Community Outreach and Engagement

项目摘要/摘要：社区外展和参与 达特茅斯-希区柯克诺里斯棉花癌症中心(NCCC)在NCI指定的癌症中是独一无二的 中心是新英格兰北部(佛蒙特州，新墨西哥州，缅因州)唯一的一个，位于最小的城镇，并且 在为数不多的集水区人口中，有一个几乎一半是农村人口(48%)，其中一个没有主要的 城市核心，根据农村和城市，24个县中有9个被归类为7、8或9(孤立的农村) 连续统码(RUCC)。虽然我们集水区内的人口没有种族/民族 在我们主要是农村社区的一些不同的社会决定因素中-特别是年龄、收入和 教育在癌症相关健康行为、风险、早期发现、治疗和治疗方面发挥重要作用 生存能力。我们农村和非农村人口在癌症控制方面的差距 被记录在案，刺激了不同的研究和干预需求。我们的集水区有一个 癌症发病率不成比例的负担，导致与癌症相关的死亡率和人口增长 癌症幸存者。NCCC在我们的社区中扮演着独特和实质性的角色--让人们参与进来 在我们的集水区内，专注于与当地相关的问题的研究，将证据转化为有影响力的 对个人和社区的好处，研究往往可以推广到其他人群。而当 几十年来，NCCC一直在为这一首要使命服务，最近社区外联活动正式启动 CCSG的和接洽(COE)组件将促进NCCC识别和满足我们的 更全面、更有凝聚力、更灵活、更及时的汇流领域，因为我们与 NCCC的研究计划旨在实现三个目标。它们是：1)识别、测量和监控 在整个集水区通过参与 社区咨询委员会，卫生系统、州和国家数据的观察性研究和监测； 2)解决我们集水区的癌症控制需求和癌症健康公平问题 社区参与的干预措施，更多地参与临床试验，以及区域合作， 将重点放在农村和服务不足的人群上；以及3)宣传四个国家的癌症研究成果 美国国家癌症控制中心跨癌症控制连续体的科学计划，以转化为可持续的政策、计划、 和卫生系统的增强。我们将应用指标来跟踪与以下相关的研究的相关性和影响 癌症生物学、临床研究、与癌症相关的健康公平、预防和控制 区域(监控和社区指标)以及我们对此采取的措施(参与度、协作和 研究指标)。COE倡议将建立在社区和区域现有强大基础之上 合伙企业。通过实现COE目标，我们将确保对以下方面产生最有意义的影响 癌症如何影响我们地区人们的生活，我们将发展坚实的基础设施，以维持 NCCC研究的积极影响和加强翻译。

Project Summary/Abstract: Community Outreach and Engagement The Dartmouth-Hitchcock Norris Cotton Cancer Center (NCCC) is unique among NCI-designated Cancer Centers as the only one in Northern New England (VT, NH, ME), the one located in the smallest town, and as one of the few whose catchment area has a population that is almost half rural (48%), does not contain a major urban core, and has nine of 24 counties classified as 7, 8, or 9 (isolated rural) according to the Rural Urban Continuum Codes (RUCCs). While the population within our catchment area is not as racially/ethnically heterogeneous as some, social determinants in our largely rural communities – particularly age, income, and education play an important role in cancer-related health behaviors, risk, early detection, treatment, and survivorship. Disparities along the cancer control continuum between our rural and non-rural populations have been documented, spurring distinct research and intervention needs. Our catchment area carries a disproportionate burden in cancer incidence, leading to both cancer-related mortality, and a growing population of cancer survivors. NCCC plays a unique and substantive role in our communities—engaging the populations within our catchment area and focusing research on locally-relevant issues to translate evidence into impactful benefits for individuals and communities, with research that is often generalizable to other populations. While NCCC has served this overarching mission for decades, the recent formalization of the Community Outreach and Engagement (COE) component of the CCSG will catalyze NCCC to identify and address the needs of our catchment area in a more comprehensive, cohesive, nimble and timely way as we work in concert with NCCC’s Research Programs to accomplish three aims. These are: 1) To identify, measure, and monitor the cancer control needs and cancer health equity issues throughout the catchment area through engagement of a Community Advisory Board, observational studies and surveillance of health system, state, and national data; 2) To address the cancer control needs and cancer health equity issues of our catchment area through community-engaged interventions, increased participation in clinical trials, and regional collaborations, with an emphasis on rural and underserved populations; and 3) To promote cancer research findings from the four NCCC scientific programs across the cancer control continuum for translation into sustainable policy, program, and health system enhancements. We will apply metrics to track relevance and impact of research related to cancer biology, clinical research, cancer-related health equity, prevention, and control within our catchment area (surveillance and community metrics) and what are we doing about it (engagement, collaboration, and research metrics). The COE initiative will build upon a strong existing base of community and regional partnerships. By achieving the COE aims, we will ensure that we are having the most meaningful impact on how cancer affects the lives of those in our region, and we will develop a solid infrastructure for sustaining those positive impacts and strengthening translation of NCCC research.