Outreach Core

外展核心

• 批准号: 9916435
• 负责人: Michelle Ann Barton
• 金额: $ 30万
• 依托单位: UNIVERSITY OF PUERTO RICO MED SCIENCES
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-07-02 至 2020-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9916435
• 关键词: Address; Administrative Supplement; Affect; Area; Awareness; Behavioral trial; Budgets; Cancer Burden; Cancer Control; Caribbean region; Clinic; Colorectal Cancer; Communities; Community Health; Community Outreach; Cost Analysis; Development; Educational Intervention; Effectiveness of Interventions; Emergency Situation; Enrollment; Funding; Goals; Grant; Health; Health Educators; Hurricane; Intervention; Intervention Trial; Island; Lead; Manuscripts; Outreach Research; Participant; Patient Recruitments; Patients; Phase; Puerto Rican; Puerto Rico; Randomized; Recovery; Research; Research Activity; Research Project Grants; Resources; Sample Size; Statistical Data Interpretation; Time; Training; University of Texas M D Anderson Cancer Center; Vulnerable Populations; Work; anticancer research; arm; cancer prevention; colorectal cancer screening; community based participatory research; cost effectiveness; cost-effectiveness evaluation; economic cost; evidence base; follow-up; health disparity; men; older women; operation; outreach; outreach program; programs; recruit; screening

On September 2017, Hurricanes Irma and María devastated the Caribbean region, particularly Puerto Rico (PR), causing widespread destruction and resulting in massive resource losses and high economics costs. During the emergency recovery phase, research activities were limited, which lead to a disruption in ongoing cancer prevention and control initiatives that were being implemented with the aim to decrease the burden of cancer health disparities in the island. Despite our significant impact on community engagement, outreach, and training, the impact of Hurricane María in September 2017 and its aftermath affected significantly our recruitment, follow-up completion, and the evaluation of the cost-effectiveness of our project ¡Salud!, Por la Vida. Given that the recruitment venues for our program (Federally Health Qualified Clinics (FQHCs)) served as emergency operation centers, study recruitment has been delayed. As of December 1st, 2018, we have completed 47% of the recruitment. Therefore, the request for funds under the Supplement to Recover Losses Due to Hurricanes Harvey, Irma, and Maria Under the Bipartisan Budget Act of 2018 (PA-18-936) is to support the completion of the behavioral trial. Therefore, the aims for this supplement are to complete the recruitment of the group for the randomized intervention trial (377 participants) to assess the effectiveness of the intervention on Colorectal Cancer Screening (CRCS) completion (aim 1) and to assess the cost-effectiveness and budget impact of the CRCS intervention (aim 2). If granted, this project will provide a much-needed support to increase CRCS among vulnerable populations and will help increase awareness of the importance of resuming screening practices as now the island continues to recover from the catastrophic impact.

2017 年 9 月，飓风艾尔玛和玛丽亚摧毁了加勒比地区，特别是 波多黎各（PR），造成大范围破坏并导致大量资源损失和 在紧急恢复阶段，研究活动受到限制，经济成本高昂。 这导致正在进行的癌症预防和控制举措受到干扰 实施的目的是减少岛上癌症健康差距的负担。 尽管我们对社区参与、外展和培训产生了重大影响，但 2017 年 9 月的玛丽亚飓风及其后果严重影响了我们的招聘， 后续完成情况，以及我们项目的成本效益评估¡祝你平安！，Por la 鉴于我们计划的招募地点（联邦健康合格诊所） （FQHC）作为紧急行动中心，研究招募已被推迟。 2018年12月1日，我们已经完成了47%的招聘，因此，请求。 弥补飓风哈维、艾尔玛和玛丽亚造成损失的补充资金 根据 2018 年两党预算法案 (PA-18-936)，将支持完成 因此，本补充的目的是完成招募。 随机干预试验组（377 名受试者）评估该方案的有效性 对结直肠癌筛查 (CRCS) 完成（目标 1）进行干预并评估成本效益 CRCS 干预措施的预算影响（目标 2） 如果获得批准，该项目将。 提供急需的支持，以增加弱势群体中的 CRCS，并将有助于 提高人们对恢复筛查做法重要性的认识，就像现在岛上一样 继续从灾难性影响中恢复。