Developing the Florida Academic Cancer Center Alliance Health Disparities Common Measure: The Florida Health and Ancestry Survey

Purpose Our specific aim was to develop and assess the consensus-based validity of common measures for understanding health behaviors and ancestry in Florida’s population subgroups and establish the feasibility of wide-scale implementation of the measures and biospecimen collection within three canc...

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Main Authors: Brenda W. Dyal PhD, DNP, FNP-BC, Zulema L. Uscanga MPH, CPH, Zinzi Bailey ScD, MSPH, Stephanie Schmit PhD, MPH, Alina Hoehn BS, Jennifer Garcia MA, Clement K. Gwede PhD, MPH, RN, FAAN, Naomi Brownstein PhD, Keesha Powell-Roach PhD, RN, Versie Johnson-Mallard PhD, WHNP-BC, FAANP, FAAN, Janice L. Krieger PhD, Erin Kobetz PhD, MPH, Susan Vadaparampil PhD, MPH, Folakemi T. Odedina PhD, Diana J. Wilkie PhD, RN, FAAN
Format: Article
Language:English
Published: SAGE Publishing 2022-06-01
Series:Cancer Control
Online Access:https://doi.org/10.1177/10732748221110897
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author Brenda W. Dyal PhD, DNP, FNP-BC
Zulema L. Uscanga MPH, CPH
Zinzi Bailey ScD, MSPH
Stephanie Schmit PhD, MPH
Alina Hoehn BS
Jennifer Garcia MA
Clement K. Gwede PhD, MPH, RN, FAAN
Naomi Brownstein PhD
Keesha Powell-Roach PhD, RN
Versie Johnson-Mallard PhD, WHNP-BC, FAANP, FAAN
Janice L. Krieger PhD
Erin Kobetz PhD, MPH
Susan Vadaparampil PhD, MPH
Folakemi T. Odedina PhD
Diana J. Wilkie PhD, RN, FAAN
author_facet Brenda W. Dyal PhD, DNP, FNP-BC
Zulema L. Uscanga MPH, CPH
Zinzi Bailey ScD, MSPH
Stephanie Schmit PhD, MPH
Alina Hoehn BS
Jennifer Garcia MA
Clement K. Gwede PhD, MPH, RN, FAAN
Naomi Brownstein PhD
Keesha Powell-Roach PhD, RN
Versie Johnson-Mallard PhD, WHNP-BC, FAANP, FAAN
Janice L. Krieger PhD
Erin Kobetz PhD, MPH
Susan Vadaparampil PhD, MPH
Folakemi T. Odedina PhD
Diana J. Wilkie PhD, RN, FAAN
author_sort Brenda W. Dyal PhD, DNP, FNP-BC
collection DOAJ
description Purpose Our specific aim was to develop and assess the consensus-based validity of common measures for understanding health behaviors and ancestry in Florida’s population subgroups and establish the feasibility of wide-scale implementation of the measures and biospecimen collection within three cancer centers’ catchment areas. Methods Using the National Cancer Institute’s Grid-Enabled Measures web-based platform and an iterative process, we developed the Florida Health and Ancestry Survey (FHAS). We then used three sampling approaches to implement the FHAS: community-engaged, panel respondent, and random digit dialing (RDD). We asked a subset of participants to provide a saliva sample for future validation of subjective ancestry report with DNA-derived ancestry markers. Results This process supported the FHAS content validity. As an indicator of feasibility, the goals for completed surveys by sampling approach were met for two of the three cancer centers, yielding a total of 1438 completed surveys. The RDD approach produced the most representative sample. The panel sampling approach produced inadequate representation of older individuals and males. The community-engaged approach along with social media recruitment produced extreme underrepresentation only for males. Two of the cancer centers mailed biospecimen kits, whereas one did not due to resource constraints. On average, the community engaged approach was more productive in obtaining returned biospecimen samples (80%) than the panel approach (48%). Conclusions We successfully developed and implemented the FHAS as a common measure to show its feasibility for understanding cancer health disparities in Florida. We identified sampling approach successes and challenges to obtaining biospecimens for ancestry research.
