Research Practice Partnership: Supporting Nevada's Cancer Coalitions Priorities

研究实践合作伙伴关系：支持内华达州癌症联盟的优先事项

• 批准号: 10407229
• 负责人: CORNELIA M ULRICH
• 金额: $ 15万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-01 至 2022-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10407229
• 关键词: Address; Area; COVID-19; Cancer Control; Cessation of life; Collaborations; Counseling; Data; Education; Evaluation; Evidence based intervention; Evidence based treatment; Exploration, Preparation, Implementation, and Sustainment; Feedback; Foundations; Funding; Goals; Health; Healthcare Systems; High Prevalence; Human Papilloma Virus Vaccination; Income; Individual; Information Systems; Institutes; Leadership; Malignant Neoplasms; Modeling; Multiple Partners; Neighborhood Health Center; Nevada; Participant; Partnership Practice; Patients; Pharmaceutical Preparations; Phase; Population Sciences; Poverty; Prevalence; Preventable cancer cause; Primary Health Care; Procedures; Process; Research; Resource Sharing; Resources; Role; Sum; Sushi Domain; Tobacco; Tobacco Use Cessation; Tobacco use; Underserved Population; Unemployment; Uninsured; United States Dept. of Health and Human Services; United States Health Resources and Services Administration; United States National Institutes of Health; Utah; Vision; Work; care coordination; colorectal cancer screening; effectiveness evaluation; health care delivery; health care settings; health inequalities; implementation framework; implementation process; improved; innovation; member; opioid use; population health; programs; quitline; research to practice; smoking prevalence; sustainability framework; tobacco cessation intervention; tobacco control; tobacco user

PROJECT SUMMARY The proposed project addresses a Nevada State Cancer Plan and Nevada Cancer Coalition (NCC) priority area of tobacco—a priority area shared by multiple stakeholders across the state and who are included in the project—while also affording NCC opportunities to grow its work disseminating evidence-based interventions (EBI) and supporting healthcare systems in the implementation of EBIs. We now have state-wide funded projects in Utah to address tobacco cessation (PCORI), colorectal cancer screening (CDC), HPV vaccination (ACS), opioid use (NIH), and COVID-19 (NIH) with a similar set of partners (e.g., cancer coalition, state department of health, primary care association, CHCs). Our vision is that the proposed project will build the foundation for expanding Huntsman Cancer Institute (HCI) and HCI’s Cancer Control and Population Science’s research to Nevada in the same way. The proposed project is built around the EPIS framework and Research Practice Partnership model. It will engage multiple partners and project team members, along with processes and procedures to increase engagement with the Nevada Tobacco Quitline (NTQ) by implementing the EBI Ask-Advise-Connect in Community Health Centers (CHC). Primary care is the largest platform for the delivery of health care and provides an ideal setting to address tobacco cessation because there is an established relationship and coordination of care. Moreover, tobacco use both nationwide and within Nevada has become increasingly concentrated among individuals with low education, living in poverty, and the uninsured and unemployed. For example, in Nevada individuals with an income level of $50,000 or more had a smoking prevalence of 12.6% compared to a 22.2% prevalence among individuals making <$24,999.4 As such, CHCs, which serve patients regardless of their ability to pay, are extraordinary venues for reaching underserved populations with evidence- based treatment for tobacco cessation. The NTQ provides evidence-based treatment for tobacco use, but is grossly underutilized with Nevada ranking among the lowest states in Quitline utilization at 1.4 callers receiving medication/counseling for every 1000 tobacco users.5 The project will include a systematic evaluation that gathers on-going feedback from partners/participants, while also evaluating the effectiveness of the AAC adaptation and implementation using data available from the CHCs, NTQ, and HRSA’s Uniform Data System (UDS).

项目摘要 拟议项目涉及内华达州癌症计划和内华达州癌症联盟（NCC）的优先事项 烟草领域-全州多个利益攸关方共享的优先领域， 项目-同时也为NCC提供机会，以扩大其传播循证干预措施的工作 (EBI)并支持医疗保健系统实施EBI。我们现在有全州范围的资金 犹他州的项目，以解决戒烟（PCRI），结肠直肠癌筛查（CDC），HPV疫苗接种 (ACS)阿片类药物使用（NIH）和COVID-19（NIH）与一组类似的合作伙伴（例如，州癌症联盟 卫生署、基层护理协会、社区卫生中心）。我们的愿景是，拟议项目将建立 扩大亨斯迈癌症研究所（HCI）和HCI癌症控制和人口基金会 以同样的方式把科学研究带到内华达州。 拟议的项目是围绕EPIS框架和研究实践伙伴关系模式。它将 让多个合作伙伴和项目团队成员参与，沿着流程和程序， 通过实施EBI Ask-Advise-Connect，与内华达州烟草戒烟热线（NTQ）合作， 社区卫生中心（CHC）。初级保健是提供保健的最大平台， 提供了一个理想的环境来解决戒烟问题，因为有一个既定的关系， 护理的协调。此外，全国范围内和内华达州内的烟草使用越来越多， 集中在受教育程度低、生活贫困、没有保险和失业的个人。为 例如，在内华达州，收入水平为5万美元或以上的个人吸烟率为12.6% 相比之下，在收入<24，999美元的个人中，患病率为22.2%。 无论他们的支付能力如何，都是向服务不足的人群提供证据的绝佳场所- 戒烟的基础治疗。NTQ为烟草使用提供循证治疗，但 严重利用不足，内华达州是Quitline利用率最低的州之一，只有1.4个呼叫者 每1000名烟草使用者接受药物/咨询。 该项目将包括一项系统评价，收集合作伙伴/参与者的持续反馈， 同时也评估了AAC适应和实施的有效性， CHC、NTQ和HRSA的统一数据系统（UDS）。