Lane DS, Fox SA, Costanza ME
Source: Health Psychol, 1997 Sep;16(5), p. 433-41.
PMID: 9302540
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