Community Health Educator Supplement to Cancer Center Support Grant

虽然一般富裕，康涅狄格州的特点是极端的差异，在社会- 城市和郊区/农村人口之间的经济状况。非白人人口居住在 主要是在城市贫困地区。这些是我们观察到癌症差异的区域 筛查和临床试验的准入。本提案的目标是完成以下工作： 与2个国家外展网络（NON）倡议有关：1）增加对 提高对高危社区临床试验的认识，并促进癌症患者的获取 在YCC临床试验组合中代表性不足的人; 2）增加结直肠癌（CRC） 通过实施NCI筛查的第2阶段，在YCC集水区人群中进行筛查， 保存（S2 S）程序。适应COVID-19疫情相关的限制， 包括远程工作，修订后的具体目标是： 1)启动虚拟临床试验教育干预 a.完成目标社区至少150* 次的前后评估 B.利用现有的基础设施将感兴趣的各方与耶鲁临床试验办公室联系起来; 全面的后续行动，以评估与护理的联系 2)启动虚拟结直肠癌（CRC）筛查教育干预 a.完成至少150个 * 预评估和后评估的个人谁是到期或 在大型初级保健环境中，CRC筛查逾期（Cornell Scott Hill House Health 中心[HC]） B.在3个月和6个月时完成后续调查，以确定遵守情况和意图， 屏幕 C.在一年时从EPIC收集随访信息，以评估吸收、完成和 CRC筛查的临床随访 过渡到虚拟实施需要新的战略：1）创建CAPE：癌症 Action Prevention Engagement，一个使用社交媒体和网站的虚拟基础设施， 参与、外联、教育和研究; 2）建立2个REDCap数据库，经过调整 用西班牙语和英语为REDCap编写书面调查，REDCap自我培训。小说改编 目标2（S2 S，II期）被嵌入到更大规模的CRC筛查实施研究中 测试该干预组（教育）与其他3个干预组相比， 以证据为基础的干预措施，以增加CRC筛查。

Although generally affluent, Connecticut is characterized by extreme differences in socio- economic status between urban and suburban/rural populations. Non-white populations live primarily in poor urban areas. These are the areas in which we observe disparities in cancer screening and access to clinical trials. The objective of this proposal is to complete the work that is associated with 2 National Outreach Network (NON) initiatives: 1) Increase knowledge about and awareness of clinical trials in at-risk communities and facilitate access for cancer patients who are underrepresented in the YCC clinical trial portfolio; 2) Increase colorectal cancer (CRC) screening in the YCC catchment population by implementing Phase 2 of the NCI’s Screen to Save (S2S) program. Adapting to the constraints associated with COVID-19 pandemic, including working remotely, revised Specific Aims are: 1) Launch Virtual Clinical Trial Education Intervention a. Complete a minimum of 150* pre- and post- assessments from target communities b. Connect interested parties to Yale Clinical Trial Office using existing infrastructure; complete follow up to evaluate linkages to care 2) Launch Virtual Colorectal Cancer (CRC) Screening education intervention a. Complete a minimum of 150* pre- and post- assessments from individuals who are due or overdue for CRC screening in a large primary care setting (Cornell Scott Hill House Health Center [FQHC]) b. Complete follow up surveys at 3 and 6 months to ascertain compliance and intention to screen c. Collect follow up information from EPIC at one year to assess uptake, completion, and clinical follow through of CRC screening Transition to virtual implementation has required new strategies: 1) creation of CAPE: Cancer Action Prevention Engagement, a virtual infrastructure using social media and website for engagement, outreach, education, & research; 2) Build out of 2 REDCap databases, adapted written surveys for REDCap, in Spanish and English, REDCap self-training. A novel adaptation is that Aim 2 (S2S, Phase II) is embedded in a larger CRC screening implementation study testing the uptake of screening in this intervention arm (education) compared with 3 other evidence-based interventions to increase CRC screening.