(Note: Ten miscellaneous statements that did not fit a specific cluster area are not displayed here.)
Following are focused statements generated in response to the following statement, "in order to address its mission, one specific research area and/or topic I think the ACSRB should focus on over the next 3 years is…."
# |
Statement |
1. |
Encourage innovative qualitative approaches to understanding barriers to screening. |
2. |
Examine effects of screening with and without false positive results on worry/anxiety about cancer. |
3. |
Encourage more small-scale preliminary research projects. |
4. |
Understand ecological influences on cancer screening behavior. |
5. |
Support provider studies of decision making about colorectal cancer screening options. |
6. |
Encourage integration of different theoretical perspectives into intervention development. |
7. |
Develop and test cancer risk communication messages across different ethnic/minority and cultural groups. |
8. |
Develop and test gender specific messages for colorectal cancer screening. |
9. |
Anticipate the behavioral research issues likely to develop with the introduction of biomarker screening. |
10. |
Study how people interpret genetic risk information, especially absolute versus relative risk. |
11. |
Develop outreach strategies that respond to underserved populations in rural areas. |
12. |
Research the relative effectiveness of different theories in increasing prevention/screening activities. |
14. |
Consider interventions addressing multiple behavioral concerns, not just screening. |
15. |
Increase research on the most effective educational approaches for low-literacy individuals. |
16. |
Develop and test strategies to promote shared decision making to increase cancer screening. |
17. |
Consider the difference between screening in the classic sense and case-finding. |
18. |
Encourage research on decision making strategies in high risk families. |
19. |
Develop a team model approach for prostate cancer patients to facilitate treatment decisions over short and long run. |
20. |
Conduct cost-utility studies for new colorectal cancer screening tests on the horizon (e.g. virtual colonoscopy). |
22. |
Encourage replication studies with different populations so that they can be evaluated for best practices model. |
23. |
Explore beyond race/ethnicity on the major cultural constructs that may be associated with screening. |
25. |
Explore the extent to which "trust" is an issue with various ethnic populations. |
26. |
Evaluate how to link national and state data on screening of cancer incidence and outcomes for those areas. |
27. |
Identify impact of false positive cancer screening tests on future screening behavior. |
29. |
Consider quantifying the potential impact of directing efforts at particular populations via simulation modeling. |
30. |
Assess the relative value of factors that enable provider and patient screening behaviors in practice settings (particularly multiple screens). |
31. |
Test strategies for increasing patient-provider communication regarding screening.
|
32. |
Examine predictors of multiple screening behaviors simultaneously to determine how behaviors cluster. |
33. |
Support interventions for minority groups that focus on the relation of HPV and cervical cancer. |
34. |
Examine the issue of informed consent for screening. |
35. |
Focus research on the translation of proven screening programs into actual clinical practice. |
36. |
Examine patient decision making and preferences for different colorectal cancer screening tests. |
37. |
Develop and test strategies for reaching the hard-core screening. |
38. |
Examine the policy issues related to genetic screening for cancer. |
39. |
Assess patient and provider decision making when screening recommendations are uncertain (e.g., PSA testing). |
40. |
Study community level predictors of cancer screening. |
41. |
Test interventions to eliminate socioeconomic disparities in cancer screening. |
43. |
Develop a balanced prostate cancer screening message and determine effective ways to disseminate it. |
44. |
Increase capacity of state and local health departments in the area of HPV/cervical cancer prevention. |
45. |
Determine how to integrate cancer preventive service delivery in the midst of the competing opportunities of the primary care setting. |
46. |
Explore the impact of social support on screening behaviors. |
48. |
Describe PSA screening practices among physicians. |
49. |
Examine psychosocial and other screening issues in first-degree relatives of cancer survivors. |
50. |
Evaluate and assess the psychosocial and system effects of genetic testing for cancers among high and average risk people. |
51. |
Reduce disparities with respect to initial access to screening and abnormal follow-up in key cancer areas. |
52. |
Support basic behavioral (pre-intervention, "fundamental") research on the role of culture and screening behavior. |
53. |
Develop capacity building strategies for endoscopic colorectal cancer. |
54. |
Evaluate and test colorectal risk communications via multi-media methods. |
55. |
Support adoption of successful cancer screening intervention strategies for community based populations. |
56. |
Test the specific impact of tailored interventions in increasing cancer screening behavior. |
57. |
Encourage development of theory relating macro levels of influence to individual screening behavior. |
58. |
Identify practices most able to adopt innovations in cancer prevention. |
59. |
Describe the actual practices in HMOs to promote screening. |
60. |
Test the feasibility of using new media technologies to educate underserved/poor regarding cancer screening. |
61. |
Support designs to test the aggregate, as well as the independent effects of multi-strategy interventions. |
62. |
Identify "pathways" to early detection. |
63. |
Study cost effectiveness of screening interventions. |
64. |
Test strategies to improve follow-up of abnormal screening test results. |
65. |
Investigate similarities/differences in barriers to obtaining various cancer screening tests in different populations. |
66. |
Expand behavioral research in the area of screening for genetic risk for cancer. |
67. |
Determine how risk assessment should be incorporated into screening. |
68. |
Assess the impact of the Breast and Cervical Cancer Prevention and Treatment Act of 2000. |
69. |
Examine information systems that facilitate transfer of screening guidelines to clinicians. |
70. |
Model screening prevalence needed to reduce breast, cervix and colorectal cancer mortality by 2005 and 2010. |
72. |
Encourage high quality reporting of published results, methods and outcomes, to create a coherent body of knowledge. |
73. |
Study influences on the receipt of repeat cancer screening. |
74. |
Understand the role of fear as a barrier to screening, and develop strategies to help. |
76. |
Encourage research on the cultural appropriateness of behavioral theories used to explain screening and inform interventions. |
77. |
Develop and test alternatives to the traditional experimental-control approach for evaluation of community-based studies. |
78. |
Evaluate the effectiveness and costs of packaging (all) screening in the primary care setting. |
79. |
Support educational interventions regarding the role of HPV in cervical cancer. |
80. |
Study the importance of context especially among the hard to reach subpopulations and those who never screen. |
81. |
Examine cost effectiveness of various early detection formats. |
82. |
Support application of current successful models of intention to treat designs for cancer screening. |
83. |
Collect up to date data on cancer screening access among rural residents. |
84. |
Assess the impact of different managed care settings on screening practices. |
85. |
Establish consensus on appropriate outcome measures for behavioral interventions. |
86. |
Diversify intervention research geographically. |
87. |
Assess policy relevant to diagnostic and treatment service provisions in population screening programs. |
88. |
Identify ways to package cancer screening with other preventive services. |
89. |
Examine the feasibility of "low tech" screening for developing countries and underserved areas of the US. |