Community Networks Program: The Johns Hopkins Center to Reduce Cancer Disparities

描述（由申请人提供）：在巴尔的摩市和乔治王子县社区合作伙伴的指导下，悉尼基梅尔综合癌症中心提议正式建立“社区网络计划（CNP）：约翰霍普金斯中心减少癌症差异”。拟议中的中心源于一个已建立的社区-学术实践伙伴关系，该伙伴关系在两个县都很活跃，提供癌症筛查服务和研究。这些以非洲裔美国人为主的国家在社会经济地位上存在差异，但由于乳腺癌、子宫颈癌和结直肠癌，两者的死亡率都不成比例。该提案的目标是创建一个基础设施来支持社区驱动的研究，为早期研究人员创造培训机会。我们提出了以下具体目标：1)建立行政核心，为中心的整体战略规划提供领导，包括科学领导和监督使用gbpr方法及其核心原则；2)制定社区外展计划，利用现有的社区外展计划，针对巴尔的摩市和乔治王子县服务不足的多种族人口；3)实施一项由两个项目组成的研究计划：a)全面研究项目，“评估老年人癌症护理和健康行为教练（COACH）”，这是一项随机对照试验，比较训练有素的参与者指定教练与专业导航员在支持坚持癌症筛查方面的有效性；b)试点教育研究项目，这是一项混合方法研究，旨在调查多种族老年人参与癌症相关生物标本库的知识、态度和意愿；4)建立一个培训计划，主要目标是增加在癌症差异背景下使用CBPR的合格健康差异研究人员的数量。约翰霍普金斯大学的CNP中心将创建一个可持续的基础设施，用于基于社区的大型、多项目、高度协作规模的参与性研究，它将增加对从预防到早期检测、诊断、治疗和生存等领域与癌症相关的有益生物医学和行为程序的知识、获取和利用。

DESCRIPTION (provided by applicant): Under the direction of its community partners within Baltimore City and Prince George's County, the Sidney Kimmel Comprehensive Cancer Center proposes to formally establish the "Community Networks Program (CNP): The Johns Hopkins Center to Reduce Cancer Disparities." The proposed Center arises from an established community-academic practice partnership that has been active across the two counties, in delivery of cancer screening services, and in research. These predominantly African American counties differ in socio economic status, but both experience disproportionate mortality due to breast, cervix and colorectal cancer. The objective of this proposal is to create an infrastructure to support community-driven research that creates training opportunities for early-stage investigators. We propose the following Specific Aims: 1) To establish an Administrative Core to provide leadership for the Center's overall strategic planning, including scientific leader-ship-and-oversight-on using-the-GBPR approach and its core-principles; 2) To develop a Community- Outreach Program that leverages existing community outreach initiatives targeted to multiethnic underserved populations in Baltimore City and Prince George's County; 3) To implement a Research Program consisting of two projects: a) the Full Research Project, "Evaluating Coaches of Older Adults for Cancer Care and Healthy Behaviors (COACH)", a randomized controlled trial that compares the effectiveness of trained, participant designated coaches vs. professionally-based navigators, in supporting adherence to cancer screening; and b) the Pilot Educational Research Project, a mixed-methods study that examines knowledge, attitudes and willingness of multiethnic older adults to participate in a cancer-related biospecimen repository; 4) To establish a Training Program with the primary goal of increasing the number of qualified health disparity researchers experienced in using CBPR in the context of cancer disparities. The CNP Center at Johns Hopkins will create a sustainable infrastructure for community based participatory research on a large, multiple project, highly collaborative scale, It will increase knowledge of, access to, and utilization of beneficial biomedical and behavioral procedures related to cancer in areas ranging from prevention to early detection, diagnosis, treatment, and survivorship.