Community Based Prevention Marketing for Systems Change: Reducing Disparities

基于社区的系统变革预防营销：减少差异

• 批准号: 8739734
• 负责人: Carol A Bryant
• 金额: $ 75万
• 依托单位: UNIVERSITY OF SOUTH FLORIDA
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-30 至 2019-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8739734
• 关键词: Community; Based; Prevention; Marketing; Systems

DESCRIPTION (provided by applicant): We propose a Prevention Research Center that uses community-based prevention marketing (CBPM) to adapt, implement, evaluate, and disseminate evidence-based approaches to strengthen state and local health departments' and community coalitions' capacity for sustained disease prevention and health promotion. The FPRC's health priority will be the reduction of cancer disparities, and the core research project for the next five years will focus on the promotion of colorectal cancer screening (CRCS). The FPRC's mission and core research are responsive to the Guide to Community Preventive Services' focus on multilevel interventions to increase screening for cancer. The core research project will focus on colorectal cancer (CRC), selected by our State partner - the Florida Department of Health (FDOH), because it is the second leading cause of cancer-related deaths among men and women in the U.S. While scientific cancer advances are occurring, racial ethnic minorities and the medically underserved have consistently experienced the highest CRC mortality rates. The aims of the core research project are to: 1) examine disparities in late stage colorectal cancer incidence and screening rates to identify priority populations; 2) identify appropriate and feasible evidence-based interventions (EBI) for the priority populations; 3) conduct formative research with priority populations and key stakeholders to assess the EBIs' acceptability and to tailor EBIs to better meet priority population(s)' preferences and needs; and 4) implement and evaluate the multilevel intervention and make recommendations for future programs and policies in the state of Florida. This proposal makes three significant contributions to prevention research. First, the FPRC will work with FDOH, a community committee and other stakeholders (e.g., American Cancer Society) to test the CBPM for Systems Change framework's ability to select, tailor, promote, monitor, evaluate, and disseminate EBIs to reduce colorectal cancer screening (CRCS) health disparities. This planning framework has the potential to equip prevention researchers, health department and community partners with an effective planning framework that accelerates the translation of research to practice. Lessons learned from this demonstration project will be used to enhance the FPRC's training website and provide technical assistance to other State health departments and community partners. Second, the FPRC and its partners will create a computer simulation model of the system in which CRCS disparities are embedded and identify evidence-based interventions appropriate for addressing determinants at multiple levels in that system. This model and formative research results will be used to design an integrated, multilevel intervention for reducing CRC disparities. The intervention will be evaluated and the feasibility of scaling it up to other communities assessed. A dissemination plan will be created for effective components. Third, the FPRC will use lessons learned from the new and previous demonstration projects to enhance the CBPM training website and mentor other public health agencies and community partners that adopt it.

描述（由申请人提供）：我们提议建立一个预防研究中心，使用基于社区的预防营销（CBPM）来适应、实施、评估和传播基于证据的方法，以加强州和地方卫生部门和社区联盟持续预防疾病和促进健康的能力。FPRC的健康重点将是减少癌症差异，未来五年的核心研究项目将集中在促进结直肠癌筛查（CRCS）上。FPRC的使命和核心研究是对社区预防服务指南的响应，该指南侧重于多层次干预措施，以增加癌症筛查。核心研究项目将重点关注结直肠癌（CRC），由我们的州合作伙伴佛罗里达州卫生部（FDOH）选择，因为它是美国男性和女性癌症相关死亡的第二大原因。虽然癌症科学正在取得进展，但少数种族和医疗服务不足的人一直经历着最高的CRC死亡率。核心研究项目的目的是：1)研究后期的差异