The Library-Based Health Partnership Project

基于图书馆的健康合作项目

• 批准号: 7499955
• 负责人: Bruce D Rapkin
• 金额: $ 15.8万
• 依托单位: SLOAN-KETTERING INST CAN RESEARCH
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-11 至 2011-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7499955
• 关键词: Action Research; Address; American Cancer Society; Behavioral; Cancer Center; Capital; Collaborations; Communities; Consultations; Continuity of Patient Care; Data; Diffusion of Innovation; Education; Effectiveness of Interventions; Goals; Health; Health Promotion; Health Services Accessibility; Incidence; Individual; Insurance Coverage; Intervention; Lead; Libraries; Link; Malignant Neoplasms; Mediating; Memorial Sloan-Kettering Cancer Center; Modeling; Neighborhoods; Outcome; Phase; Phase I Clinical Trials; Phase II Clinical Trials; Primary Health Care; Process; Program Development; Protocols documentation; Randomized; Readiness; Research; Resources; Role; Screening procedure; Source; Staging; Standards of Weights and Measures; Structure; System; Testing; Work; base; behavioral health; cancer prevention; cancer therapy; community based participatory research; design; improved; medically underserved; member; outreach; preference; programs; psychosocial; racial and ethnic disparities; research study; theories

Reduction of racial and ethnic disparities in cancer incidence, stage of presentation and outcome requires resilient strategies that link medically underserved communities into the continuum of care. Community- based participatory research has the potential to generate such strategies, through processes of collaborative planning, experimentation and discovery. The proposed Queens Library Health Link program is designed to test the efficacy of a comprehensive participatory research approach to reduce disparities by improving use of cancer prevention, screening and treatments interventions. In this project, public library branches provide a base for neighborhood organizing, education, data gathering, planning and implementation of local health promotion experiments and dissemination of results. We will work with 42 of the 63 branch libraries in Queens, each serving its own large, diverse segment of the Queens community. Although we will follow the same process consultation protocol, every community will undertake unique health promotion activities most suited to local priorities, cultures, preferences and opportunities. This project is designed to address the following aims: (1) To determine whether community-based participatory action research (PAR) leads to more effective cancer prevention and control in underserved communities compared to standard, "top-down" programs; (2) To examine how communities build upon and sustain locally-developed initiatives for cancer prevention and control; (3) To compare whether cancer prevention and control strategies developed through PAR are more widely accepted and more efficacious than standard strategies when they are transferred to new communities. This project will be carried out in two phases. In phase 1, we compare health behavioral outcomes of community-tailored strategies to address cancer needs with top-down alternatives. In phase 2, we examine the sustainability and dissemination of tailored strategies. Queens neighborhoods will be randomized to serve as settings for program development or dissemination. Data will be gathered from multiple sources to examine the participatory processes as well as behavioral outcomes at the individual, library and community levels. Core organizations involved in this project comprise a four-way partnership including the Queens Borough Public Library System, the Queens Cancer Center, the American Cancer Society of Queens, and Memorial Sloan-Kettering Cancer Center.

减少癌症发病率、表现阶段和结果方面的种族和民族差异需要 将医疗服务不足的社区与持续护理联系起来的弹性战略。社区- 基于参与性的研究有可能通过以下过程产生此类战略： 协作规划、实验和发现。拟议的皇后区图书馆健康链接计划 旨在测试综合参与性研究方法的有效性，以减少差异 改善癌症预防、筛查和治疗干预措施的使用。在这个项目中，公共图书馆 分支机构为邻里组织、教育、数据收集、规划和 实施地方健康促进实验并传播结果。我们将与 42 家合作 皇后区有 63 个分馆，每个分馆都为皇后区社区中庞大且多元化的部分提供服务。 尽管我们将遵循相同的流程咨询协议，但每个社区都会采取独特的方式 最适合当地优先事项、文化、偏好和机会的健康促进活动。这 项目旨在实现以下目标： (1) 确定社区参与是否有效 行动研究 (PAR) 可以在服务欠缺的社区更有效地预防和控制癌症 与标准的“自上而下”程序相比； (2) 研究社区如何建立和维持 当地制定的癌症预防和控制举措； (3) 比较是否预防癌症 通过 PAR 开发的控制策略比 PAR 更被广泛接受且更有效 当他们转移到新社区时的标准策略。该项目将分两期进行 阶段。在第一阶段，我们比较社区定制策略的健康行为结果，以解决 癌症需要自上而下的替代方案。在第二阶段，我们检查可持续性和传播 量身定制的策略。皇后区的社区将被随机分配，作为项目开发的场所 或传播。将从多个来源收集数据以检查参与过程 作为个人、图书馆和社区层面的行为结果。参与此活动的核心组织 该项目由四方合作伙伴组成，包括皇后区公共图书馆系统、皇后区 癌症中心、美国皇后区癌症协会和纪念斯隆-凯特琳癌症中心。