Outreach Core

外展核心

基本信息

批准号：
9768353
负责人：
Noe Cuauhtemoc Crespo
金额：
$ 24.99万
依托单位：
SAN DIEGO STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
资助国家：
美国
起止时间：
至 2023-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9768353
关键词：
Address Advanced Malignant Neoplasm Advocate Appointments and Schedules Behavioral California Cancer Burden Cancer Center Cancer Control Case Management Clinic Clinical Trials Colorectal Cancer Communities Community Health Community Health Aides Comprehensive Cancer Center County Development Diagnosis Diagnostic Ensure Ethnic group Evaluation Evidence based intervention Family health status Federally Qualified Health Center Goals Health Health Educators Health Personnel Healthcare High-Risk Cancer Hispanics Individual Infrastructure Institution Intervention Knowledge Latina Latino Link Malignant Neoplasms Malignant neoplasm of cervix uteri National Cancer Institute Not Hispanic or Latino Outcome Participant Patients Physicians Play Positioning Attribute Provider Public Health Randomized Controlled Trials Resolution Resources Role Scientist Screening for cancer Test Result Testing Time Underserved Population Universities Woman Work base cancer care cancer health disparity cancer prevention colorectal cancer screening community clinic community organizations evidence base follow-up health equity high risk improved malignant breast neoplasm men multidisciplinary novel novel strategies outreach promoter screening success survivorship

项目摘要

OUTREACH CORE ABSTRACT Hispanics/Latinos are at higher risk for late stage cancer, and worse survival after diagnosis, compared to non- Latino whites. Reducing cancer disparities among Hispanics/Latinos requires dissemination of evidence-based strategies for cancer prevention and control and developing evidence to support novel strategies. We postulate that one effective and culturally sensitive approach for reducing cancer burden among Hispanics/Latinos is to link National Cancer Institute (NCI)-designated Cancer Centers and institutions serving underserved populations with Federally Qualified Health Centers (FQHCs). Accordingly, we propose a trilateral partnership among University of California San Diego (UCSD) Moores Cancer Center, San Diego State University (SDSU), and Family Health Centers of San Diego (FHCSD), a FQHC serving over 130,000 individuals annually in San Diego County. We propose to increase screening and diagnostic follow up for breast, cervical, and colorectal cancer among primarily Hispanic/Latino communities through the following aims. First, we will link a community health worker (promotor)-led cancer screening intervention with patient navigation to improve screening rates. The promotora cancer screening intervention builds on findings from a randomized controlled trial aimed to increase cancer screening rates in churchgoing Latinas, and will be extended by including a wide range of community organizations serving Hispanic/Latino communities, as well as Hispanic/Latino men, in outreach efforts. Second, we will optimize complete diagnostic evaluation of abnormal breast, cervical, and colorectal cancer screening tests through implementation of evidence-based best practices. Specifically, in partnership with FHCSD, we will use patient navigation strategies to build upon an existing case management infrastructure to promote complete diagnostic evaluation of abnormal test results. Third, we propose to disseminate best practices for cancer prevention and control through a certified Community Health Educator (CHE). The CHE will interface with patients and healthcare providers in the 19 FHCSD clinics using various dissemination strategies to for cancer prevention and control. We are using the Quality in the Continuum of Cancer Care framework to guide our intervention and evaluation Outreach Core activities. This framework effectively addresses the complexity of steps required for cancer screening and diagnostic resolution of a cancer-related abnormality. To ensure success, we assembled a multidisciplinary team including physician- scientists, behavioral scientists, healthcare providers, and public health advocates with expertise in the development of multi-level community and clinic-based interventions that promote cancer prevention and control in Hispanic/Latino communities.

外展核心摘要与非 - 拉丁裔白人。减少西班牙裔/拉丁美洲人的癌症差异需要传播基于循证的预防癌症和控制和开发证据以支持新策略的策略。我们假设一种有效且对文化敏感的方法来减轻西班牙裔/拉丁裔癌症负担链接国家癌症研究所（NCI）指定的癌症中心和机构服务不足拥有联邦资格卫生中心（FQHCS）的人群。因此，我们提出了三边合作伙伴关系加州大学圣地亚哥分校（UCSD）摩尔癌中心，圣地亚哥州立大学（SDSU），圣地亚哥（FHCSD）的家庭卫生中心，每年在SAN中为130,000多人服务的FQHC 迭戈县。我们建议增加乳房，宫颈和结直肠癌的筛查和诊断随访通过以下目的，主要是西班牙裔/拉丁裔社区的癌症。首先，我们将链接一个社区卫生工作者（启动者）领导的癌症筛查干预措施与患者导航以提高筛查率。促进癌筛查干预措施是基于一项随机对照试验的发现，旨在提高教堂拉丁裔的癌症筛查率，并通过包括广泛的范围来扩展为西班牙裔/拉丁裔社区以及西班牙裔/拉丁裔男人提供服务的社区组织努力。其次，我们将优化对异常乳房，宫颈和结直肠的完整诊断评估癌症筛查测试通过实施基于证据的最佳实践。具体来说，合伙企业使用FHCSD，我们将使用患者导航策略来建立现有案例管理基础设施以促进异常测试结果的完整诊断评估。第三，我们建议通过认证的社区健康教育者传播预防癌症和控制的最佳实践（che）。 CHE将使用各种为预防癌症和控制的传播策略。我们正在使用质量指导我们的干预和评估外展核心活动的癌症护理框架。这个框架有效地解决了癌症筛查所需的步骤的复杂性和诊断分辨率与癌症有关的异常。为了确保成功，我们组建了一个多学科团队，包括医生 - 具有专业知识的科学家，行为科学家，医疗保健提供者和公共卫生倡导者开发基于社区和诊所的多层干预措施，以促进预防癌症和在西班牙裔/拉丁裔社区中控制。