Regional Native American Community Networks Program (RNACNP)

华盛顿大学(UW)和黑山美国印第安人健康中心(BHCAIH)寻求支持原住民癌症控制(NPCC)，这是一个目前资助的地区社区网络计划(CNP)。 NPCC被组织成一个行政五核心和社区推广、研究和培训方案。 NPCC的董事职位将由密歇根大学医学教授兼本地健康伙伴关系主任Dedra Buchwald医学博士和南卡罗来纳州拉皮特市社区非营利性BHCAIH总裁兼首席执行官Jeffrey Henderson(夏延河苏医学博士)共同担任。NPCC服务于8个州的地区，总部设在西雅图的UW，另外还有3个地点在地理上与我们的行为相一致 社区外展计划活动。站点1包括华盛顿州、阿拉斯加和俄勒冈州；站点2包括爱达荷州、蒙大拿州和怀俄明州；站点3包括北达科他州和南达科他州。NPCC将包括15名美国印第安人/阿拉斯加原住民(AI/AN)调查人员、工作人员和合作伙伴。 在美国所有种族/民族中，AI/ANS在所有癌症合并后的5年内是最差的(12)，而且很难获得癌症临床试验。因此，我们的首要目标是直接为经历严重健康不平等的AI/AN人群的癌症健康结果和生活质量做出贡献。 我们的核心战略是抓住机遇，利用现有资源，在与土著社区的紧密合作伙伴关系的推动下，开展一项综合的、多方面的研究计划。我们将解决癌症健康问题，从预防和临床试验到生存。我们的长期目标是产生可以转化为实践和政策的发现，以减少与AI/AN癌症相关的健康差距。因此，我们的具体目标是：1)通过社区外展计划的活动，增加城市和地区AI/AN中的癌症教育、外展、健康促进和预防工作；2)利用社区参与式方法，开展1个研究项目、2个CNP试点项目和2个培训项目，重点是结直肠癌筛查、健康素养和沟通、癌症危险因素和护理，以及在Al/AN中进行临床试验教育；3)通过培训计划的努力，培训至少5名AI/AN初级教员进行研究；以及4)通过所有NPCC活动，增加AI/AN人群获得和使用注射/注射的机会，以减少癌症健康差距。这些活动将由行政五核心协调。NPPC拥有广泛的合作伙伴网络、25项与癌症相关的资助和NPCC附属调查人员发表的54份出版物，无论是作为一个单独的网站还是作为CNP网络的成员，NPPC都具备成功的CNP的基本要素。

University of Washington (UW) and Black Hills Center for American Indian Health (BHCAIH) seek support for Native People for Cancer Control (NPCC), a currentiy-funded regional Community Networks Program (CNP). NPCC is organized into an Administrafive Core and Community Outreach, Research, and Training Programs. Directorship of NPCC will be shared by Dedra Buchwald, MD, Professor of Medicine and Director, Partnerships for Native Health, UW; and Jeffrey Henderson (Cheyenne River Sioux), MD, MPH, President and CEO of the community-based, non-profit BHCAIH in Rapid City, SD. NPCC serves an 8-state region and is headquartered at UW in Seattle, with 3 additional sites that align geographically with the conduct of our Community Outreach Program activities. Site 1 includes Washington, Alaska, and Oregon; Site 2 includes Idaho, Montana, and Wyoming; and Site 3 includes North and South Dakota. NPCC will include 15 American Indian/Alaska Native (AI/AN) investigators, staff, and partners. AI/ANs have the poorest 5-year sun/ival from all cancers combined among all U.S. racial/ethnic groups,(12) and access to cancer clinical trials is difficult. Our overarching aim, therefore, is to direcfiy contribute to improved cancer health outcomes and quality of life for AI/AN populations, which experience dramafic health inequities. Our central strategy is to capitalize on opportunlties and leverage existing resources to pursue an integrated, mulfifaceted research program that is catalyzed by tight partnerships with Native communities. We will address cancer health issues ranging from prevenfion and clinical trials to survivorship. Our long-term goal is to generate findings that can be translated into practices and policies that will reduce AI/AN cancer-related health disparities. Thus, our Specific Aims are to: 1) increase cancer educafion, outreach, health promotion, and prevention efforts among urban and mral AI/ANs through the activities of the Community Outreach Program; 2) conduct 1 Research Project, 2 CNP Pilot Projects, and 2 Training Projects using community-based participatory methods that focus on colorectal cancer screening, health literacy and communication, cancer risk factors and care, and clinical trials educafion among Al/ANs; 3) train at least 5 AI/AN junior faculty members to conduct research through the efforts of the Training Program; and 4) reduce cancer health disparities by increasing access to, and use of, inten/entions among AI/AN populations through all NPCC activifies. These activities will be coordinated by the Administrafive Core. With a wide network of partners, 25 funded cancer-related grants and 54 publications by NPCC-affiliated investigators, NPPC has the essential elements of a successful CNP, both as an individual site and as a member ofthe CNP network.