Community Outreach and Engagement

社区外展和参与

• 批准号: 10625758
• 负责人: Elizabeth A. Shenkman
• 金额: $ 19.44万
• 依托单位: UNIVERSITY OF FLORIDA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-06-01 至 2027-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10625758
• 关键词: Address; Adopted; Adult; Advocacy; Area; COVID-19; Cancer Burden; Cancer Center Support Grant; Cancer Control; Cancer Patient; Cancer Survivorship; Caring; Catchment Area; Censuses; Cervical; Cervical Cancer Screening; Child; Clinical; Clinical Research; Clinical Trials; Collaborations; Colorectal; Communities; Community Outreach; Counseling; County; Data; Data Reporting; Dedications; Disparity; Education; Education and Outreach; Elderly; Enrollment; Ethnic Origin; Event; Evidence based intervention; Faculty; Florida; Funding; Future; Goals; Health; Hispanic Populations; Home; Human Papilloma Virus Vaccination; Human Papilloma Virus-Related Malignant Neoplasm; Human Papillomavirus; Incidence; Individual; Intervention Trial; Leadership; Link; Logic; Longevity; Low income; Malignant Neoplasms; Malignant neoplasm of lung; Malignant neoplasm of prostate; Medically Underserved Area; Minority; Modeling; Monitor; Multiple Myeloma; Patients; Persons; Policies; Policy Developments; Policy Maker; Population; Poverty; Prevention; Race; Recommendation; Research; Research Personnel; Resources; Retirement; Risk Factors; Risk Reduction; Rural; Scientist; Screening for cancer; Smoker; Stomach; Strategic Planning; Sun Exposure; Terminology; Tobacco; Tobacco Use Cessation; Tobacco use; Tobacco-Related Carcinoma; Training; Translating; Underserved Population; Unemployment; Uninsured; Universities; Uterine Cancer; Woman; Work; anticancer research; cancer health disparity; cancer prevention; cancer risk; citizen science; clinical trial enrollment; colorectal cancer screening; community engagement; community involvement; empowerment; evidence base; farm worker; health equity; health equity promotion; implementation facilitation; improved; lung cancer screening; malignant breast neoplasm; member; mortality; mortality disparity; outreach; outreach clinics; programs; rural area; rural counties; screening; self testing; skin cancer prevention; social health determinants; socioeconomics; survivorship; tobacco prevention; treatment trial; uptake; Address; Adopted; Adult; Advocacy; Area; COVID-19; Cancer Burden; Cancer Center Support Grant; Cancer Control; Cancer Patient; Cancer Survivorship; Caring; Catchment Area; Censuses; Cervical; Cervical Cancer Screening; Child; Clinical; Clinical Research; Clinical Trials; Collaborations; Colorectal; Communities; Community Outreach; Counseling; County; Data; Data Reporting; Dedications; Disparity; Education; Education and Outreach; Elderly; Enrollment; Ethnic Origin; Event; Evidence based intervention; Faculty; Florida; Funding; Future; Goals; Health; Hispanic Populations; Home; Human Papilloma Virus Vaccination; Human Papilloma Virus-Related Malignant Neoplasm; Human Papillomavirus; Incidence; Individual; Intervention Trial; Leadership; Link; Logic; Longevity; Low income; Malignant Neoplasms; Malignant neoplasm of lung; Malignant neoplasm of prostate; Medically Underserved Area; Minority; Modeling; Monitor; Multiple Myeloma; Patients; Persons; Policies; Policy Developments; Policy Maker; Population; Poverty; Prevention; Race; Recommendation; Research; Research Personnel; Resources; Retirement; Risk Factors; Risk Reduction; Rural; Scientist; Screening for cancer; Smoker; Stomach; Strategic Planning; Sun Exposure; Terminology; Tobacco; Tobacco Use Cessation; Tobacco use; Tobacco-Related Carcinoma; Training; Translating; Underserved Population; Unemployment; Uninsured; Universities; Uterine Cancer; Woman; Work; anticancer research; cancer health disparity; cancer prevention; cancer risk; citizen science; clinical trial enrollment; colorectal cancer screening; community engagement; community involvement; empowerment; evidence base; farm worker; health equity; health equity promotion; implementation facilitation; improved; lung cancer screening; malignant breast neoplasm; member; mortality; mortality disparity; outreach; outreach clinics; programs; rural area; rural counties; screening; self testing; skin cancer prevention; social health determinants; socioeconomics; survivorship; tobacco prevention; treatment trial; uptake

