Community Outreach Program

拟议的社区外展计划（OP）的目标是增加基于证据的 生物医学和行为程序和干预措施，以减少西班牙裔美国人的癌症负担， 德克萨斯我们将建立在现有的社区伙伴关系，基础设施和计划，以发展一个外展 通过与社区合作伙伴的能力建设和直接卫生保健来实现这一目标的方案 在西班牙裔社区推广。本提案描述了我们将如何开展基于社区的 参与性研究、培训、健康促进和教育，以减少癌症负担， 德克萨斯基于广泛的社区参与和通过现有的CBPR工作的优先次序，我们 确定了德克萨斯州拉丁裔社区主要关注的一些领域。其中包括： 增加HPV疫苗接种，在很少和从不接种的人群中增加乳腺癌和宫颈癌筛查 筛查妇女，增加结肠直肠癌筛查，增加戒烟，增加 体力活动和营养。此外，根据我们在休斯顿的西班牙裔队列的经验， 帕索，和布朗斯维尔，以及我们在得克萨斯州墨西哥边境进行的初步研究，我们已经注意到， 其他重要的需求领域，包括更好地了解影响参与临床研究的因素， 试验和生物库以及需要文化上胜任和语言上适当的教育材料 来解决这些问题。总体而言，拟议的国家方案将侧重于所有这些领域;外联核心将 开始，首先关注癌症筛查（乳腺癌、宫颈癌和结肠直肠癌）和HPV疫苗接种。 此外，试点研究项目和外联核心将联合进行需求评估， 与参与临床试验和生物库有关的干预措施制定和实施活动。 CNP社区OP将被命名为：TODOS Against Cancer/ TODOS Contra el Cancer（西班牙语）。 TODOS代表德克萨斯州提供抗癌外展服务的组织。拟议的团队 和社区合作伙伴选择这个名字，因为它传达了一个信念，即“我们所有人”共同努力， 可以解决德克萨斯州的癌症健康差异。通过我们现有的网络，我们已经证明， 包容、协调、以社区为中心的合作可以增加癌症预防的使用 在服务不足的人群中采取措施，最终减少西班牙裔社区的癌症负担， 其他医疗服务不足的群体。

The goal of the proposed community Outreach Program (OP) is to increase the use of evidence-based biomedical and behavioral procedures and interventions to reduce the cancer burden among Hispanics in Texas. We will build on existing community partnerships, infrastructure and programs to develop an Outreach Program that will accomplish this goal through capacity building with community partners and direct health promotion in Hispanic communities. This proposal describes how we will conduct community-based participatory research, training, and health promotion and education that will reduce the cancer burden in Texas. Based on extensive community participation and prioritization through existing CBPR efforts, we have identified a number of areas of primary concern among Latino communities in Texas. These include: increasing vaccination against HPV, increasing breast and cervical cancer screening among rarely and never screened women, increasing colorectal cancer screening, increasing tobacco cessation, and increasing physical activity and nutrition. Additionally, based on our experience with Hispanic cohorts in Houston, El Paso, and Brownsville, and our preliminary studies conducted on the Texas Mexico border, we have noted other important areas of need including a better understanding of factors influencing participation in clinical trials and biobanking and the need for culturally competent and linguistically appropriate educational materials to address these issues. Collectively, the proposed CNP will focus on all of these areas; the Outreach core will begin with an initial focus on cancer screening (breast, cervical, and colorectal), and HPV vaccination. Additionally, the Pilot research project and the Outreach Core will jointly conduct needs assessment and intervention development and implementation activities related to participation in clinical trials and biobanking. The CNP Community OP will be named: TODOS Against Cancer/ TODOS Contra el Cancer (\n Spanish). TODOS stands for Texas Organizations Delivering Outreach Services Against Cancer. The proposed team and community partners chose this name because it conveys the conviction that "all of us" working together, can address cancer health disparities in Texas. Through our existing networks, we have demonstrated that inclusive, coordinated, community-centered collaboration can result in increased use of cancer prevention practices among the underserved to ultimately reduce the burden of cancer among Hispanics communities and other medically underserved groups.