#CuttingCRC: Barbershop-Based Trial & Colorectal Cancer

The goal of this behavior change focused, culture-specific, pilot, peer intervention is to target masculinity barriers to medical care (MBMC) considering a range of psychosocial factors associated with uptake of CRC screening (fecal immunochemical test (FIT)) among African-American men. Barbershops will serve as intervention sites and barbers will be trained in the technique of Motivational Interviewing (MI) which will guide the barbers to encourage their clients with culturally relevant messaging to take a FIT kit home and then send to the lab for processing (uptake). The main questions it aims to answer are the feasibility of recruitment, sample size estimation, preliminary efficacy, and the acceptability of barbers to deliver culture-specific messages that aim to overcome masculinity barriers to medical care.
Researchers will compare the culture-specific intervention with a control arm, where barbers provide their client an evidenced-based American Cancer Society brochure on colorectal cancer screening to understand if barbers peers using MI and culturally relevant messaging better overcome masculinity barriers to medical care than the barber using the brochure alone.

本项聚焦行为改变、具备文化适配性的同伴干预试点研究，旨在针对非裔美国男性群体中阻碍就医的男性气质障碍（Masculinity Barriers to Medical Care, MBMC），同时考量与该群体结直肠癌筛查（Colorectal Cancer Screening, CRC）依从性相关的一系列社会心理因素。本研究以理发店作为干预场所，将对理发师开展动机性访谈（Motivational Interviewing, MI）技术培训，指导理发师结合文化适配性信息，鼓励其顾客领取粪便免疫化学测试（Fecal Immunochemical Test, FIT）试剂盒带回家并寄回实验室完成检测（即筛查依从）。本研究的核心研究目标包括：评估招募可行性、估算样本量、验证初步疗效，以及考察理发师传递旨在破除就医男性气质障碍的文化适配性信息的可接受性。
研究人员将本文化适配性干预组与对照组开展对照研究：对照组理发师仅向顾客发放基于循证依据的美国癌症协会结直肠癌筛查手册，以此验证采用动机性访谈与文化适配性信息的同伴理发师，是否比仅使用手册的理发师更能有效破除就医的男性气质障碍。