Community Outreach Program

N3部分：社区外展核心 社区外展计划的目标是增加知识，获得和使用有益的生物医学和行为程序，以解决Al和拉丁美洲社区之间与癌症相关的健康差异。将用于实现这一目标的具体目标是基于社区为基础的前瞻性研究（CBPR）的原则，可以定义为“一种伙伴关系的研究方法， 公平地涉及到...社区成员、组织代表和研究人员参与研究过程的一个方面，所有合作伙伴都贡献专业知识，分享决策和所有权”。(22)区别于其他类型的研究的关键概念是学术机构和社区之间的伙伴关系，公平分配的所有方面， 研究过程（和货币补偿），以及共享决策和数据所有权。CBPR已被成功地用于解决少数民族的各种健康结果，总体目标是减少健康差距。(22)在Al社区，成功的项目包括青年戒烟，了解烟草使用模式，癌症预防和控制，虐待老人，青年健康，遗传 问题、环境暴露和心理健康问题（23-32）CBPR也已在人工智能社区用于肥胖、（33，34）糖尿病（35，36）和癌症等主题。(37 CBPR已成功用于拉丁美洲社区的癌症研究，培训和认识，（39）乳腺健康促进。(40)艾滋病毒预防 计划，（41）和糖尿病控制和减少。(42)它被描述为拉丁美洲社区的一种宝贵的能力建设方法。（四十三） CBPR方法已被参与本提案的所有关键人员使用。2004年Greiner博士开始了一个纵向CBPR项目，为在堪萨斯城怀恩多特县妇女婴儿和儿童（WIC）诊所服务的拉丁美洲妇女提供营养信息。堪萨斯。该项目为该州最贫困的县提供服务，格雷纳博士的双语项目在五年内教育了3000多名妇女。 博士Choi为Al社区制定了CBPR戒烟计划。2004年，戴利博士加入了他的行列，他们共同建立了AIHREA和一个研究小组，该小组拥有一个强大而活跃的社区咨询委员会（CAB），该委员会每季度开会一次，并为他们的所有研究提供投入。2002年，Kimminau博士直接与堪萨斯西南部拉丁裔社区和堪萨斯东北部Al社区合作， 2006年，采用基于社区的公共政策研究驱动的需求评估，从而产生了有史以来第一份关于少数群体健康和健康差距的国家报告（见附录）。库比蒂诺博士与社区合作伙伴合作，开发了拉丁美洲健康倡议网络（LHIN），并与埃尔森特罗公司等当地组织启动了一系列CBPR驱动的项目。和西班牙裔妇女抗癌联盟

Section N3: Community Outreach Core The goal of the community outreach program is to increase knowledge of, access to, and use of beneficial biomedical and behavioral procedures to address cancer-related health disparities among Al and Latino communities. The specific aims that will be used to attain this goal are grounded in the principles of Community Based Participatory Research (CBPR) which can be defined as "a partnership approach to research that equitably involves...communWy members, organizational representatives, and researchers in a//aspecte of the research process and in which all partners contribute expertise and share decision making and ownership"{emphasis added).(22) Key concepts that differentiate it from other types of research are the partnership between the academic institution and the community, the equitable distribution of all aspects of the research process (and monetary compensation), and the shared decision making and ownership of data. CBPR has been used to successfully address a variety of health outcomes in ethnic minorities, with the overall goal of reducing health disparities.(22) In Al communities, successful programs include youth tobacco cessation, understanding tobacco use patterns, cancer prevention and control, elder abuse, youth wellness, genetic issues, environmental exposures, and mental health issues(23-32) CBPR also has been used in Al communities for such topics as obesity,(33,34) diabetes, (35,36) and cancer.(37,38) CBPR has been successfully used in Latino communities for cancer research, training, and awareness,(39) breast health promotion.(40) HIV prevention programs, (41) and diabetes control and reduction.(42) It has been described as a valuable capacity building approach for Latino communities. (43) CBPR methods have been used by all of the key personnel involved in this proposal. In 2004. Dr. Greiner began a longitudinal CBPR project to provide nutritional information to Latino women served at the Wyandotte County Women Infants and Children (WIC) clinic in Kansas City. Kansas. This program serves the poorest county in the state and Dr. Greiner's bilingual program has educated over 3000 women in five years, In 2003, Dr. Choi developed a CBPR smoking cessation program for the Al community. In 2004, Dr. Daley joined him and together they have established AIHREA and a research team with a strong and active Community Advisory Board (CAB) that meets quarteriy and provides input on all their studies. In 2002, Dr. Kimminau, worked directly with the southwest Kansas Latino community and the northeast Kansas Al community to employ a CBPR driven needs assessment resulting in the first ever state report on minority health and health disparities, (see appendix) In 2006. Dr. Cupertino worked with community partners to develop the Latino Health Initiatives Network (LHIN) and launched a series of CBPR driven projects with local organizations such as El Centro, Inc. and the Coalition of Hispanic Women Against Cancer.