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spelling doaj.art-a06f419459c34ad08f8aec575bfd24cf2022-12-22T02:39:37ZengSAGE PublishingCancer Control1073-27482022-06-012910.1177/10732748221110897Developing the Florida Academic Cancer Center Alliance Health Disparities Common Measure: The Florida Health and Ancestry SurveyBrenda W. Dyal PhD, DNP, FNP-BCZulema L. Uscanga MPH, CPHZinzi Bailey ScD, MSPHStephanie Schmit PhD, MPHAlina Hoehn BSJennifer Garcia MAClement K. Gwede PhD, MPH, RN, FAANNaomi Brownstein PhDKeesha Powell-Roach PhD, RNVersie Johnson-Mallard PhD, WHNP-BC, FAANP, FAANJanice L. Krieger PhDErin Kobetz PhD, MPHSusan Vadaparampil PhD, MPHFolakemi T. Odedina PhDDiana J. Wilkie PhD, RN, FAANPurpose Our specific aim was to develop and assess the consensus-based validity of common measures for understanding health behaviors and ancestry in Florida’s population subgroups and establish the feasibility of wide-scale implementation of the measures and biospecimen collection within three cancer centers’ catchment areas. Methods Using the National Cancer Institute’s Grid-Enabled Measures web-based platform and an iterative process, we developed the Florida Health and Ancestry Survey (FHAS). We then used three sampling approaches to implement the FHAS: community-engaged, panel respondent, and random digit dialing (RDD). We asked a subset of participants to provide a saliva sample for future validation of subjective ancestry report with DNA-derived ancestry markers. Results This process supported the FHAS content validity. As an indicator of feasibility, the goals for completed surveys by sampling approach were met for two of the three cancer centers, yielding a total of 1438 completed surveys. The RDD approach produced the most representative sample. The panel sampling approach produced inadequate representation of older individuals and males. The community-engaged approach along with social media recruitment produced extreme underrepresentation only for males. Two of the cancer centers mailed biospecimen kits, whereas one did not due to resource constraints. On average, the community engaged approach was more productive in obtaining returned biospecimen samples (80%) than the panel approach (48%). Conclusions We successfully developed and implemented the FHAS as a common measure to show its feasibility for understanding cancer health disparities in Florida. We identified sampling approach successes and challenges to obtaining biospecimens for ancestry research.https://doi.org/10.1177/10732748221110897
spellingShingle Brenda W. Dyal PhD, DNP, FNP-BC
Zulema L. Uscanga MPH, CPH
Zinzi Bailey ScD, MSPH
Stephanie Schmit PhD, MPH
Alina Hoehn BS
Jennifer Garcia MA
Clement K. Gwede PhD, MPH, RN, FAAN
Naomi Brownstein PhD
Keesha Powell-Roach PhD, RN
Versie Johnson-Mallard PhD, WHNP-BC, FAANP, FAAN
Janice L. Krieger PhD
Erin Kobetz PhD, MPH
Susan Vadaparampil PhD, MPH
Folakemi T. Odedina PhD
Diana J. Wilkie PhD, RN, FAAN
Developing the Florida Academic Cancer Center Alliance Health Disparities Common Measure: The Florida Health and Ancestry Survey
Cancer Control
title Developing the Florida Academic Cancer Center Alliance Health Disparities Common Measure: The Florida Health and Ancestry Survey
title_full Developing the Florida Academic Cancer Center Alliance Health Disparities Common Measure: The Florida Health and Ancestry Survey
title_fullStr Developing the Florida Academic Cancer Center Alliance Health Disparities Common Measure: The Florida Health and Ancestry Survey
title_full_unstemmed Developing the Florida Academic Cancer Center Alliance Health Disparities Common Measure: The Florida Health and Ancestry Survey
title_short Developing the Florida Academic Cancer Center Alliance Health Disparities Common Measure: The Florida Health and Ancestry Survey
title_sort developing the florida academic cancer center alliance health disparities common measure the florida health and ancestry survey
url https://doi.org/10.1177/10732748221110897
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