ACCESS: Accelerating Cervical Cancer Elimination through the integration of Screen-and-treat Services

访问：通过整合筛查和治疗服务加速消除宫颈癌

• 批准号: 10846404
• 负责人: GREGORY AARONS
• 金额: $ 12.5万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-07 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10846404
• 关键词: Acceleration; Administrative Supplement; Area; Award; California; Cancer Control; Center for Translational Science Activities; Clinical Research; Elements; Geographic Locations; Guidelines; HIV; Integrated Health Care Systems; Knowledge; Malignant Neoplasms; Malignant neoplasm of cervix uteri; Medical Sociology; Mentors; Methods; Modeling; National Comprehensive Cancer Network; Nigeria; Nigerian; Palliative Care; Personal Satisfaction; Pilot Projects; Recommendation; Research; Research Project Grants; Services; Teaching Hospitals; Time; Training; Universities; Woman; Women' s Health; Work; acceptability and feasibility; care systems; career development; clinical care; community based participatory research; implementation framework; implementation research; implementation science; innovation; interest; low and middle-income countries; peer coaching; practice-based research network; professor; programs; response; skill acquisition; skills; sociology/anthropology

PROJECT SUMMARY My proposal is a submission in response to the Notice of Special Interest (NOSI) identified as NOT-CA-23-038. I am an Assistant Professor of Medical Sociology and Anthropology and a Research Fellow at the Center for Translation and Implementation Science (CTAIR) at the University of Nigeria, Nsukka. My research focuses on palliative care (PC), cancer and women’s health in low- and middle-income countries (LMICs). This administrative supplement mentor award will provide me with the support needed to achieve the following 3 key career development objectives for research in LMIC settings: (1) Sharpen my skills in community based participatory research, stakeholder’s engagement and program integration especially in PC clinical settings; (2) Acquire in-depth knowledge of implementation frameworks and methods to help close the gap between implementation science and implementation practice; (3) Acquire skills and content expertise in PC research. I will conduct research and work with my mentors for a minimum of 40% of my time within the Nigerian Implementation Science Alliance-Model Innovation and Research Centers (NISA-MIRCs), a practice-based research network across the six geographical regions in Nigeria. To accomplish these objectives, I have put together a mentoring team including: (1) a US Primary Mentor, Prof. Gregory Aarons from University of California, San Diego who is an expert in Implementation Science; (2) a LMIC Primary Mentor, Prof. Echezona Ezeanolue from the University of Nigeria, who is an expert in community-based participatory research and clinical research; (3) a LMIC Co-Mentor, Dr Tonia Onyeka from University of Nigeria Teaching Hospital [UNTH], who is an expert in PC research and practice; (4) a LMIC Peer-Mentor, Dr John Olawepo from Center of Translation and Implementation Research [CTAIR], who is an expert in health systems integration. My team of mentors will support my capacity building and research project, which includes a pilot study to explore the feasibility and acceptability of a culturally adapted and integrated PC package to promote wellbeing of women living with HIV (WLHIV) and cervical cancers. My specific aims are to: (1) Co-create and develop feasible, culturally adapted, and sustainable PC service package with WLHIV and cervical cancer from the NISA-MIRCs. We will adapt core elements of PC services recommended in the National Comprehensive Cancer Network (NCCN) guideline using well-established mixed method approaches; and (2) Pilot the adapted multicomponent PC package to determine feasibility and acceptability at two NISA-MIRCs facilities. During the year of this administrative award, my Nigeria- and US-based mentors, co-mentor, and peer-mentor will provide additional training and guidance in their areas of expertise including implementation science, community based participatory research, PC, and health systems integration.

项目摘要 我的提议是为了回应被确定为非CA-23-038的特殊利益通知（NOSI）。 我是医学社会学和人类学的助理教授，也是该中心的研究员 尼日利亚大学尼日利亚大学的翻译与实施科学（CTAIR）。我的研究重点 低收入和中等收入国家（LMIC）的姑息治疗（PC），癌症和妇女健康。这 行政补充心理奖将为我提供获得以下3个密钥所需的支持 LMIC环境研究的职业发展目标：（1）提高我在社区中的技能 参与性研究，利益相关者的参与和计划集成，尤其是在PC临床环境中； （2） 获得有关实施框架和方法的深入了解，以帮助缩小差距 实施科学和实施实践； （3）获取PC研究中的技能和内容专业知识。我 将与我的导师进行研究和工作，至少在尼日利亚人中的40％ 实施科学联盟模型创新与研究中心（NISA-MIRCS），这是基于实践的 跨尼日利亚六个地理区域的研究网络。为了实现这些目标，我已经提出 一个心理团队，包括：（1）美国主要导师，加利福尼亚大学的Gregory Aarons教授， 圣地亚哥是实施科学专家； （2）LMIC主要导师，Echezona Ezeanolue教授 来自尼日利亚大学，他是社区参与研究和临床研究专家； （3）尼日利亚大学教学医院[UNTH]的LMIC联合官员Tonia Onyeka博士，他是专家 在PC研究和实践中； （4）LMIC同行委员会，翻译中心的John Olawepo博士和 实施研究[CTAIR]，他是卫生系统集成专家。我的导师团队将 支持我的能力建设和研究项目，其中包括一项试点研究，以探索可行性和 文化适应和集成的PC软件包的可接受性，以促进艾滋病毒妇女的福祉 （WLHIV）和宫颈癌。我的具体目的是：（1）共同创造和发展可行的，文化适应的， 以及来自Nisa-Mircs的WLHIV和宫颈癌的可持续PC服务包。我们将适应核心 国家综合癌症网络（NCCN）指南中建议的PC服务元素使用 建立的混合方法方法； （2）驾驶改编的多组件PC软件包以确定 两个NISA-MIRCS设施的可行性和可接受性。在此行政裁决的那一年，我的尼日利亚 - 以及美国的导师，同事和同行者将在其地区提供其他培训和指导 专业知识，包括实施科学，基于社区的参与研究，PC和卫生系统 一体化。

项目成果

Rapid implementation mapping to identify implementation determinants and strategies for cervical cancer control in Nigeria.

• DOI: 10.3389/fpubh.2023.1228434
• 发表时间: 2023
• 期刊: FRONTIERS IN PUBLIC HEALTH
• 影响因子: 5.2
• 作者: Itanyi, Ijeoma Uchenna;Viglione, Clare;Rositch, Anne F.;Olawepo, John Olajide;Olakunde, Babayemi Oluwaseun;Ikpeazu, Akudo;Nwokwu, Uche;Lasebikan, Nwamaka;Ezeanolue, Echezona Edozie;Aarons, Gregory A.
• 通讯作者: Aarons, Gregory A.