Core 1: Intervention and Consortium (ICC)

项目摘要--干预和联合体核心(ICC) 干预和联盟核心(ICC)的目的是作为提供专业知识的中央枢纽 关于：1)实施研究干预措施；2)组织、发展和促进 利用基于社区的参与性研究(CBPR)和团队科学(SCHTS)的关系 原则/方法，最终将社区成员和 来自多个学科的健康差异研究人员致力于解决该方案项目的目标。 俄亥俄州立大学、西弗吉尼亚大学、肯塔基大学、 弗吉尼亚大学将作为该计划项目的基石，与他们各自的 临床和社区合作伙伴。此外，将在三个研究项目中测试的干预措施有 与社区合作伙伴共同开发和试行，因此，其设计符合文化需要。 建立在阿巴拉契亚社区、供应商网络、 公共卫生实体、社区团体和阿巴拉契亚社区癌症网络(ACCN) 在以前的项目中，该核心提出了以下具体目标：1)吸引社区组织参与， 利益相关者、区域医疗保健提供者、公共卫生实体和政策制定者 计划项目从计划到评估；2)参与多层次社区和 临床评估，让社区、诊所和学术合作伙伴参与这一过程，以告知和发展 在参与的诊所实施宫颈癌综合预防计划的计划； 3)与研究项目调查人员和社区成员合作，审查、试行、完善和 实施针对诊所、提供者和患者的多层次干预 诊所现场的研究项目；以及4)培训相关诊所和项目工作人员实施 对所有三个研究项目的干预，包括患者导航器，并提供持续的技术 协助和质量保证，以保持协议交付的一致性和准确性。斯蒂芬妮医生 肯尼迪和伊莱克拉·帕斯克特将领导这一核心，并得到VanDeusen博士和Ostrof博士的支持(建议 顾问)。这一核心将领导社区参与(通过社区咨询委员会)、诊所 互动(通过诊所联盟)，以及对此的干预改进、实施和可持续性 计划项目。国际商会将包括该方案的两个概念模型，它们是研究的基础-- 解决健康差距的多层次模型(用于干预和评估)和保护者 所有活动的执行框架(用于实施和评估干预措施)。评估 的核心活动，特别是与执行和社区参与有关的活动，将由 生物统计和评估核心(BEC)。

PROJECT SUMMARY– INTERVENTION AND CONSORTIUM CORE (ICC) The purpose of the Intervention and Consortium Core (ICC) is to serve as the central hub to provide expertise on: 1) implementation of the research interventions; and 2) organization, development, and fostering of relationships using Community-Based Participatory Research (CBPR) and the Science of Team Science (SciTS) principles/methodologies, ultimately bringing together a transdisciplinary team of community members and health disparities researchers from a number of disciplines to address the goals of this Program Project. Longstanding partnerships between The Ohio State University, West Virginia University, University of Kentucky, and the University of Virginia will serve as the cornerstone of the Program Project, along with their respective clinical and community partners. In addition, the interventions to be tested in the three research projects have been developed and piloted with community partners and, thus, are designed to be culturally appropriate. Building upon the successful relationships established among the Appalachian community, provider networks, public health entities, community groups, and the Appalachia Community Cancer Network (ACCN) during previous projects, this Core proposes the following specific aims: 1) Engage community based organizations, stakeholders, regional health care providers, public health entities, and policy makers across the lifespan of the Program Project from planning through evaluation; 2) Participate in the conduct of Multi-Level Community and Clinic Assessments, engaging community, clinic, and academic partners in the process to inform and develop plans for the implementation of the comprehensive cervical cancer prevention program in the participating clinics; 3) Collaborate with research project investigators and community members to review, pilot test, refine and implement the multi-level interventions targeting the clinic, provider and patients to be utilized in the three research projects at clinic sites; and 4) Train relevant clinic and project staff on the implementation of the interventions for all three research projects, including the Patient Navigators, and provide ongoing technical assistance and quality assurance to maintain consistency and fidelity of protocol delivery. Drs. Stephenie Kennedy and Electra Paskett will lead this Core, with support of Drs. Vandeusen and Ostrof (proposed consultant). This Core will lead community engagement (through the Community Advisory Board), clinic interactions (through a Clinic Consortium), and intervention refinement, implementation and sustainability for this Program Project. The ICC will include the Program's two conceptual models which underlie the research – the Multi-Level Model for Addressing Health Disparities (for intervention and assessment) and the Proctor Implementation Framework (for implementation and evaluation of the interventions) in all activities. Evaluation of the Core activities, specifically related to implementation and community engagement, will be conducted by the Biostatistics and Evaluation Core (BEC).