Outreach Core

外展核心

基本信息

批准号：
8754431
负责人：
Michelle Ann Barton
金额：
$ 28.64万
依托单位：
UNIVERSITY OF PUERTO RICO MED SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-09-25 至 2018-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8754431
关键词：
Address Adopted Age Applications Grants Area Behavior Budgets Cancer Burden Cancer Control Cancer Etiology Cervical Cancer Screening Clinic Clinical Research Clinical Trials Collaborations Colorectal Cancer Commit Communities Community Health Community Health Education Community Networks Community Outreach Community Participation Computers Data Data Collection Development Diagnostic Education Educational Intervention Effectiveness Effectiveness of Interventions Evaluation Evidence based intervention Federally Qualified Health Center Funding Goals Health Health Educators Health Personnel Health Services Accessibility Healthcare Human Papillomavirus Intervention Intervention Trial Malignant Neoplasms Manuscripts Maps Methods Morbidity - disease rate Outreach Research Participant Patients Phase Pilot Projects Precancerous Polyp Prevention Primary Health Care Process Program Sustainability Provider Puerto Rican Puerto Rico Randomized Research Research Infrastructure Research Personnel Research Project Grants Research Training Technology Testing Tobacco Use Cessation Training Underserved Population University of Texas M D Anderson Cancer Center Vaccination Vulnerable Populations Woman Work abstracting anticancer research base biobank cancer prevention colorectal cancer screening community based participatory research community organizations cost effectiveness effective intervention evidence base innovation interactive multimedia malignant breast neoplasm member men mortality outreach outreach program primary care setting programs research study screening theories

项目摘要

Abstract: The overarching goals of the Outreach Program are twofold: 1) to provide core support to the U54 for training on community-based participatory research (CBPR), direct community outreach and education, and capacity building for implementation and sustainment of evidence-based cancer control programs, and; 2) to conduct an outreach research project to reduce the burden of colorectal cancer among Puerto Ricans. This proposal describes both outreach core activities (under Aim 1) and the required outreach research project (Aim 2) as follows: AIM 1: Expand the existing CCCOP to provide core support to the U54 infrastructure, clinical research projects, and trainees with respect to direct community outreach, researcher and community capacity building, CBPR training, and participant recruitment and retention. AIM 2: Develop and evaluate the effectiveness, cost effusiveness, and budget impact of a tailored intervention to increase CRCS in PR among patients of FQHCs. Reducing morbidity and mortality associated with cancer in PR requires continuous efforts to address cancer-related behaviors and environmental conditions such as health care access. For example, although colorectal cancer (CRC) is the second leading cause of cancer-related mortality in women and the third in men,^ and is largely preventable through screening and treatment of precancerous polyps, colorectal cancer screening (CRCS) is significantly underutilized in PR among age-eligible patients compared to their U.S. counterparts. The proposed Outreach Program represents a continuation and extension of the Puerto Rico Cancer Control Community Outreach Program (CCCOP) which began as a pilot project in 2006 and expanded to a full U54 Outreach Core in the current funding cycle. The CCCOP will use existing community partnerships, infrastructure, data, and programs to 1) provide training on community-based participatory research (CBPR) to researcher, trainees and community partners, 2) conduct direct community outreach and education, 3) build capacity for implementation and sustainment of evidence-based cancer control programs in communities and primary care settings, 4) leverage existing data, partnerships and progress to expand research and intervention activities in the identified priority areas, and; 5) conduct an outreach research project to reduce the burden of colorectal cancer among Puerto Ricans. Through collaboration with community partners, the U54 Outreach Core will continue to identify innovative outreach strategies to reach the most vulnerable and underserved populations. These strategies include the use of community health educators, interactive and mobile technologies, and collaboration with Federally Qualified Health Centers (FQHCs). We will provide training and technical assistance to community partners, trainees and researchers on issues such as identifying cancer control needs, developing or adapting evidence based interventions, implementation, and evaluation. We will also focus on increasing community participation in clinical trials and biobanking in PR in order to promote effective prevention, diagnostic, and treatment methods for cancer The cancer burden in PR is well documented by the CCCOP, and there is a significant need for continued community outreach efforts and research to reduce it. The CCCOP is committed to continue work in multiple cancer control topics as part of its Outreach Core, and to strengthen these outreach activities by prioritizing research. As a result, interventions developed through outreach efforts and community-based participatory research (CBPR) approaches can be rigorously evaluated, adopted, implemented and maintained to have the greatest possible impact on the health of Puerto Ricans.

摘要：外展计划的总体目标有两个：1）为 U54 提供核心支持，以进行基于社区的参与性研究（CBPR）培训、直接社区外展和教育以及实施和维持循证研究的能力建设。癌症控制计划； 2) 开展一项外展研究项目，以减轻波多黎各人结直肠癌的负担。该提案描述了外展核心活动（目标 1）和所需的外展研究项目（目标 2）如下：目标 1：扩展现有的 CCCOP，为 U54 基础设施、临床研究项目和受训人员提供以下方面的核心支持：直接社区外展、研究人员和社区能力建设、CBPR 培训以及参与者招募和保留。目标 2：制定并评估定制干预措施的有效性、成本热情和预算影响，以提高 FQHC 患者 PR 中的 CRCS。降低公共关系中与癌症相关的发病率和死亡率需要不断努力解决与癌症相关的行为和环境条件，例如医疗保健的获取。例如，尽管结直肠癌 (CRC) 是女性癌症相关死亡的第二大原因，男性癌症相关死亡的第三大原因^，并且在很大程度上可以通过癌前息肉的筛查和治疗来预防，但结直肠癌筛查 (CRCS) 在以下领域的利用明显不足：符合年龄条件的患者的 PR 与美国同行相比。拟议的外展计划是波多黎各癌症控制社区外展计划 (CCCOP) 的延续和延伸，该计划于 2006 年作为试点项目开始，并在当前的资助周期中扩展到完整的 U54 外展核心。 CCCOP 将利用现有的社区合作伙伴关系、基础设施、数据和计划来 1) 向研究人员、学员和社区合作伙伴提供基于社区的参与性研究 (CBPR) 培训，2) 进行直接的社区外展和教育，3) 建设以下方面的能力：在社区和初级保健机构中实施和维持循证癌症控制计划，4) 利用现有数据、伙伴关系和进展，扩大已确定优先领域的研究和干预活动，以及； 5) 开展一项外展研究项目，以减轻波多黎各人结直肠癌的负担。通过与社区合作伙伴的合作，U54 外展核心将继续确定创新的外展策略，以覆盖最弱势和服务不足的人群。这些策略包括使用社区健康教育者、互动和移动技术以及与联邦合格健康中心 (FQHC) 的合作。我们将为社区合作伙伴、学员和研究人员提供有关确定癌症控制需求、制定或调整基于证据的干预措施、实施和评估等问题的培训和技术援助。我们还将重点关注增加社区对 PR 临床试验和生物样本库的参与，以促进有效的癌症预防、诊断和治疗方法 CCCOP 详细记录了 PR 中的癌症负担，并且非常需要持续的社区外展工作和研究来减少它。 CCCOP 致力于继续在多个癌症控制主题方面开展工作，作为其外展核心的一部分，并通过优先研究来加强这些外展活动。因此，通过外展工作和基于社区的参与制定了干预措施可以严格评估、采用、实施和维持研究（CBPR）方法，以便对波多黎各人的健康产生最大可能的影响。