Improving cancer prevention and control through academic-local public health department partnerships

通过学术界与当地公共卫生部门的合作改善癌症预防和控制

• 批准号: 10441988
• 负责人: Stephanie Mazzucca-Ragan
• 金额: $ 64.87万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-05-17 至 2027-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10441988
• 关键词: Academic support; Address; Adopted; Adoption; Cancer Burden; Cancer Control; Characteristics; Chronic Disease; Collaborations; Communities; Data Collection; Decision Making; Diet; Early Diagnosis; Education; Evidence based program; Exploration Preparation Implementation and Sustainment; Funding; Goals; Health; Health education; Individual; Interview; Joints; Link; Malignant Neoplasms; Methods; Modeling; Phase; Physical activity; Policies; Policy Making; Population; Positioning Attribute; Preparation; Process; Public Health; Public Health Practice; Randomized; Research; Research Personnel; Research Project Grants; Resources; Risk Factors; Structure; Students; Surveys; Testing; Time; Tobacco use; Training; Translating; Translational Research; United States; Work; arm; base; cancer prevention; contextual factors; design; deviant; dissemination research; effectiveness testing; evidence base; implementation evaluation; implementation facilitation; implementation framework; implementation research; improved; innovation; modifiable risk; organizational climate; prevent; programs; randomized trial; research to practice; skills; sustainability framework

PROJECT SUMMARY Background: The 2,800 local public health departments (LHDs) in the United States have been increasingly responsible for implementing evidence-based programs and policies (EBPPs) to prevent and control cancer in their local communities, which has immense potential to impact population-level cancer burden. Our team has developed effective strategies to support LHDs and their staff to implement EBPPs, including guided facilitation and training, but the reach and sustainability of these strategies is currently limited. A promising strategy is for LHDs to engage in an academic-public health department (AHD) partnership, in which LHD practitioners and academics collaborate to improve public health practice and education through joint research projects and education opportunities for students. However, research on how AHD partnerships should be structured to improve implementation of cancer-related EBPPs is sparse. Goal: This proposal seeks to understand how to leverage AHD partnerships to facilitate implementation of EBPPs to prevent and control cancer. Methods: Aim 1: We will survey an existing, nationwide network of AHD partnerships to identify 4 high- and 4 low-performing partnerships based on their implementation of cancer-related EBPPs. We will use qualitative interviews and document reviews to refine our existing set of strategies, which can improve the use of EBPPs (e.g., facilitation needed, defining a tailored AHD partnership “package”), based on the structures, processes, and contextual influences among successful partnerships. Aim 2: Building on Aim 1, we will test the effectiveness of these refined strategies designed to improve the adoption of EBPPs for cancer prevention and control by strengthening AHD partnerships. We will conduct a group-randomized study (total N=28 AHD partnerships) to evaluate the effect of strategies to improve the adoption of cancer control and prevention EBPPs by supporting AHD partnerships. A mixed-methods approach will be used to evaluate changes in AHD partnerships and understand how contextual factors may have impacted the AHD partnership’s ability to support EBPP implementation. We will translate and disseminate findings from Phases 1 and 2 to LHD practitioners and academic partners to support cancer prevention and control in LHDs. Innovations and impact: The proposed study is innovative and impactful because it will be first study to focus on local-level collaborations that leverage expertise of LHDs and academics to improve public health practice. Also, its application of bridging factors, a component of the Exploration, Preparation, Implementation, and Sustainment (EPIS) framework receiving a greater focus recently, will contribute to the application of emerging components of theoretical frameworks in dissemination and implementation research. Last, this study examines new models for how public practice and academic public health can work together to meet common goals sustainably, i.e., without ongoing support from outside researchers.

项目摘要 背景：美国的2,800个地方公共卫生部门（LHD）越来越多 负责实施循证计划和政策（EBPPS），以预防和控制癌症 他们的当地社区影响了人口影响人口水平癌症伯恩的潜力。我们的团队有 制定了支持LHD及其员工实施EBPP的有效策略，包括指导设施 和培训，但是这些策略的影响力和可持续性目前受到限制。承诺策略是为 LHDS与LHD从业者和 学术界合作通过联合研究项目改善公共卫生实践和教育， 学生的教育机会。但是，研究应如何构建AHD合作伙伴关系 改善与癌症相关的EBPP的实施很少。 目标：该提案旨在了解如何利用AHD合作伙伴关系来托管实施 EBPP预防和控制癌症。 方法：目标1：我们将调查现有的全国性AHD合作伙伴网络，以识别4个高和4 根据其实施与癌症相关的EBPP的实施，绩效较低的伙伴关系。我们将使用定性 访谈和文件评论以完善我们现有的策略集，这些策略可以改善EBPP的使用 （例如，需要便利，根据结构，流程， 以及成功的伙伴关系之间的上下文影响。 AIM 2：在AIM 1上建立，我们将测试 这些精致策略的有效性，旨在改善EBPP进行预防癌症和 通过加强AHD合作伙伴关系来控制。我们将进行小组随机研究（总n = 28 AHD 合作伙伴关系）评估改善采用癌症控制和预防的策略的影响 通过支持AHD合作伙伴关系EBPP。混合方法方法将用于评估AHD的变化 伙伴关系并了解上下文因素如何影响AHD合作伙伴的能力 支持EBPP实施。我们将翻译和传播从第1和2阶段到LHD的发现 从业者和学术伙伴支持LHD中的癌症预防和控制。 创新和影响：拟议的研究具有创新性和影响力，因为它将首次研究重点 关于利用LHD和学者专业知识的本地合作，以改善公共卫生实践。 此外，它的应用桥接因素，勘探，准备，实施的组成部分以及 最近获得更重点的维持框架（ESIP）框架将有助于新兴的应用 传播和实施研究中理论框架的组成部分。最后，这项研究 研究新的模型，以了解公共实践和学术公共卫生如何共同满足共同的模型 目标可持续，即没有外部研究人员的持续支持。