Improving cancer prevention and control through academic-local public health department partnerships

通过学术界与当地公共卫生部门的合作改善癌症预防和控制

• 批准号: 10441988
• 负责人: Stephanie Mazzucca-Ragan
• 金额: $ 64.87万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-05-17 至 2027-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10441988
• 关键词: Academic support; Address; Adopted; Adoption; Cancer Burden; Cancer Control; Characteristics; Chronic Disease; Collaborations; Communities; Data Collection; Decision Making; Diet; Early Diagnosis; Education; Evidence based program; Exploration Preparation Implementation and Sustainment; Funding; Goals; Health; Health education; Individual; Interview; Joints; Link; Malignant Neoplasms; Methods; Modeling; Phase; Physical activity; Policies; Policy Making; Population; Positioning Attribute; Preparation; Process; Public Health; Public Health Practice; Randomized; Research; Research Personnel; Research Project Grants; Resources; Risk Factors; Structure; Students; Surveys; Testing; Time; Tobacco use; Training; Translating; Translational Research; United States; Work; arm; base; cancer prevention; contextual factors; design; deviant; dissemination research; effectiveness testing; evidence base; implementation evaluation; implementation facilitation; implementation framework; implementation research; improved; innovation; modifiable risk; organizational climate; prevent; programs; randomized trial; research to practice; skills; sustainability framework

PROJECT SUMMARY Background: The 2,800 local public health departments (LHDs) in the United States have been increasingly responsible for implementing evidence-based programs and policies (EBPPs) to prevent and control cancer in their local communities, which has immense potential to impact population-level cancer burden. Our team has developed effective strategies to support LHDs and their staff to implement EBPPs, including guided facilitation and training, but the reach and sustainability of these strategies is currently limited. A promising strategy is for LHDs to engage in an academic-public health department (AHD) partnership, in which LHD practitioners and academics collaborate to improve public health practice and education through joint research projects and education opportunities for students. However, research on how AHD partnerships should be structured to improve implementation of cancer-related EBPPs is sparse. Goal: This proposal seeks to understand how to leverage AHD partnerships to facilitate implementation of EBPPs to prevent and control cancer. Methods: Aim 1: We will survey an existing, nationwide network of AHD partnerships to identify 4 high- and 4 low-performing partnerships based on their implementation of cancer-related EBPPs. We will use qualitative interviews and document reviews to refine our existing set of strategies, which can improve the use of EBPPs (e.g., facilitation needed, defining a tailored AHD partnership “package”), based on the structures, processes, and contextual influences among successful partnerships. Aim 2: Building on Aim 1, we will test the effectiveness of these refined strategies designed to improve the adoption of EBPPs for cancer prevention and control by strengthening AHD partnerships. We will conduct a group-randomized study (total N=28 AHD partnerships) to evaluate the effect of strategies to improve the adoption of cancer control and prevention EBPPs by supporting AHD partnerships. A mixed-methods approach will be used to evaluate changes in AHD partnerships and understand how contextual factors may have impacted the AHD partnership’s ability to support EBPP implementation. We will translate and disseminate findings from Phases 1 and 2 to LHD practitioners and academic partners to support cancer prevention and control in LHDs. Innovations and impact: The proposed study is innovative and impactful because it will be first study to focus on local-level collaborations that leverage expertise of LHDs and academics to improve public health practice. Also, its application of bridging factors, a component of the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework receiving a greater focus recently, will contribute to the application of emerging components of theoretical frameworks in dissemination and implementation research. Last, this study examines new models for how public practice and academic public health can work together to meet common goals sustainably, i.e., without ongoing support from outside researchers.

项目概要 背景：美国 2,800 个地方公共卫生部门 (LHD) 已越来越多地 负责实施基于证据的计划和政策（EBPP）以预防和控制癌症 他们的当地社区，这有巨大的潜力影响人口层面的癌症负担。 制定有效的战略来支持 LHD 及其员工实施 EBPP，包括指导性便利 和培训，但目前这些战略的影响范围和可持续性有限。 LHD 参与学术-公共卫生部门 (AHD) 合作伙伴关系，其中 LHD 执业者和 学术界通过联合研究项目合作改善公共卫生实践和教育 然而，关于如何构建 AHD 伙伴关系的研究 改善与癌症相关的 EBPP 的实施情况很少。 目标：该提案旨在了解如何利用 AHD 合作伙伴关系来促进实施 EBPP 预防和控制癌症。 方法： 目标 1：我们将调查现有的全国性 AHD 合作伙伴网络，以确定 4 个高水平和 4 个 基于癌症相关 EBPP 实施情况而表现不佳的合作伙伴，我们将使用定性的方法。 访谈和文件审查以完善我们现有的策略集，从而改善 EBPP 的使用 （例如，所需的便利，定义量身定制的 AHD 合作伙伴关系“包”），基于结构、流程、 目标 2：在目标 1 的基础上，我们将测试 这些旨在提高 EBPP 在癌症预防和治疗中的采用率的改进策略的有效性 我们将通过加强 AHD 伙伴关系进行控制。 伙伴关系）来评估改善癌症控制和预防的策略的效果 通过支持 AHD 合作伙伴关系的 EBPP 将用于评估 AHD 的变化。 合作伙伴关系，并了解背景因素如何影响 AHD 合作伙伴关系的能力 支持 EBPP 实施。我们将向 LHD 翻译并传播第一阶段和第二阶段的调查结果。 护理人员和学术合作伙伴支持 LHD 中的癌症预防和控制。 创新和影响：拟议的研究具有创新性和影响力，因为它将是第一个关注的研究 地方层面的合作，利用 LHD 和学者的专业知识来改善公共卫生实践。 此外，它还应用了桥接因素，这是探索、准备、实施和 维持（EPIS）框架最近受到更多关注，将有助于新兴技术的应用 传播和实施研究的理论框架的组成部分最后，本研究。 研究公共实践和学术公共卫生如何共同努力以满足共同目标的新模式 可持续地实现目标，即无需外部研究人员的持续支持。