ARKANSAS SPECIAL POPULATIONS ACCESS NETWORK (A-SPAN)

阿肯色人患肺癌、头颈癌、乳腺癌和前列腺癌的风险高于大多数美国人。我们建议建立阿肯色州特殊人群接入网络（ASPAN），以促进或扩大与社区组织的伙伴关系，并在全州范围内促进癌症控制活动。ASPAN的具体目标包括以下几点。1)每年在阿肯色州服务不足和少数族裔人群中增加15%的癌症控制活动，最初重点放在该州的三个地区。这将通过建立认识、增加筛查、促进少数群体参与治疗试验和制定研究重点的社区合作来实现。2)通过加强招募和发展少数族裔科学家的社区和机构基础设施“管道”，在5年内将非裔美国科学家的数量增加40%，并在5年内将研究者发起的涉及阿肯色州少数族裔癌症控制和临床研究的研究项目增加60%。3)通过发展招募模式和社区合作，以及通过修改机构基础设施，在5年内提高和增加临床治疗和预防试验的少数群体累计人数78%。为了将拟议的资源集中到该州最需要的地区，ASPAN在第一阶段的主要地理重点将集中在三个特定地区，这些地区是：1)三角洲；2)阿肯色州中部，3)阿肯色州西北部。这些地区包括个人社区（非洲裔美国人；农村，低收入白种人，包括老年人；低收入；服务不足的城市白种人；以及人数较少但不断增长的西班牙裔人口），具有重大的风险因素和癌症控制挑战。几个理论模型被纳入到我们提出的网络和相关癌症控制活动的设计和实施中。评价包括定量和定性的过程和结果度量。

Arkansans are at greater risk of developing and dying from cancers of the lung, head and neck, breast, and prostate than most Americans. We propose to establish the Arkansas Special Populations Access Network (ASPAN) to foster or expand partnerships with community organizations and to promote cancer control activities throughout the state. The specific goals of ASPAN include the following. 1)Increase cancer control activities in Arkansas' underserved and minority populations by 15 percent each year with an initial emphasis in three regions of the state. This will be accomplished through community collaborations that build awareness, increase screening, promote minority participation in treatment trials, and develop research priorities. 2) Increase the number of African American scientists by 40 percent over 5 years, and investigator-initiated research projects involved in minority cancer control and clinical research in Arkansas by 60 percent over 5 years through enhancement of community and institutional infrastructure "pipelines" for recruitment and development of minority scientists. 3) Enhance and increase minority accrual to clinical treatment and prevention trials by 78 percent over 5 years through the development of recruitment models and community collaborations, and through the modification of the institutional infrastructure. In order to focus the proposed resources into the areas of greatest need in the state, three specific areas will be the primary geographic focus for ASPAN through Phase I. These areas are 1)the Delta; 2)Central Arkansas, and 3)Northwest Arkansas. These regions include communities of individuals (African Americans; rural, low income Caucasians, including elderly; lower income; underserved urban Caucasians; and the small, growing population of Hispanics) with significant risk factors and challenges for cancer control. Several theoretical models are incorporated into the design and implementation of our proposed network and related cancer control activities. Evaluation includes quantitative and qualitative process and outcome measures.