Appalachia Community Cancer Network

阿巴拉契亚地区长期以来一直被认为是一个健康差距明显的地区，特别是与癌症有关的地区。来自肯塔基州、俄亥俄州、宾夕法尼亚州、弗吉尼亚州和西弗吉尼亚州的社区合作伙伴和学术合作者组成的跨学科团队建议建立在基于社区的参与性研究（CBPR）的坚实基础上，为低收入、医疗服务不足的阿巴拉契亚人口实施下一代癌症差异减少工作。这项拟议的全国社区网络方案将包括设在肯塔基州大学的总部和设在俄亥俄州州立大学、宾夕法尼亚州立大学、弗吉尼亚理工学院和州立大学（弗吉尼亚理工大学）、西弗吉尼亚大学和肯塔基州大学的区域性地点，并将解决五个州地区的癌症差异问题。每个合作机构都包括一系列区域社区和学术合作伙伴，他们共同为癌症研究和干预建立了强大的CBPR模型。 这项拟议的社区网络方案的计划是与社区伙伴合作制定的，其结构包括社区参与。ACCN将包括肯塔基州大学的行政核心以及研究、培训和社区外展项目。该研究计划将包括一个完整的研究项目，该项目将测试一种基于信仰的干预措施，通过解决肥胖问题来降低癌症风险，肥胖问题在阿巴拉契亚呈流行趋势。整个研究项目将在所有ACCN地区实施。一名有前途的初级研究员在两所大学的ACCN高级研究员的指导下提出了一个与参与临床试验有关的健康传播试点项目。培训计划提出了一项倡议，将为初级研究人员和博士后学员提供结构化的指导经验。社区外展方案将继续发展基础设施和支持社区互动，并将包括一名社区健康教育工作者，与ACCN和CRCHD共同工作。

The Appalachian region has long been considered an area with pronounced health disparities, particularly related to cancer. A transdisciplinary team of community partners and academic collaborators from Kentucky, Ohio, Pennsylvania, Virginia, and West Virginia propose to build on the strong foundation of community based participatory research (CBPR) and implement the next generation of cancer disparities reduction efforts for the low income, medically underserved population of Appalachia. This proposed National Community Network Program will consist of a headquarters site at the University of Kentucky and regional sites at the Ohio State University, Pennsylvania State University, Virginia Polytechnic Institute and State University (Virginia Tech), West Virginia University and the University of Kentucky and will address cancer disparities in a five-state region. Each partnering institution includes a constellation of regional community and academic partners who collectively have built strong CBPR models for cancer research and intervention. Plans for this proposed Community Networks Program have been developed in collaboration with community partners and is structured to include community participation. The ACCN will include an Administrative Core at the University of Kentucky and programs in Research, Training and Community Outreach. The Research Program will include a full research project that will test a faith-based intervention to reduce cancer risks by addressing the problem of obesity, which occurs in epidemic proportions in Appalachia. The full research project will be implemented in all ACCN regions. A pilot project on health communications related to participation in clinical trials is proposed by a promising junior investigator with mentorship by ACCN senior investigators at two universities. The Training program proposes an initiative that will provide structured, mentored experiences for junior investigators and postdoctoral trainees. The Community Outreach program will continue to develop infrastructure and support for community interactions and will include a Community Health Educator to work jointly with the ACCN and CRCHD.