UPMC McKeesport/ROCOG Radiation Oncology Minorities Out*

UPMC McKeesport/ROCOG 放射肿瘤学少数派出局*

• 批准号: 6804013
• 负责人: Dwight E Heron
• 金额: $ 73.74万
• 依托单位: UPMC MC KEESPORT
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-26 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6804013
• 关键词: African American; Internet; cancer registry /resource; clinical research; community; cooperative study; health care quality; health services research tag; human subject; low socioeconomic status; medical outreach /case finding; medically underserved population; oncology; racial /ethnic difference; radiation therapy; rural area; urban area

DESCRIPTION (provided by applicant) A number of barriers, both real and perceived, tend to hinder the recruitment of patients, and by extension, minorities and poor people into clinical oncology trials at community centers. In order to initiate the opportunity to participate in clinical research at the community level, we have developed a collaborative regional network, The Radiation Oncology Community Outreach Group (ROCOG), based at UPMC McKeesport Hospital, that will build the infrastructure for clinical research at five community hospitals over the term of the grant, and which will deploy infrastructure resources for widespread, clinically and demographically disparate populations. Project goals include increasing clinical compliance, protocol recruitment and protocol retention within these populations, operationalizing a collaborative model of community based research, testing the efficacy of patient identification, engagement and outreach models and using a comprehensive outcomes measurement system to insure care quality and monitor treatment disparities. This proposal presents a number of other unique approaches and strengths. Several potential academic "mentors" have provided their endorsement, including the University of Pittsburgh Cancer Institute, Allegheny General Hospital Cancer Institute, Roswell Park Cancer Institute and the Mallincrodt Institute of Radiology at Washington University at St. Louis. The proposal also has the support of several well-recognized minority health initiatives within western Pennsylvania, to assist us in outreach and disparities education. Our outreach strategies are tailored to urban or to rural areas, and include use of a new "fast track" patient identification function within Tumor Registry, Patient Navigator system, Protocol Nurse and contracted community outreach agencies. The proposed clinical pilots concerning breast conservation, colorectal and bone mets reflect locally-specific high burden of disease within minority populations. An integrated outcomes monitoring system using Tumor Registry & Record & Verify data is also proposed as a platform for a comprehensive CQI program. Finally, comprehensive patient and professional education will be provided through a combination of peer outreach, WEB-based programming and through a mobile application of the NCI Telesynergy system.

描述（由申请人提供） 许多真实的和感知的障碍往往会阻碍招募患者，进而阻碍少数族裔和穷人参加社区中心的临床肿瘤学试验。为了创造参与社区层面临床研究的机会，我们开发了一个合作区域网络，即放射肿瘤学社区外展小组 (ROCOG)，该网络以 UPMC McKeesport 医院为基地，将在五个城市建立临床研究基础设施。社区医院在赠款期限内，将为广泛的、临床和人口统计不同的人群部署基础设施资源。项目目标包括提高这些人群的临床依从性、方案招募和方案保留，实施基于社区的研究协作模型，测试患者识别、参与和外展模型的有效性，以及使用全面的结果测量系统来确保护理质量和监测治疗差异。该提案提出了许多其他独特的方法和优势。一些潜在的学术“导师”已经提供了他们的认可，包括匹兹堡大学癌症研究所、阿勒格尼综合医院癌症研究所、罗斯威尔帕克癌症研究所和圣路易斯华盛顿大学马林克罗特放射学研究所。该提案还得到了宾夕法尼亚州西部几个公认的少数族裔健康倡议的支持，以协助我们进行外展和差异教育。我们的外展策略是针对城市或农村地区量身定制的，包括在肿瘤登记处、患者导航系统、协议护士和签约社区外展机构中使用新的“快速通道”患者识别功能。拟议的有关乳房保护、结直肠和骨代谢检测的临床试点反映了少数民族人口中当地特有的高疾病负担。还建议使用肿瘤登记、记录和验证数据的综合结果监测系统作为综合 CQI 计划的平台。最后，将通过同行外展、基于 WEB 的编程以及 NCI Telesynergy 系统的移动应用程序相结合，提供全面的患者和专业教育。