COMMUNITY OUTREACH AND ENGAGEMENT: ABSTRACT The goal of the UFHCC of Community Outreach and Engagement (COE) is to reduce the cancer burden and promote health equity in our catchment area (CA) and beyond. The COE office has 16 staff who form partnerships with the community and scientists, conduct outreach, and facilitate implementation of evidence- based cancer risk reduction and screening to address CA needs and disparities. The COE aims are to: 1) assess and monitor CA cancer burden and disparities using linked clinical, social determinants of health, and community member reported data; 2) engage the community as partners in adopting evidence-based strategies for cancer prevention, screening, treatment, and survivorship through outreach and education; 3) enhance the impact of UFHCC research on the CA by involving the community in research agenda setting, aligning research with the CA cancer burden, linking UFHCC scientists to the community, and facilitating access to interventional trials, particularly for those traditionally underrepresented; and, 4) engage faculty, trainees, and the community in advocacy and policy development. The CA of 23 counties accounts for 77% of UFHCC cases. Every county is a medically underserved area and/or population, and roughly half have persistent poverty. Therefore, COE further characterized the CA by census tract socioeconomic vulnerability (SEV) to inform programmatic prioritization. The CA has higher cancer overall incidence and mortality rates than the state or the U.S. The greatest mortality burden is observed for tobacco-related cancers, colorectal, and HPV-related cancers in those residing in high SEV and persistent poverty census tracts. The CA has high rates of individuals who are uninsured, current smokers, and adults ≥65 years along with low educational attainment and cancer screening rates, relative to Florida and the U.S. Using these data and Community Advisory Board recommendations, COE focused on high priority cancers, (e.g., tobacco-related, HPV-related, colorectal), with an emphasis on increasing the uptake of cervical and colorectal cancer screening and reducing cancer risks (e.g., tobacco use, sun exposure, lack of HPV vaccination). Since 2020, >1,000 women received education about cervical and colorectal cancer screening and 281 were navigated to mobile outreach clinics for Pap and HPV self-tests. Over 350 skin cancer prevention kits were distributed to Florida farmworkers. After a delay due to COVID-19, COE began linking cancer patients to the Money Matters Program, which provides financial counseling and linkage to community resources. COE works with liaisons from each UFHCC program to engage researchers in addressing the cancer burden of the CA and links members to the community through the 1) UFHCC Citizen Scientists; 2) OneFlorida Clinical Research Consortium; and 3) community groups, such as the Project CONTINUITY Steering Committee. COE future plans are to: expand Project CONTINUITY to 10 additional communities with an increased focus on lung cancer screening, enhance participation of underrepresented individuals in treatment trials, and engage older adults in cancer survivorship education and research.

社区宣传与参与：摘要 社区宣传与参与度UFHCC的目标（COE）是减少癌症伯恩和 在我们的集水区（CA）及以后促进健康平等。 COE办公室有16名员工 与社区和科学家建立伙伴关系，进行外展活动，并促进证据的实施 - 基于癌症的风险降低和筛查以满足CA的需求和差异。 COE的目的是：1）评估 并使用链接的临床，健康的社会决定者和社区来监测CA癌症伯恩的癌症和差异 成员报告的数据； 2）与社区成为合作伙伴，以采用基于证据的癌症策略 通过外展和教育预防，筛查，治疗和生存； 3）增强 UFHCC对CA的研究通过使社区参与研究议程环境，使研究与 CA Cancer Burnen，将UFHCC科学家与社区联系起来，并支持获得介入试验的机会， 特别是对于那些传统上代表性不足的人； 4）参与教师，学员和社区参与 倡导和政策制定。 23个县的CA占UFHCC案件的77％。每个计数都是 一个医疗服务不足的地区和/或人口，大约一半有持续的贫困。因此，科 通过人口普查区社会经济脆弱性（SEV）进一步表征了CA 优先级。 CA的癌症总体入射和死亡率高于州或美国 对于烟草相关的癌症，结直肠癌和HPV相关的癌症，观察到最大的死亡率燃烧。 居住在高度的贫困人口普查中。 CA的个人比率很高 未投保的目前的吸烟者和≥65岁的成年人以及较低的受教育程度和癌症筛查 相对于佛罗里达州和美国的利率使用这些数据和社区顾问委员会建议，COE 专注于高优先级癌症（例如，与烟草相关，与HPV相关，结直肠癌），重点是增加 宫颈癌和大肠癌筛查和降低癌症风险的吸收（例如，烟草使用，太阳 暴露，缺乏HPV疫苗）。自2020年以来，> 1,000名妇女接受了有关宫颈和结直肠的教育 癌症筛查和281个是针对PAP和HPV自测的移动外展诊所的导航。超过350皮肤 癌症预防套件分发给佛罗里达农场工人。由于19延迟延迟，COE开始了 将癌症患者与金钱事项计划联系起来，该计划提供财务咨询和联系 社区资源。 COE与每个UFHCC计划的联络人合作，以吸引研究人员解决 CA的癌症Burnen，并通过1）UFHCC公民科学家将成员与社区联系起来； 2） Oneflorida临床研究联盟； 3）社区团体，例如项目连续性转向 委员会。 COE未来计划将要：将项目连续性扩展到其他10个社区 增加对肺癌筛查的关注，增强代表性不足的人的参与 试验，并让老年人参与癌症生存教育和研究。