Grant Number:	1R01CA124397-01A1 Interpret this number
Primary Investigator:	Tu, Shin-Ping
Organization:	University Of Washington
Project Title:	Cancer Control Dissemination to Asian Americans
Fiscal Year:	2007

DESCRIPTION (provided by applicant): The overall goal of our proposal is to disseminate an evidence-based intervention designed for one Asian ethnic population to a different Asian ethnic population with overlapping cultural and health beliefs. In collaboration with International Community Health Services (ICHS), a community agency serving many Asian ethnic groups, we have three specific objectives for the proposed research: Replicate an effective colorectal cancer (CRC) screening intervention for Vietnamese Americans that was originally designed for Chinese Americans. Evaluate the dissemination of this replicated intervention through a quasi-experimental study. Collect and examine dissemination process data. Based on principles from Diffusion of Innovation Theory, we proposed to replicate an intervention with a 42% effect size. The replicated intervention will consist of a Vietnamese language video and bilingual pamphlet. We will translate and dub into Vietnamese our award-winning Chinese-language video, "Being a Winner in Life: How to Prevent Colorectal Cancer." The Chinese/English pamphlet will also be translated into Vietnamese. To provide feedback on the translated video script and pamphlet, we will convene 4 focus groups with Vietnamese men and women. Subsequently, we will introduce these materials to the intervention clinic staff at in-service training presentations and specifically recommend that intervention clinic medical assistants distribute the intervention materials. To evaluate the dissemination of this replicated intervention, our quantitative analysis will examine the Reach and Effectiveness based on the RE-AIM framework through a quasi-experimental study over an 18-month period. There are 919 and 802 age-eligible Vietnamese patients at the intervention and control clinic respectively. To determine the Effectiveness of the intervention, the primary outcome will be changes in CRC screening adherence rates at the intervention and control clinics. We will randomly select 25% of the patients from each clinic for pre- and post-intervention chart audits and use the Generalized Estimating Equation to model CRC screening adherence at the two clinics at pre- and post-intervention. Process evaluation will examine Adoption, Implementation, and Maintenance at the intervention clinic. We will collect qualitative data from 10 key informant interviews with ICHS management personnel and intervention clinic staff. In addition, 3 focus groups with medical assistants, the intervention agents, anof two focus groups with Vietnamese patients at the intervention clinic will also be completed.




Assessing Levels and Correlates of Implementation of Evidence-Based Approaches for Colorectal Cancer Screening: A Cross-Sectional Study With Federally Qualified Health Centers.
Authors: Walker T.J. , Risendal B. , Kegler M.C. , Friedman D.B. , Weiner B.J. , Williams R.S. , Tu S.P. , Fernandez M.E. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2018 Dec; 45(6), p. 1008-1015.
EPub date: 2018-07-10 00:00:00.0.
PMID: 29991294
Related Citations

Developing measures to assess constructs from the Inner Setting domain of the Consolidated Framework for Implementation Research.
Authors: Fernandez M.E. , Walker T.J. , Weiner B.J. , Calo W.A. , Liang S. , Risendal B. , Friedman D.B. , Tu S.P. , Williams R.S. , Jacobs S. , et al. .
Source: Implementation Science : Is, 2018-03-27 00:00:00.0; 13(1), p. 52.
EPub date: 2018-03-27 00:00:00.0.
PMID: 29587804
Related Citations

Facilitators And Hindrances Of Implementing Colorectal Cancer Screening Intervention Among Vietnamese Americans
Authors: Sin M.K. , Yip M.P. , Kimura A. , Tu S.P. .
Source: Cancer Nursing, 2016-04-22 00:00:00.0; , .
PMID: 27105470
Related Citations

Is Availability Of Mammography Services At Federally Qualified Health Centers Associated With Breast Cancer Mortality-to-incidence Ratios? An Ecological Analysis
Authors: Adams S.A. , Choi S.K. , Eberth J.M. , Friedman D.B. , Yip M.P. , Tucker-Seeley R.D. , Wigfall L.T. , Hébert J.R. .
Source: Journal Of Women's Health (2002), 2015 Nov; 24(11), p. 916-23.
PMID: 26208105
Related Citations

Decreased Cancer Mortality-to-Incidence Ratios with Increased Accessibility of Federally Qualified Health Centers.
Authors: Adams S.A. , Choi S.K. , Khang L. , A Campbell D. , Friedman D.B. , Eberth J.M. , Glasgow R.E. , Tucker-Seeley R. , Xirasagar S. , Yip M.P. , et al. .
Source: Journal Of Community Health, 2015 Aug; 40(4), p. 633-41.
PMID: 25634545
Related Citations

Practice adaptive reserve and colorectal cancer screening best practices at community health center clinics in 7 states.
Authors: Tu S.P. , Young V.M. , Coombs L.J. , Williams R.S. , Kegler M.C. , Kimura A.T. , Risendal B.C. , Friedman D.B. , Glenn B.A. , Pfeiffer D.J. , et al. .
Source: Cancer, 2015-04-15 00:00:00.0; 121(8), p. 1241-8.
EPub date: 2015-04-15 00:00:00.0.
PMID: 25524651
Related Citations

Barriers And Facilitators To Colorectal Cancer Screening In Vietnamese Americans: A Qualitative Analysis
Authors: Kimura A. , Sin M.K. , Spigner C. , Tran A. , Tu S.P. .
Source: Journal Of Cancer Education : The Official Journal Of The American Association For Cancer Education, 2014 Dec; 29(4), p. 728-34.
PMID: 24756545
Related Citations

Adaptation Of An Evidence-based Intervention To Promote Colorectal Cancer Screening: A Quasi-experimental Study
Authors: Tu S.P. , Chun A. , Yasui Y. , Kuniyuki A. , Yip M.P. , Taylor V. , Bastani R. .
Source: Implementation Science : Is, 2014; 9, p. 85.
PMID: 24989083
Related Citations

Applying Systems Engineering To Implement An Evidence-based Intervention At A Community Health Center
Authors: Tu S.P. , Feng S. , Storch R. , Yip M.P. , Sohng H. , Fu M. , Chun A. .
Source: Journal Of Health Care For The Poor And Underserved, 2012 Nov; 23(4), p. 1399-409.
PMID: 23698657
Related Citations

Systems antecedents for dissemination and implementation: a review and analysis of measures.
Authors: Emmons K.M. , Weiner B. , Fernandez M.E. , Tu S.P. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2012 Feb; 39(1), p. 87-105.
PMID: 21724933
Related Citations

Continuity Of Care And Colorectal Cancer Screening By Vietnamese American Patients
Authors: Tu S.P. , Yip M.P. , Li L. , Chun A. , Taylor V. , Yasui Y. .
Source: Asian Pacific Journal Of Cancer Prevention : Apjcp, 2010; 11(4), p. 1125-31.
PMID: 21133636
Related Citations

Development Of Intervention Materials For Individuals With Limited English Proficiency: Lessons Learned From "colorectal Cancer Screening In Chinese Americans"
Authors: Tu S.P. , Yip M.P. , Chun A. , Choe J. , Bastani R. , Taylor V. .
Source: Medical Care, 2008 Sep; 46(9 Suppl 1), p. S51-61.
PMID: 18725834
Related Citations